A Case of <i>Ignatzschineria indica</i> Bacteremia following Maggot Colonization

Abstract

<i>Ignatzschineria indica</i> is a Gram-negative bacterium that is commonly associated with the larvae of flesh flies. <i>I. indica</i> is difficult to isolate in routine laboratory procedures but has been associated with neglected wounds infested with maggots, fever, elevated white blood count and C-reactive protein, and polymicrobial culture results. Other specific hematological/immunological changes are not known. We present a case of <i>I. indica</i> bacteremia and polymicrobial osteomyelitis resulting from infected decubitus ulcers. The patient improved after treatment with cefepime followed by levofloxacin.