Bactériémie et ostéite à Ignatzschineria larvae sur plaie chronique infestée par des asticots

Abstract

Bactériémie et ostéite à Ignatzschineria larvae sur plaie chronique infestée par des asticots Ignatzschineria larvae bacteremia and osteitis on a chronic wound infested by maggots

A case of sepsis due to a rare carbapenem-resistant Ignatzschineria species

“…Ignatzschineria bacteremia is often associated with poor living or working conditions, alcoholism, open wounds/ulcers, and peripheral vascular disease [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] . It was reported that this patient had been living in poor conditions in a basement and had also shown behaviors of self-neglect both of which predisposed him to myiasis and therefore Ignatzschineria infection.…”

“…With regards to I. larvae , only three cases have been reported -all of which were isolated in patients in France [12] , [16] , [19] . In the 2005 case reported by Roudiere et al, the patient was a 39-year-old male with a history of alcohol abuse who presented with trench foot and was found to have maggots in his wounds.…”

“…In a review of the literature, Ignatzschineria species were only isolated in blood, urine, and abscess cultures; however, interestingly, none were isolated in wound cultures [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] . Common complications associated Ignatzschineria bacteremia include: sepsis, need for debridement, amputation of limb with the most commonly affected body area being the lower extremities, and acute kidney injury [7] , [9] , [10] , [11] , [12] , [13] , [15] , [17] , [18] , [20] , [21] . Ignatzschineria bacteremia is rarely associated with osteitis/osteomyelitis in the literature though it has been identified and subsequently required debridement or amputation of the affected limb [7] , [9] , [12] , [17] .…”

Ignatzschineria larvae Bacteremia Following Lucilia sp. Myiasis in an Irregular Migrant: A Case Report

“…the infested host, causing serious systemic infections. However, bacteremia in humans caused by species of the genus Ignatzschineria has been rarely described and has only been documented in a few case reports [5,6,15,[18][19][20][21][22][23][24][25][26][27]. The rarity of infections being detected may be due to the fact that these bacteria were first described only 2 decades ago and also the difficulty of their identification using standard medical microbiology identification methods, such as classical biochemical tests and commercial bacterial identification systems [18].…”

“…For this reason, sequencing of a 1,462 bp long region of the same gene [ 11 ] was required for accurate identification of I. larvae . To date, there have been 4 other case reports describing I. larvae bacteremia in patients with myiasis, all of them originating from France [ 20 , 22 , 25 , 27 ]. As in most of the described cases of Ignatzschineria spp.…”