Primer caso de sepsis por Ignatzschineria en España asociada a miasis. Descripción de un caso y revisión de la literatura

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

“…Recent inclusion of reference spectra for a representative strain of Ignatzschineria indica in the Bruker database may make possible more frequent identification of this species by MALDI-TOF MS in the future [19,28]. Indeed, as reported by Rodriguez-Zuniga et al [24], Deslandes et al [19], and Snyder et al [26], I. indica from blood cultures of patients with sepsis or bacteremia has correctly been identified by MALDI-TOF MS. As shown in our case, the identification of the species I. larvae by MALDI-TOF MS was still not possible. Currently, the most accurate method for identifying Ignatzschineria spp.…”

“…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].…”