RESUMEN
INTRODUCTION: Live maggot infestation (myiasis) of wounds can present a host of ailments. Loosely associated with maggot excreta, Morganella morganii is a widespread, gram-negative rod bacterium commonly found in the intestinal tracts of humans. M morganii has been observed as being pathogenic, particularly in nosocomial and postoperative environments, as well as in immunosuppressed and elderly populations. CASE REPORT: Herein, the authors present a rare, previously unreported case of M morganii septicemia (as confirmed by positive blood culture), secondary to myiasis of the lower extremities. The patient was successfully treated with both systemic and topical interventions. Posttreatment examination revealed resolution of myiasis and negative blood cultures. CONCLUSIONS: Myiasis can be invasive, leading to severe systemic infection. In these cases, a broad-spectrum antibiotic combined with systemic and topical antiparasitic therapy should be considered.
Asunto(s)
Infecciones por Enterobacteriaceae/patología , Hiperqueratosis Epidermolítica/patología , Extremidad Inferior/patología , Morganella morganii/patogenicidad , Miasis/complicaciones , Síndrome Postrombótico/complicaciones , Sepsis/patología , Administración Intravenosa , Administración Tópica , Anciano de 80 o más Años , Carbapenémicos/administración & dosificación , Infecciones por Enterobacteriaceae/terapia , Humanos , Hidroterapia/métodos , Hiperqueratosis Epidermolítica/parasitología , Hiperqueratosis Epidermolítica/terapia , Insecticidas/administración & dosificación , Extremidad Inferior/parasitología , Masculino , Miasis/patología , Miasis/terapia , Pomadas/administración & dosificación , Permetrina/administración & dosificación , Síndrome Postrombótico/fisiopatología , Síndrome Postrombótico/terapia , Sepsis/parasitología , Sepsis/terapia , Resultado del TratamientoAsunto(s)
Miel , Lepra/terapia , Úlcera Cutánea/terapia , Sacarosa/uso terapéutico , Animales , Humanos , India , Lepra/complicaciones , Miasis/complicaciones , Úlcera Cutánea/etiologíaRESUMEN
This article chronicles a personal experience with the care of a patient with chronic, recalcitrant stasis ulcers who presented with maggot infestation. A case study format is used. A brief history, technique, and benefits of maggot therapy are also included.