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Considerations for Systemic and Topical Treatment of Morganella morganii Septicemia Arising from Maggot Infestation.
- Source :
-
Wounds : a compendium of clinical research and practice [Wounds] 2018 Jun; Vol. 30 (6), pp. E60-E64. - Publication Year :
- 2018
-
Abstract
- 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.<br />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.<br />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.
- Subjects :
- Administration, Intravenous
Administration, Topical
Aged, 80 and over
Carbapenems administration & dosage
Enterobacteriaceae Infections therapy
Humans
Hydrotherapy methods
Hyperkeratosis, Epidermolytic parasitology
Hyperkeratosis, Epidermolytic therapy
Insecticides administration & dosage
Lower Extremity parasitology
Male
Myiasis pathology
Myiasis therapy
Ointments administration & dosage
Permethrin administration & dosage
Postthrombotic Syndrome physiopathology
Postthrombotic Syndrome therapy
Sepsis parasitology
Sepsis therapy
Treatment Outcome
Enterobacteriaceae Infections pathology
Hyperkeratosis, Epidermolytic pathology
Lower Extremity pathology
Morganella morganii pathogenicity
Myiasis complications
Postthrombotic Syndrome complications
Sepsis pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1943-2704
- Volume :
- 30
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Wounds : a compendium of clinical research and practice
- Publication Type :
- Academic Journal
- Accession number :
- 30059332