The First Case of Ignatzschineria ureiclastica/larvae in the United States Presenting as a Myiatic Wound Infection

Ignatzschineria is a recently identified genus of bacteria that has been isolated from the digestive tract of multiple flies associated with decomposing tissue. Species within this genus are rarely implicated in human disease, and less than 10 cases worldwide have been documented in the literature. Although there have been several documented cases of Ignatzschineria indica bacteremia in the United States (with one previous case in Louisville, KY), this case represents the first documented case of Ignatzschineria ureiclastica/larvae bacteremia in the United States. The natural insect host of this bacteria, parasitic flies that are commonly found among sheep and other livestock, may pose a public health hazard in the city and implicate geographic spread of this bacteria species and its host.