Novel detection of two cases of Ignatzschineria indica bacteremia in Japan: Literature review

Abstract

To date, I. indica is a resident bacterium in the intestinal tract of flies, and can be detected in wounds with moths and ulcers on the feet of patients living in poor environment. Based on the Fear T’s case report and the summary of previously published 13 cases of Ignatzschineria infection, there were no previous case report in Japan. Herin, we first reported two cases of Ignatzschineria indica bacteremia in Japan. Due severe economic problems, two 70 year-male case and 80 year-female case lives in cars and hoarding house, respectively. Two cases had the ulcer of lower limbs. I. indica in two cases were identified in the culture of blood stream by mass spectrometry method. Thus, two cases successfully treated with antibiotics haboring the sensitivity for I. indica. To the best our knowledge, we first reported two cases of Ignatzschineria indica bacteremia in Japan. Thus, the clinicians should be considered the possibilities of I. indica infection for the cases with moths and ulcers on the feet of patients living in poor environment.