{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:48:55Z","timestamp":1791668935653,"version":"4.3.4"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Wohlfahrtiimonas chitiniclastica is a rare Gram-negative bacillus associated with fly larvae, myiasis, chronic wounds, and severe polymicrobial infection. We report a 71-year-old woman with diabetes, peripheral neuropathy, severe peripheral vascular disease, and previous contralateral above-knee amputation who presented with septic shock secondary to an infected right hallux ulcer. Radiographs demonstrated soft-tissue gas extending into the distal calf. Emergency exploration revealed extensive necrosis and dishwater pus tracking proximally along the flexor hallucis longus tendon, consistent with necrotizing fasciitis. Radical debridement was performed, although major amputation was initially declined. Tissue and pus cultures grew W. chitiniclastica and Enterococcus faecalis; no larvae were identified. Despite temporary clinical stabilization with intensive care support and broad-spectrum antibiotics, the foot remained non-viable and definitive above-knee amputation was required. The patient improved rapidly following source control and was discharged to rehabilitation. This case highlights the importance of early recognition, aggressive debridement, and definitive source control for survival.<\/jats:p>","DOI":"10.1093\/jscr\/rjag892","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:59:25Z","timestamp":1790164765000},"source":"Crossref","is-referenced-by-count":0,"title":["Necrotizing fasciitis secondary to\n                    <i>Wohlfahrtiimonas chitiniclastica<\/i>\n                    in the absence of myiasis"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4604-331X","authenticated-orcid":false,"given":"James","family":"Sweeney","sequence":"first","affiliation":[{"name":"Royal College of Surgeons , Dublin, D02 YN77,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"El-Mahi","sequence":"additional","affiliation":[{"name":"Cork University Hospital , Cork , T12 DC4A,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colum","family":"Keohane","sequence":"additional","affiliation":[{"name":"Cork University Hospital , Cork , T12 DC4A,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"2026101017150812700_ref1","doi-asserted-by":"publisher","first-page":"125","DOI":"10.4103\/jgid.jgid_58_18","article-title":"Wohlfahrtiimonas chitiniclastica bloodstream infection due to a maggot-infested wound in a 54-year-old male","volume":"11","author":"Connelly","year":"2019","journal-title":"J Glob Infect Dis"},{"key":"2026101017150812700_ref2","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1186\/s40001-021-00576-w","article-title":"Myiasis absent Wohlfahrtiimonas chitiniclastica bacteremia in a lung cancer patient: a case report","volume":"26","author":"Dovjak","year":"2021","journal-title":"Eur J Med Res"},{"key":"2026101017150812700_ref3","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s12866-023-03139-7","article-title":"The zoonotic pathogen Wohlfahrtiimonas chitiniclastica - current findings from a clinical and genomic perspective","volume":"24","author":"Kopf","year":"2024","journal-title":"BMC Microbiol"},{"key":"2026101017150812700_ref4","doi-asserted-by":"publisher","first-page":"e00965","DOI":"10.1128\/aem.00965-24","article-title":"Wohlfahrtiimonas chitiniclastica: current insights and complementary review from Chinese cases","volume":"91","author":"Yuan","year":"2024","journal-title":"Appl Environ Microbiol"},{"key":"2026101017150812700_ref5","doi-asserted-by":"crossref","first-page":"712775","DOI":"10.3389\/fmicb.2021.712775","article-title":"Identification and antibiotic profiling of Wohlfahrtiimonas chitiniclastica, an underestimated human pathogen","volume":"12","author":"Kopf","year":"2021","journal-title":"Front Microbiol"},{"key":"2026101017150812700_ref6","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms9091934","article-title":"Human infections by Wohlfahrtiimonas chitiniclastica: a mini-review and the first report of a burn wound infection after accidental myiasis in Central Europe","volume":"9","author":"Hlad\u00edk","year":"2021","journal-title":"Microorganisms"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag892\/71838885\/rjag892.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag892\/71838885\/rjag892.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:15:14Z","timestamp":1791666914000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag892\/8907398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag892","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,10]]},"article-number":"rjag892"}}