{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:57:52Z","timestamp":1785394672591,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":209,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Wohlfahrtiimonas chitiniclastica<\/jats:italic>\n                      is an emerging Gram\u2010negative bacillus historically linked to larvae of the parasitic fly\n                      <jats:italic>Wohlfahrtia magnifica<\/jats:italic>\n                      . Although most human infections have been reported in Europe and Asia, cases are increasingly recognized in North America.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>\n                      A 74\u2010year\u2010old man from Ohio presented with sepsis and maggot\u2010infested decubitus ulcers. Blood cultures grew Gram\u2010negative, oxidase\u2010positive rods that could not be identified at the home institution. The isolate was referred to an outside hospital, where it was initially misidentified as\n                      <jats:italic>Edwardsiella<\/jats:italic>\n                      species before definitive identification as\n                      <jats:italic>W. chitiniclastica<\/jats:italic>\n                      by MALDI\u2010TOF MS (Bruker MALDI Biotyper), confirmed by supplementary biochemical testing, 6\u2009days after the initial culture draw. Additional testing identified the rare anaerobe\n                      <jats:italic>Tissierella praeacuta<\/jats:italic>\n                      . Blood cultures at the home institution also identified\n                      <jats:italic>Proteus mirabilis<\/jats:italic>\n                      and\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      . The clinical course was complicated by metastatic cancer and spontaneous tumor lysis syndrome (uric acid 14.6\u2009mg\/dL, LDH 2157\u2009U\/L) that improved following rasburicase therapy. The patient received empiric intravenous piperacillin\u2013tazobactam for approximately 24\u2009days, followed by de\u2010escalation to ceftriaxone. Follow\u2010up blood cultures were sterile. Goals of care were transitioned to palliation, and the patient died on hospital day 30.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This case illustrates\n                      <jats:italic>W. chitiniclastica<\/jats:italic>\n                      bacteremia in Ohio, USA, and highlights diagnostic challenges including initial misidentification by conventional methods, the importance of MALDI\u2010TOF MS for definitive identification, and possible vector adaptation to regional muscid fly species. The coisolation of\n                      <jats:italic>T. praeacuta<\/jats:italic>\n                      underscores the complex wound microbiome associated with chronic neglected ulcers.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crdi\/6760136","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:57:48Z","timestamp":1785391068000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Wohlfahrtiimonas chitiniclastica<\/i>\n                    Bacteremia Associated With Maggot\u2010Infested Ulcers and Tumor Lysis Syndrome in Ohio, USA: A Case 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