Human myiasis in patients with diabetic foot: 18 cases

Basit Öğe Kaydı
dc.contributor.authorUysal, Serhat
dc.contributor.authorOzturk, Anil Murat
dc.contributor.authorTasbakan, Meltem
dc.contributor.authorSimsir, Ilgin Yildirim
dc.contributor.authorUnver, Aysegul
dc.contributor.authorTurgay, Nevin
dc.contributor.authorPullukcu, Husnu
dc.date.accessioned2019-10-27T10:06:01Z
dc.date.available2019-10-27T10:06:01Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND: Myiasis complication of diabetic foot ulcer has only been presented in a few case reports. Therefore, there is a need for additional data on this infestation. OBJECTIVE: Evaluate clinical characteristics of human myiasis in patients with diabetic foot. DESIGN: Case series. SETTINGS: A tertiary referral healthcare institution and a diabetic foot center. PATIENTS AND METHODS: Patients with diabetic foot infection complicated by myiasis who were admitted between June 2012 and July 2017. MAIN OUTCOME MEASURES: Bacterial infection rate, accompanying bacterial agents, amputation (morbidity) and mortality rate. SAMPLE SIZE: 18. RESULTS: Eight (44.4%) of the patients were female. Sixteen (88.9%) had moderate-to-severe infections; 15 (83.3%) had necrotic tissue. Larval debridement therapy was performed on all patients at the bedside in consecutive sessions. A third-stage larva of Calliphora was detected in one case (5.6%). Second-and third-stage larvae of Lucilia sericata were detected in 5 (27.8%) and 7 (38.9%) patients, respectively. All the patients had a bacterial infection with myiasis. Twelve (66.7%) patients underwent amputation. Three (16.7%) patients died. Myiasis was more frequent in the months of May, June and July. CONCLUSION: To our knowledge, this is the largest reported series of cases of diabetic foot with myiasis. The most common parasitic agent was Lucilia sericata. Bacterial soft tissue infections were observed in all cases. Poor hygienic conditions were noteworthy and all patients were in need of radical surgery. Myiasis complication of diabetic foot is more frequently seen in the spring and summer. LIMITATIONS: Insufficient follow-up time for analysis of possible confounding factors.en_US
dc.identifier.doi10.5144/0256-4947.2018.208en_US
dc.identifier.endpage213en_US
dc.identifier.issn0256-4947
dc.identifier.issn1319-9226
dc.identifier.issue3en_US
dc.identifier.pmid29848939en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage208en_US
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2018.208
dc.identifier.urihttps://hdl.handle.net/11454/30413
dc.identifier.volume38en_US
dc.identifier.wosWOS:000433971700008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherK Faisal Spec Hosp Res Centreen_US
dc.relation.ispartofAnnals of Saudi Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleHuman myiasis in patients with diabetic foot: 18 casesen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu