LAUSR

Answer: d. Ignatzschineria infection has been associated with definitive or probable maggot infestation of wounds in all reported cases to date. Medical conditions that cause peripheral neuropathy predispose to the formation of pressure ulcers. Additionally, sensory impairment can cause these wounds to go unnoticed by the patient and result in delayed clinical attention. Maggot infestation of wounds, in particular, typically presents in the context of additional psychosocial impairment due to the degree of neglect necessary for maggot colonization to occur. Both diabetes mellitus and alcohol use disorder are associated with peripheral neuropathy, and while bipolar disorder can be associated with psychosocial impairment, it does not cause peripheral neuropathy. Alcohol use disorder is associated with both neuropathy and psychosocial impairment, and, as a result, nearly all cases of human Ignatzschineria infection have been reported in patients with chronic alcohol use disorder.