Abstract
Osteoarticular infection and occult bacteremia are the 2 invasive infectious pathologies most frequently associated in childhood with Kingella kingae. We report a series of 11 patients in whom osteomyelitis predominates over septic arthritis, which is the reverse of other series, probably as a consequence of inoculation of samples during surgery on agar media, used in combination with or as an alternative to inoculation into blood culture bottles. Although K. kingae infections usually follow a benign clinical course, we noted 2 patients with mild orthopedic sequelae.
MeSH terms
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Anti-Bacterial Agents
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Arthritis, Infectious / drug therapy
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Arthritis, Infectious / epidemiology
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Arthritis, Infectious / microbiology*
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Child, Preschool
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Drug Therapy, Combination / therapeutic use
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Female
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Follow-Up Studies
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Humans
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Incidence
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Infant
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Kingella kingae / isolation & purification*
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Male
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Neisseriaceae Infections / diagnosis*
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Neisseriaceae Infections / drug therapy
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Neisseriaceae Infections / epidemiology
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Osteomyelitis / drug therapy
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Osteomyelitis / epidemiology
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Osteomyelitis / microbiology*
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Retrospective Studies
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Risk Assessment
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Severity of Illness Index
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Spain / epidemiology
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Treatment Outcome