Enhanced culture detection of Kingella kingae, a pathogen of increasing clinical importance in pediatrics

Pediatr Infect Dis J. 2004 Sep;23(9):886-8. doi: 10.1097/01.inf.0000137591.76624.82.

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.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Bacterial Agents
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / epidemiology
  • Arthritis, Infectious / microbiology*
  • Child, Preschool
  • Drug Therapy, Combination / therapeutic use
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Infant
  • Kingella kingae / isolation & purification*
  • Male
  • Neisseriaceae Infections / diagnosis*
  • Neisseriaceae Infections / drug therapy
  • Neisseriaceae Infections / epidemiology
  • Osteomyelitis / drug therapy
  • Osteomyelitis / epidemiology
  • Osteomyelitis / microbiology*
  • Retrospective Studies
  • Risk Assessment
  • Severity of Illness Index
  • Spain / epidemiology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents