Document Detail


[Kingella kingae pediathric septic arthritis].
MedLine Citation:
PMID:  23224317     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Kingella kingae is a bacterium that colonizes the upper respiratory tract. Despite its low pathogenicity in this location, previous respiratory pathological processes may favor its systemic spread causing bone and joint infections, mainly in children under five years. It can be considered an emerging pathogen in osteoarticular infection in pediatric patients. We report the case of a two-year-old girl with hips pain and limitation of both abduction and extension, and fever. Radiography and ultrasonography were compatible with transitory synovitis; showed scintigraphy infammatory pathology of the right hip. Articular puncture was performed. The material showed altered biochemical parameters. Microbiological culture yielded isolation of a strain of K. kingae susceptible to beta-lactam antibiotics, azithromycin and trimethoprim-sulfamethoxazole. Blood cultures were negative. The patient was treated empirically with cloxacillin and cefotaxime iv. and continued with amoxicillin-clavulanate orally with osteoarticular improvement.
Authors:
María Alejandra Vásquez; María Pilar Palacián; María Cruz Villuendas; Carmen Marne; María Paz Ruiz-Echarri; María José Revillo
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Archivos argentinos de pediatría     Volume:  110     ISSN:  1668-3501     ISO Abbreviation:  Arch Argent Pediatr     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372460     Medline TA:  Arch Argent Pediatr     Country:  Argentina    
Other Details:
Languages:  spa     Pagination:  e126-8     Citation Subset:  IM    
Affiliation:
Servicio de microbiología, Hospital Universitario Miguel Servet.
Vernacular Title:
Artritis séptica pediátrica causada por Kingella kingae.
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