Kingella kingae, agent de sacro-iliite de l'adulte: données récentes à propos de ce pathogène

H, Le Bars; Lamini, Norbert; Brunet, Jean-François; Duval, Hélène; Samjee, Isabelle; Minet, J

doi:10.1684/abc.2010.0439

Cited by 4 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Descriptions of sacroiliitis [10], pericarditis [11], urinary tract infections [12], lower-respiratory-tract infections [13] and arthritis [4,14] do exist, but remain exceptional. We did not find any case report of osteomyelitis pubis caused by K. kingae, neither in adults nor in children.…”

Section: Introductionmentioning

confidence: 99%

Osteomyelitis pubis caused by Kingella kingaein an adult patient: Report of the first case

et al. 2012

View full text Add to dashboard Cite

BackgroundKingella kingae is the second most common pathogen causing paediatric arthritis and is described to be the causative bacteria in some paediatric osteomyelitis. Its microbiological detection is particularly difficult due to its slow growing. To our best knowledge this is the first case description of osteomyelitis pubis caused by this microorganism.Case presentationWe report the unusual case of pubic osteomyelitis with soft tissue abcess caused by Kingella kingae in an adult patient of 66 years with a history of end-stage renal disease and breast carcinoma. Diagnosis was based on imaging and the microorganism was isolated from Computed Tomography-guided aspiration of synovial fluid. The infection resolved completely after twelve weeks of treatment with oral amoxicillin.ConclusionThis case description highlights the importance in osteoarticular infections of systematic inoculation of synovial liquid in BACTEC vials to optimise the detection of causative organisms, which can necessitate specific treatments.

show abstract

Section: Introductionmentioning

confidence: 99%

Osteomyelitis pubis caused by Kingella kingaein an adult patient: Report of the first case

et al. 2012

View full text Add to dashboard Cite

show abstract

Arthrite septique sternoclaviculaire à Kingella kingae chez un adulte

Ricard

Martin

Bertin

et al. 2014

Médecine et Maladies Infectieuses

View full text Add to dashboard Cite

Kingella kingae: Carriage, Transmission, and Disease

2015

View full text Add to dashboard Cite

SUMMARY Kingella kingae is a common etiology of pediatric bacteremia and the leading agent of osteomyelitis and septic arthritis in children aged 6 to 36 months. This Gram-negative bacterium is carried asymptomatically in the oropharynx and disseminates by close interpersonal contact. The colonized epithelium is the source of bloodstream invasion and dissemination to distant sites, and certain clones show significant association with bacteremia, osteoarthritis, or endocarditis. Kingella kingae produces an RTX (repeat-in-toxin) toxin with broad-spectrum cytotoxicity that probably facilitates mucosal colonization and persistence of the organism in the bloodstream and deep body tissues. With the exception of patients with endocardial involvement, children with K. kingae diseases often show only mild symptoms and signs, necessitating clinical acumen. The isolation of K. kingae on routine solid media is suboptimal, and detection of the bacterium is significantly improved by inoculating exudates into blood culture bottles and the use of PCR-based assays. The organism is generally susceptible to antibiotics that are administered to young patients with joint and bone infections. β-Lactamase production is clonal, and the local prevalence of β-lactamase-producing strains is variable. If adequately and promptly treated, invasive K. kingae infections with no endocardial involvement usually run a benign clinical course.

show abstract

Kingella kingae, agent de sacro-iliite de l'adulte: données récentes à propos de ce pathogène

Cited by 4 publications

References 0 publications

Osteomyelitis pubis caused by Kingella kingaein an adult patient: Report of the first case

Osteomyelitis pubis caused by Kingella kingaein an adult patient: Report of the first case

Arthrite septique sternoclaviculaire à Kingella kingae chez un adulte

Kingella kingae: Carriage, Transmission, and Disease

Contact Info

Product

Resources

About