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Knee Arthrocentesis in Adults
04:41

Knee Arthrocentesis in Adults

Published on: February 25, 2022

[Kingella kingae and osteoarticular infections in children]

Ellen Nordal1, Sofia Olausson, Dag Hvidsten

  • 1Barneavdelingen, Universitetssykehuset Nord-Norge, 9038 Tromsø. ellen.nordal@unn.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 26, 2004
PubMed

Insights

Kingella kingae is an increasingly recognized cause of pediatric osteoarticular infections. Direct inoculation of specimens into blood culture bottles improves detection of this pathogen.

Area of Science:

  • Pediatric Infectious Diseases
  • Microbiology
  • Clinical Orthopedics

Background:

  • Septic arthritis and osteomyelitis in children often lack identified causative agents due to challenges in bacterial culture.
  • Accurate pathogen identification is crucial for effective treatment of pediatric bone and joint infections.

Observation:

  • A case of septic arthritis caused by Kingella kingae in a two-year-old boy is presented.
  • A literature review reveals a rising incidence of pediatric osteoarticular infections attributed to Kingella kingae.

Findings:

  • Kingella kingae is an emerging pathogen in pediatric osteoarticular infections, with a typically benign clinical course.
  • Standard plating methods often fail to detect Kingella kingae, leading to underdiagnosis.
  • Directly inoculating osteoarticular specimens into blood culture bottles significantly enhances the isolation rate of Kingella kingae.

Implications:

  • Improved diagnostic methods, including enhanced culture techniques, are vital for identifying Kingella kingae.
  • Increased clinician awareness of Kingella kingae is necessary for timely diagnosis and targeted antibiotic therapy.
  • Early and accurate diagnosis of Kingella kingae infections can lead to better patient outcomes and prevent complications.
Abstract

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