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[Kingella kingae osteomyelitis].

J M Benard¹, A Jean-Baptiste, F Nelet

¹Services de Pédiatrie et de Bactériologie, Hôpital Saint-Joseph, Paris.

Archives Francaises De Pediatrie

|August 1, 1989

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Kingella kingae osteomyelitis can present with early cellulitis and positive blood cultures, but negative bone scans. This bacterial infection is challenging to diagnose due to inconsistent symptoms and difficult bacterial culture.

Area of Science:

Pediatric infectious diseases
Musculoskeletal infections
Bacteriology

Background:

Osteomyelitis is a serious bone infection that can affect children.
Kingella kingae is an emerging pathogen in pediatric osteomyelitis.
Accurate diagnosis is crucial for effective treatment.

Observation:

A case of Kingella kingae osteomyelitis is presented, notable for early cellulitis, positive blood cultures, and a negative bone scintigraphy.
This presentation differs from typical osteomyelitis findings.
Few cases of pediatric Kingella kingae osteomyelitis, excluding vertebral involvement, have been documented.

Findings:

Diagnosing Kingella kingae osteomyelitis can be difficult due to variable clinical signs like fever, leukocytosis, and elevated C-reactive protein (CRP) levels.

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Kingella kingae presents challenges in isolation and culture.

The pathogen may exhibit resistance to common antistaphylococcal antibiotics.

Implications:

Early recognition of atypical presentations is vital for prompt diagnosis and management of Kingella kingae osteomyelitis.
Understanding the diagnostic challenges aids clinicians in suspecting this pathogen.
Knowledge of potential antibiotic resistance guides appropriate therapeutic choices in pediatric bone infections.