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Pyogenic Tenosynovitis in Infants: A Case Series

Céline Lironi1, Christina Steiger, Céline Juchler

  • 1From the *Pediatric Emergency Service, and †Pediatric Orthopedic Service, Child and Adolescent Department, University Hospitals of Geneva, Geneva, Switzerland.

The Pediatric Infectious Disease Journal
|June 30, 2017
PubMed

Insights

Pyogenic tenosynovitis is rare in children. Kingella kingae is the primary cause, with infection characteristics mirroring other bone and joint K. kingae infections in infants.

Area of Science:

  • Pediatric infectious diseases
  • Musculoskeletal infections

Background:

  • Pyogenic tenosynovitis is an uncommon pediatric condition.
  • Published case reports are scarce, highlighting a knowledge gap.

Purpose of the Study:

  • To describe the clinical characteristics and outcomes of pyogenic tenosynovitis in children.
  • To identify the predominant pathogen and its role in pediatric cases.

Main Methods:

  • Retrospective case series analysis.
  • Review of 11 pediatric cases treated over a 10-year period.
  • Analysis of clinical findings, inflammatory markers, and treatment outcomes.

Main Results:

  • Kingella kingae was identified as the main causative pathogen in the majority of cases.
  • Infection characteristics, including inflammatory indices, clinical presentation, and severity, were consistent across patients.
  • The observed features align with those of other osteoarticular Kingella kingae infections in infants.

Conclusions:

  • Kingella kingae is a significant pathogen in pediatric pyogenic tenosynovitis.
  • The clinical spectrum of K. kingae tenosynovitis resembles other invasive K. kingae infections in young children.
  • Further research is warranted to understand the pathogenesis and optimize management strategies.

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