Kingella kingae sternoclavicular osteoarthritis

Sérgio Alves1, Lúcia Rodrigues1, Mafalda Santos2

  • 1Paediatric Department, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal.

BMJ Case Reports
|March 7, 2018
PubMed

Insights

Sternoclavicular joint infections are rare in children. This case highlights *Kingella kingae* as a cause of osteoarthritis in a young child, emphasizing diagnostic challenges.

Area of Science:

  • Pediatric Infectious Diseases
  • Osteoarticular Infections
  • Microbiology

Background:

  • Sternoclavicular arthritis is an uncommon osteoarticular infection with potential for severe complications.
  • Infections involving the sternoclavicular joint in pediatric populations are rarely documented, posing diagnostic and therapeutic challenges.
  • Kingella kingae is increasingly recognized as a pathogen in invasive pediatric infections, particularly in children under two years of age.

Observation:

  • A case study of a 17-month-old child diagnosed with Kingella kingae osteoarthritis of the sternoclavicular joint.
  • The clinical presentation and diagnostic process for this rare pediatric infection are detailed.
  • The case highlights the importance of considering Kingella kingae in young children with joint infections.

Findings:

  • Kingella kingae was identified as the causative agent of sternoclavicular osteoarthritis in the pediatric patient.
  • The study reviews existing literature on Kingella kingae osteoarticular infections in children.
  • This case adds to the limited data on sternoclavicular joint involvement by Kingella kingae in infants and toddlers.

Implications:

  • Early recognition and appropriate treatment of Kingella kingae sternoclavicular joint infections are crucial to prevent long-term complications.
  • Increased awareness of Kingella kingae as a potential pathogen in pediatric osteoarticular infections is warranted.
  • Further research is needed to understand the epidemiology and optimal management of Kingella kingae sternoclavicular infections in children.