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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
Summary
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.

