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[Atypical presentation of Spondylodiscitis by Kingella Kingae: a case report]

Silvina Neyro1, Lorena Mirón2, María N Orlando3

  • 1Servicio de Infectología, Hospital de Niños Ricardo Gutiérrez. silvinaneyro@hotmail.com.

Archivos Argentinos De Pediatria
|November 21, 2018
PubMed

Insights

Infectious spondylodiscitis, a rare pediatric infection, can be caused by Kingella kingae (Kk). This case highlights Kk as a significant pathogen in pediatric osteoarticular infections.

Area of Science:

  • Pediatric infectious diseases
  • Musculoskeletal infections
  • Microbiology

Background:

  • Infectious spondylodiscitis is uncommon in children, typically affecting those under six.
  • Early diagnosis and treatment are crucial for favorable outcomes.

Observation:

  • An 8-year-old presented with two months of lumbar pain, initially without fever.
  • Advanced imaging confirmed L4-L5 spondylodiscitis.
  • Initial antibiotic treatment showed a partial response.

Findings:

  • Bone puncture successfully isolated Kingella kingae (Kk) as the causative agent.
  • Kk is increasingly recognized in pediatric osteoarticular infections.
  • Improved diagnostic methods have led to the re-emergence of Kk detection.

Implications:

  • This case underscores the importance of considering Kk in pediatric spondylodiscitis, even in older children.
  • Enhanced diagnostic techniques are vital for identifying emerging pathogens like Kk.
  • Further research into Kk pathogenesis and treatment is warranted.
Keywords:
Kingella Kingaespondylodiscitis, infection, paediatrics

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