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Osteomyelitis due to Kingella kingae infection
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|January 1, 1988
Summary
Kingella kingae can cause difficult-to-diagnose bone infections in children. Early treatment with ampicillin and Staphylococcus aureus drugs is recommended for effective resolution.
Area of Science:
- Pediatric infectious diseases
- Bacterial osteomyelitis
- Microbiology
Background:
- Osteomyelitis is a serious bone infection, particularly in children.
- Kingella kingae is an emerging pathogen causing bone and joint infections.
- Diagnostic challenges exist for fastidious bacterial organisms.
Observation:
- A case of osteomyelitis caused by Kingella kingae is presented.
- The infection exhibited an insidious onset and slow progression.
- Gram staining often yields negative results for this organism.
Findings:
- Kingella kingae presents diagnostic difficulties due to its fastidious nature and common negative Gram stain results.
- Effective initial therapy involves aminopenicillins (e.g., ampicillin) alongside treatments for Staphylococcus aureus.
- This therapeutic approach aids in resolving pediatric bone and joint infections.
Implications:
- Highlights the importance of considering Kingella kingae in pediatric bone infections.
- Emphasizes the need for advanced diagnostic methods when initial tests are negative.
- Guides appropriate antimicrobial selection for successful treatment outcomes.