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Endocarditis due to Kingella kingae.

L Odum, K T Jensen, T D Slotsbjerg

    European Journal of Clinical Microbiology
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Kingella kingae infections, including endocarditis, are rare but can occur in patients with underlying health issues. This organism shows low pathogenicity, with children potentially being more susceptible.

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    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Microbiology

    Background:

    • Kingella kingae is a Gram-negative coccobacillus, part of the normal flora of the oropharynx.
    • While typically associated with mild infections in children, invasive disease can occur.
    • Endocarditis caused by Kingella kingae is uncommon, particularly in adults.

    Observation:

    • This report details four cases of endocarditis caused by Kingella kingae in immunocompromised adult patients.
    • All patients presented with primary heart disease; two also had systemic lupus erythematosus and congenital heart defect, respectively.
    • Kingella kingae was confirmed in one case during autopsy.

    Findings:

    • A review of the literature identified 11 additional cases of Kingella kingae endocarditis, alongside cases of bacteremia, osteomyelitis, septic arthritis, and disc infection.

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  • The collective findings suggest that Kingella kingae exhibits low pathogenicity.
  • Children may represent a predisposed population for Kingella kingae infections.

    • Implications:

    • These cases highlight the potential for Kingella kingae to cause severe infections like endocarditis, even in adults with significant comorbidities.
    • Understanding the spectrum of Kingella kingae infections is crucial for timely diagnosis and appropriate antimicrobial therapy.
    • Further research is warranted to elucidate the specific factors contributing to invasive disease and host susceptibility, particularly in pediatric populations.