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Clin Pediatr (Phila). 2016 Dec;55(14):1328-1337. doi: 10.1177/0009922816629620. Epub 2016 Sep 30.

Kingella kingae-Associated Pediatric Osteoarticular Infections: An Overview of 566 Reported Cases.

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1
1 Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.

Abstract

This study aimed to summarize clinical experience with Kingella kingae-associated pediatric osteoarticular infections (OAIs). We reviewed 566 cases in the English literature from 2000 to June 2014. More than 80% of the patients were diagnosed between 4 months and 4 years of age, and the male to female ratio was 1.14:1. The most frequent preceding illness was upper respiratory tract infections (82%). The top 3 OAIs types were septic arthritis (73.1%), osteomyelitis (15.7%), and spondylodiscitis (5.4%), and the most affected sites of these types were knee (46%), calcaneus (20%), and L4/5 disc (70%). All cases where polymerase chain reaction (PCR) technique was used were PCR positive, no reported cases of positive cultures for K kingae with negative PCR. The duration of antibiotics use ranged from 2 to 4 weeks. Beta-lactam antibiotics were the most frequently used intravenously and orally. The clinical efficacy was favorable.

KEYWORDS:

Kingella kingae; arthritis; osteomyelitis; pediatric osteoarticular infection; retrospective analysis; spondylodiscitis

PMID:
26869328
DOI:
10.1177/0009922816629620
[Indexed for MEDLINE]

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