Late recurrence of an osteoarticular infection caused by Klebsiella pneumoniae in a child

Arch Pediatr. 2018 Nov;25(8):497-499. doi: 10.1016/j.arcped.2018.09.009. Epub 2018 Oct 22.

Abstract

Klebsiella pneumoniae is an opportunistic pathogen in neonates. A 23-day-old newborn developed septic arthritis of the right hip due to an ESBL-producing strain. A recurrence on the knee was observed at 4 years of age. A molecular investigation confirmed the clonal link of the strains responsible for the two infections and allowed us to identify virulence factors.

Keywords: ESKAPE; Klebsiella pneumoniae; Osteoarticular infection; Recurrence.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications
  • Abscess / microbiology
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / complications*
  • Arthritis, Infectious / microbiology
  • Arthritis, Infectious / therapy
  • Arthrocentesis / methods
  • Child, Preschool
  • Debridement / methods
  • Femur / microbiology
  • Femur / pathology
  • Hip Joint / microbiology
  • Hip Joint / pathology
  • Humans
  • Infant, Newborn
  • Klebsiella Infections / complications*
  • Klebsiella Infections / diagnosis
  • Klebsiella Infections / therapy
  • Klebsiella pneumoniae / genetics
  • Magnetic Resonance Imaging
  • Male
  • Osteomyelitis / complications*
  • Osteomyelitis / microbiology
  • Osteomyelitis / therapy
  • Recurrence
  • Virulence Factors

Substances

  • Anti-Bacterial Agents
  • Virulence Factors