Article short contents


Slovenska pediatrija 2013; 20: 184-189


Case report

THE FIRST CASE OF SEPTIC ARTHRITIS CAUSED BY KINGELLA KINGAE IN A CHILD IN SLOVENIA: SHOULD WE CHANGE THE DIAGNOSTIC WORK-UP?

M. Žnidaršič Eržen
Klinika za infekcijske bolezni in vročinska stanja, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

M. Müller Premru
Inštitut za mikrobiologijo in imunologijo, Medicinska fakulteta, Ljubljana, Slovenija

M. Pokorn
Klinika za infekcijske bolezni in vročinska stanja, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Abstract

Kingella kingae is one of the most frequent causative agents of osteoarticular infections in young children. These infections are more often demonstrated by the inoculation of synovial uid in blood culture vials, but the diagnostic yield can be further improved by the use of molecular methods. In this paper, a 20-month-old boy with K. kingae septic arthritis of the knee, diagnosed for the rst time in our clinic, is presented. The bacterium is frequently resistant to antibiotics that are regularly used for empirical treatment of osteoarticular infections.

Key words: septic arthritis, diagnostic work-up, treatment, child.


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