Unusual case of paediatric septic arthritis of the lumbar facet joints due to Kingella kingae

被引:4
作者
Le Hanneur, M. [1 ]
Vidal, C. [1 ]
Mallet, C. [1 ]
Mazda, K. [1 ]
Ilharreborde, B. [1 ]
机构
[1] Hop Robert Debre, Dept Orthoped Pediat, 48 Blvd Serurier, F-75019 Paris, France
关键词
Kingella kingae; Septic arthritis; Facet joint; Paraspinal abscess; Destructive osteomyelitis;
D O I
10.1016/j.otsr.2016.05.019
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A 32-month-old boy presented with febrile limping that had developed over 6 days, associated with right lumbosacral inflammatory swelling. Magnetic resonance imaging (MRI) showed joint effusion of the right L5-S1 zygapophyseal joint, complicated by destructive osteomyelitis of the L5 articular process and paraspinal abscess. Surgery was decided to evacuate the fluid accumulation and rule out differential diagnoses. The diagnosis of septic arthritis of the facet joint was confirmed intraoperatively; real-time quantitative PCR analysis identified Kingella kingae. This is the first substantiated paediatric case of zygapophyseal joint septic arthritis due to K. kingae. K. kingae is the most common pathogen responsible for invasive osteoarticular infection in children under 4 years of age. Since empiric antibiotics are effective in early stages, physicians should consider the possibility of spinal infections due to K. kingae when a limping child under 4 years of age presents with a fever. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:959 / 961
页数:3
相关论文
共 10 条
  • [1] Aetiology of arthritis in hospitalised children: an observational study
    Aupiais, Camille
    Ilharreborde, Brice
    Doit, Catherine
    Blachier, Audrey
    Desmarest, Marie
    Job-Deslandre, Chantal
    Mazda, Keyvan
    Faye, Albert
    Bonacorsi, Stephane
    Alberti, Corinne
    Lorrot, Mathie
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 2015, 100 (08) : 742 - 747
  • [2] COMPARISON OF CLINICAL AND BIOLOGIC FEATURES OF KINGELLA KINGAE AND STAPHYLOCOCCUS AUREUS ARTHRITIS AT INITIAL EVALUATION
    Basmaci, Romain
    Lorrot, Mathie
    Bidet, Philippe
    Doit, Catherine
    Vitoux, Christine
    Pennecot, Georges
    Mazda, Keyvan
    Bingen, Edouard
    Ilharreborde, Brice
    Bonacorsi, Stephane
    [J]. PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2011, 30 (10) : 902 - 904
  • [3] Bining HJ, 2006, BRIT J RADIOL, V79, P181
  • [4] Invasive Pediatric Kingella kingae Infections A Nationwide Collaborative Study
    Dubnov-Raz, Gal
    Ephros, Moshe
    Garty, Ben-Zion
    Schlesinger, Yechiel
    Maayan-Metzger, Ayala
    Hasson, Joseph
    Kassis, Imad
    Schwartz-Harari, Orna
    Yagupsky, Pablo
    [J]. PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2010, 29 (07) : 639 - 643
  • [5] SEPTIC ARTHRITIS OF A LUMBAR FACET JOINT
    HALPIN, DS
    GIBSON, RD
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1987, 69 (03): : 457 - 459
  • [6] New Real-Time PCR-Based Method for Kingella kingae DNA Detection: Application to Samples Collected from 89 Children with Acute Arthritis
    Ilharreborde, Brice
    Bidet, Philippe
    Lorrot, Mathie
    Even, Julien
    Mariani-Kurkdjian, Patricia
    Liguori, Sandrine
    Vitoux, Christine
    Lefevre, Yann
    Doit, Catherine
    Fitoussi, Franck
    Pennecot, Georges
    Bingen, Edouard
    Mazda, Keyvan
    Bonacorsi, Stephane
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2009, 47 (06) : 1837 - 1841
  • [7] Can early MRI distinguish between Kingella kingae and Gram-positive cocci in osteoarticular infections in young children?
    Kanavaki, Aikaterini
    Ceroni, Dimitri
    Tchernin, David
    Hanquinet, Sylviane
    Merlini, Laura
    [J]. PEDIATRIC RADIOLOGY, 2012, 42 (01) : 57 - 62
  • [8] Unusually Severe Cases of Kingella kingae Osteoarticular Infections in Children
    Mallet, Cindy
    Ceroni, Dimitri
    Litzelmann, Estelle
    Dubois-Ferriere, Victor
    Lorrot, Mathie
    Bonacorsi, Stephane
    Mazda, Keyvan
    Ilharreborde, Brice
    [J]. PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2014, 33 (01) : 1 - 4
  • [9] Mas-Altance J, 2009, SPINE, V34, P465
  • [10] A particular form of septic arthritis:: Septic arthritis of facet joint
    Michel-Batot, Christine
    Dintinger, Herve
    Blum, Alain
    Olivier, Pierre
    Laborde, Fyriel
    Bettembourg-Brault, Isabelle
    Pourel, Jacques
    Loeuille, Damien
    Chary-Valckenaere, Isabelle
    [J]. JOINT BONE SPINE, 2008, 75 (01) : 78 - 83