[Multifocal invasive Kingella kingae infection].
METHODS
A 2-year-old child, non immunodeficient, presented with septicemia due to Kingella kingae successively complicated by meningitis, arthritis of one knee and endocarditis. Outcome was favourable after a long and adjusted antibiotherapy, involving in particular for the endocarditis ceftriaxone (100 mg/kg/d) and amikacin (20 mg/kg/d) during 3 weeks, then amoxicillin per os (200 mg/kg/d) during 3 weeks.


CONCLUSIONS
Bacteriologic characteristics of the bacteria, the culture of which requires medium base with additional nutrient are reviewed. The tropism of Kingella kingae is essentially osteoarticular and cardiac as shown by the cases reported in the literature. Its susceptibility to antibiotics explains the frequent favourable outcome.
Sarda
H
H
Service de pédiatrie, hôpital Victor-Dupouy, Argenteuil, France.
Ghazali
D
D
Thibault
M
M
Leturdu
F
F
Adams
C
C
Le Loc'h
H
H
D000583:Amikacin / Q000627:therapeutic use*; D000658:Amoxicillin / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000188:drug therapy; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D002443:Ceftriaxone / Q000627:therapeutic use*; D002675:Child, Preschool; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy; D005260:Female; D006801:Humans; D007223:Infant; D017882:Kingella kingae / Q000145:classification / Q000302:isolation & purification; D016920:Meningitis, Bacterial / Q000188:drug therapy; D016870:Neisseriaceae Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D002443:Ceftriaxone; D000658:Amoxicillin; D000583:Amikacin