title: [Kingella kingae: a rare cause of meningitis].
abstract: Kingella kingae is the second most frequent germ involved in arthritis affecting young children. This germ isolation on ordinary environment is difficult, which may explain why it is seldom known. It is now widely accepted that a direct inoculate of articular and osseous samples on liquid substrate improves the culture sensitivity. Other septic localizations have been described such as endocarditis or, less commonly, meningitis.
  
  
  METHODS
  We report the observation of a five-year-old child, treated for meningitis, with CSF culture showing evidence of scarce colonies of Kingella kingae.
  
  
  CONCLUSIONS
  By analogy with arthritis, Kingella kingae may regularly be undetected, not being isolated, in some cases of non-documented meningitis with a cerebrospinal fluid (CSF) cytology recalling a bacterial origin. It would be of interest to verify if the seeding of CSF in liquid substrate would increase the sensitiveness of the cultures.
authors.affiliation: Service de pédiatrie générale, centre hospitalier général, 40, avenue Charles-de-Gaulle, 79021 Niort, France. frederique.hay-fendler@chg-niort.fr
authors.forename: F
authors.initials: F
authors.lastname: Hay
authors.forename: P
authors.initials: P
authors.lastname: Chellun
authors.forename: A
authors.initials: A
authors.lastname: Romaru
authors.forename: P
authors.initials: P
authors.lastname: d'Auzac
authors.forename: M P
authors.initials: MP
authors.lastname: Vidal
authors.forename: A
authors.initials: A
authors.lastname: Zelinsky
mesh_terms: D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D002511:Cephalosporins / Q000008:administration & dosage / Q000627:therapeutic use; D002555:Cerebrospinal Fluid / Q000382:microbiology; D002675:Child, Preschool; D005500:Follow-Up Studies; D005839:Gentamicins / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D017882:Kingella kingae / Q000302:isolation & purification; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016870:Neisseriaceae Infections; D009428:Netilmicin / Q000008:administration & dosage / Q000627:therapeutic use; D013997:Time Factors
chemical_list: D002511:Cephalosporins; D005839:Gentamicins; D009428:Netilmicin; D002443:Ceftriaxone