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Kingella kingae: an emerging cause of invasive infections in young children.

Abstract Kingella kingae, a fastidious hemolytic gram-negative bacillus once considered to be an exceptional cause of disease, has emerged in recent years as an important invasive pathogen in children. When synovial fluid and other exudates were inoculated into blood culture bottles, enhanced recovery of the organism was observed, and an annual incidence of invasive K. kingae infections of 27.4 per 100,000 children younger than age 24 months was demonstrated in southern Israel. Skeletal infections are the most common clinical presentation of K. kingae, and studies conducted in that region have shown that this organism is the most common etiology of septic arthritis in children below the age of 24 months. Other invasive diseases caused by K. kingae include bacteremia, endocarditis, and infections involving the lower respiratory tract, the eyes, or the central nervous system. Recent studies have demonstrated that K. kingae is part of the normal oropharyngeal flora of young children. Clinical data suggest that the organism may gain access to the bloodstream in the course of an upper respiratory infection or stomatitis. The organism is susceptible to a wide range of antimicrobial drugs, and with the exception of some cases of endocarditis, K. kingae infections in children usually run a benign clinical course.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title clinical infectious diseases : an official publication of the infectious diseases society of america
Publication Year Start




PMID- 9142783
OWN - NLM
STAT- MEDLINE
DA  - 19970717
DCOM- 19970717
LR  - 20051116
IS  - 1058-4838 (Print)
IS  - 1058-4838 (Linking)
VI  - 24
IP  - 5
DP  - 1997 May
TI  - Kingella kingae: an emerging cause of invasive infections in young children.
PG  - 860-6
AB  - Kingella kingae, a fastidious hemolytic gram-negative bacillus once considered to
      be an exceptional cause of disease, has emerged in recent years as an important
      invasive pathogen in children. When synovial fluid and other exudates were
      inoculated into blood culture bottles, enhanced recovery of the organism was
      observed, and an annual incidence of invasive K. kingae infections of 27.4 per
      100,000 children younger than age 24 months was demonstrated in southern Israel. 
      Skeletal infections are the most common clinical presentation of K. kingae, and
      studies conducted in that region have shown that this organism is the most common
      etiology of septic arthritis in children below the age of 24 months. Other
      invasive diseases caused by K. kingae include bacteremia, endocarditis, and
      infections involving the lower respiratory tract, the eyes, or the central
      nervous system. Recent studies have demonstrated that K. kingae is part of the
      normal oropharyngeal flora of young children. Clinical data suggest that the
      organism may gain access to the bloodstream in the course of an upper respiratory
      infection or stomatitis. The organism is susceptible to a wide range of
      antimicrobial drugs, and with the exception of some cases of endocarditis, K.
      kingae infections in children usually run a benign clinical course.
FAU - Yagupsky, P
AU  - Yagupsky P
AD  - Pediatric Infectious Disease Unit, Soroka University Medical Center and the
      Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva,
      Israel.
FAU - Dagan, R
AU  - Dagan R
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Clin Infect Dis
JT  - Clinical infectious diseases : an official publication of the Infectious Diseases
      Society of America
JID - 9203213
SB  - IM
MH  - Age Distribution
MH  - Bacteremia/diagnosis/*epidemiology/microbiology
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Kingella kingae/*isolation & purification
MH  - Male
MH  - Neisseriaceae Infections/diagnosis/*epidemiology/microbiology
MH  - Prognosis
MH  - Risk Factors
MH  - Sex Distribution
RF  - 80
EDAT- 1997/05/01
MHDA- 1997/05/01 00:01
CRDT- 1997/05/01 00:00
PST - ppublish
SO  - Clin Infect Dis. 1997 May;24(5):860-6.

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