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Pediatric Infectious Prepatellar Bursitis with Kingella kingae
We present the first reported case of septic prepatellar bursitis with Kingella kingae in a 2-year-old female. Although it is a well-established cause of osteoarticular infections in the pediatric population, K. kingae has never been reported as the etiology for septic bursitis. A high index of susp...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007931/ https://www.ncbi.nlm.nih.gov/pubmed/32047688 http://dx.doi.org/10.1155/2020/6586517 |
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author | Pitts, Charles C. Smith, Walter R. Conklin, Michael J. |
author_facet | Pitts, Charles C. Smith, Walter R. Conklin, Michael J. |
author_sort | Pitts, Charles C. |
collection | PubMed |
description | We present the first reported case of septic prepatellar bursitis with Kingella kingae in a 2-year-old female. Although it is a well-established cause of osteoarticular infections in the pediatric population, K. kingae has never been reported as the etiology for septic bursitis. A high index of suspicion is required for the diagnosis given that this organism is difficult to culture and isolate using standard laboratory methods. Our diagnosis was established through bursal fluid analysis, though oropharyngeal polymerase chain reaction (PCR) may be also be considered. Our case also builds upon prior literature suggesting that the pathophysiology of septic bursitis in children differs from that of the adult and may be more comparable to that of pediatric osteomyelitis. As an organism of increasing prevalence, K. kingae should remain high on the differential for osteoarticular or periarticular infections when cultures fail to isolate a distinct pathogen. Early diagnosis and a formal irrigation and debridement, if warranted, are crucial in preventing devastating complications of untreated septic bursitis. |
format | Online Article Text |
id | pubmed-7007931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-70079312020-02-11 Pediatric Infectious Prepatellar Bursitis with Kingella kingae Pitts, Charles C. Smith, Walter R. Conklin, Michael J. Case Rep Orthop Case Report We present the first reported case of septic prepatellar bursitis with Kingella kingae in a 2-year-old female. Although it is a well-established cause of osteoarticular infections in the pediatric population, K. kingae has never been reported as the etiology for septic bursitis. A high index of suspicion is required for the diagnosis given that this organism is difficult to culture and isolate using standard laboratory methods. Our diagnosis was established through bursal fluid analysis, though oropharyngeal polymerase chain reaction (PCR) may be also be considered. Our case also builds upon prior literature suggesting that the pathophysiology of septic bursitis in children differs from that of the adult and may be more comparable to that of pediatric osteomyelitis. As an organism of increasing prevalence, K. kingae should remain high on the differential for osteoarticular or periarticular infections when cultures fail to isolate a distinct pathogen. Early diagnosis and a formal irrigation and debridement, if warranted, are crucial in preventing devastating complications of untreated septic bursitis. Hindawi 2020-01-28 /pmc/articles/PMC7007931/ /pubmed/32047688 http://dx.doi.org/10.1155/2020/6586517 Text en Copyright © 2020 Charles C. Pitts et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Pitts, Charles C. Smith, Walter R. Conklin, Michael J. Pediatric Infectious Prepatellar Bursitis with Kingella kingae |
title | Pediatric Infectious Prepatellar Bursitis with Kingella kingae |
title_full | Pediatric Infectious Prepatellar Bursitis with Kingella kingae |
title_fullStr | Pediatric Infectious Prepatellar Bursitis with Kingella kingae |
title_full_unstemmed | Pediatric Infectious Prepatellar Bursitis with Kingella kingae |
title_short | Pediatric Infectious Prepatellar Bursitis with Kingella kingae |
title_sort | pediatric infectious prepatellar bursitis with kingella kingae |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007931/ https://www.ncbi.nlm.nih.gov/pubmed/32047688 http://dx.doi.org/10.1155/2020/6586517 |
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