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...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/6586517 |
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| author | Charles C. Pitts Walter R. Smith Michael J. Conklin |
| author_facet | Charles C. Pitts Walter R. Smith Michael J. Conklin |
| author_sort | Charles C. Pitts |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-231110a168d74256a40cc9cf776e30b0 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-231110a168d74256a40cc9cf776e30b02025-02-03T06:46:05ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/65865176586517Pediatric Infectious Prepatellar Bursitis with Kingella kingaeCharles C. Pitts0Walter R. Smith1Michael J. Conklin2Department of Orthopaedic Surgery, University of Alabama at Birmingham, USADepartment of Orthopaedic Surgery, University of Alabama at Birmingham, USADepartment of Orthopaedic Surgery, University of Alabama at Birmingham, USAWe 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.http://dx.doi.org/10.1155/2020/6586517 |
| spellingShingle | Charles C. Pitts Walter R. Smith Michael J. Conklin Pediatric Infectious Prepatellar Bursitis with Kingella kingae Case Reports in Orthopedics |
| 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 |
| url | http://dx.doi.org/10.1155/2020/6586517 |
| work_keys_str_mv | AT charlescpitts pediatricinfectiousprepatellarbursitiswithkingellakingae AT walterrsmith pediatricinfectiousprepatellarbursitiswithkingellakingae AT michaeljconklin pediatricinfectiousprepatellarbursitiswithkingellakingae |