Neyro Silvina, Mirón Lorena, Orlando María N, Biondi Estefanía J, Cheistwer Ariel, Guiñazú Gonzalo, Firenze Aldeghi Lorena Ml, Martinez Iriart Emilio
Servicio de Infectología, Hospital de Niños Ricardo Gutiérrez.
Unidad 6 de Clínica Pediátrica, Hospital de Niños Ricardo Gutiérrez.
Arch Argent Pediatr. 2018 Dec 1;116(6):e785-e788. doi: 10.5546/aap.2018.e785.
Infectious Spondylodiscitis is a rare infection in children. It is more frequent in patients under 6 years of age. We report the case of an 8-year-old patient with lumbar pain for 2 months, without fever. Xrays, computed tomography and magnetic resonance imaging all three showed spondylodiscitis L4-L5. After a 10-day antibiotic treatment with clindamycin with regular response, a bone puncture was performed isolating Kingella kingae (Kk). Ostearticular infections caused by Kk have increased among infants and children. Due to improvement in culture techniques, the usage of automatic systems and assessment molecular techniques, these infections re-emerged in the past few years. Kk is a pathogen that has lately become significant in osteoarticular infections.
感染性脊椎盘炎在儿童中是一种罕见的感染。在6岁以下的患者中更为常见。我们报告一例8岁患者，有2个月的腰痛，无发热。X线、计算机断层扫描和磁共振成像均显示L4-L5脊椎盘炎。在用克林霉素进行了10天的抗生素治疗且反应正常后，进行了骨穿刺，分离出了金氏金杆菌（Kk）。由Kk引起的骨关节感染在婴幼儿和儿童中有所增加。由于培养技术的改进、自动系统的使用和分子评估技术的应用，这些感染在过去几年中再次出现。Kk是一种最近在骨关节感染中变得重要的病原体。
