La Scola B, Iorgulescu I, Bollini G
Unité des Rickettsies, UPRESA 6020, Faculté de Médecine, Université de la Méditerranée, Marseille, France.
Eur J Clin Microbiol Infect Dis. 1998 Jul;17(7):512-5. doi: 10.1007/BF01691136.
Five cases of Kingella kingae skeletal infections were diagnosed in children admitted to La Timone Hospital between 1992 and 1997. Patients were between 6 and 31 months old and presented with septic spondylodiskitis, calcaneus osteomyelitis, and hip-joint arthritis. All displayed either an upper respiratory tract infection or eczema during the month prior to their admission. Laboratory findings included an elevated leukocyte count and an elevated erythrocyte sedimentation rate. Standard radiography was unrevealing, but 99mTc bone scans and magnetic resonance imaging showed significant abnormalities. Isolation of Kingella kingae was achieved in all cases by culture of fluid aspirates using the Bactec blood culture system. This bacterium was sensitive to the most common antibiotics tested, and the outcome was favourable in all cases.
1992年至1997年间，在拉蒂莫内医院收治的儿童中诊断出5例金氏金杆菌骨骼感染病例。患者年龄在6至31个月之间，表现为化脓性脊椎间盘炎、跟骨骨髓炎和髋关节关节炎。所有患者在入院前一个月内均出现上呼吸道感染或湿疹。实验室检查结果包括白细胞计数升高和红细胞沉降率升高。标准X线检查未发现异常，但99mTc骨扫描和磁共振成像显示有明显异常。所有病例通过使用Bactec血培养系统对液体抽吸物进行培养，均分离出金氏金杆菌。该细菌对所测试的最常见抗生素敏感，所有病例的治疗结果均良好。
