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Kingella kingae Endocarditis in a Child With a Prosthetic Aortic Valve and Bifurcation Graft

Kingella kingae Endocarditis in a Child With a Prosthetic Aortic Valve and Bifurcation Graft Abstract Kingella kingae is an aerobic gram-negative bacillus previously classified under the genus Moraxella.1 Its habitat is uncertain. The organism has been isolated from blood, bone, and joint aspirates, pus, and nose and throat cultures.1-3 However, reported descriptions of clinical infections associated with K kingae have been few.3-7 Our review of the literature showed two previous reports of bacterial endocarditis caused by this organism.3,4 We report a third case, to date, of K kingae endocarditis and, to our knowledge, the first instance in which infection has occurred in a patient with artificial indwelling devices. Report of a Case.—A 9-year-old girl had undergone repair of a truncus arteriosus with a bifurcation graft and had had an aortic valve replacement. She was in her usual state of health until one week before admission, when symptoms of an upper respiratory tract infection developed. On the night before admission, she References 1. Henriksen SD, Bøvre K: Moraxella kingii sp nov: A haemolytic, saccharolytic species of the genus Moraxella . J Gen Microbiol 1968;51: 377-385.Crossref 2. Henriksen SD: Corroding bacteria from the respiratory tract: I. Moraxella kingii . Acta Pathol Microbiol Scand B 1969;75:85-90. 3. Miridjanian A, Berrett D: Infective endocarditis caused by Moraxella kingae . West J Med 1978;129:344-346. 4. Christensen CE, Emmanouilides GC: Bacterial endoca[ill]itis due to 'Moraxella new species I.' N Engl J Med 1967;277:803-804.Crossref 5. Wong AS, Dyke J, Perry D, et al: Paraspinal mass associated with intervertebral disk infection secondary to Moraxella kingii . J Pediatr 1978;92:86-88.Crossref 6. Vincent J, Podewell C, Franklin GW, et al: Septic arthritis due to Kingella (Moraxella) kingii: Case report and review of the literature . J Rheumatol 1981;8:501-503. 7. Redfield DC, Overturf GD, Ewing N, et al: Bacteria, arthritis and skin lesions due to Kingella kingae . Arch Dis Child 1980;55:411.Crossref 8. Henriksen SD, Bøvre K: Transfer of Moraxella kingae—Henriksen and Bøvre to the genus Kingella gen nov in the family Neisseriaceae . Int J System Bacteriol 1976;26: 447-450.Crossref 9. King EO: The Identification of Unusual Pathogenic Gram-Negative Bacteria . Atlanta, Centers for Disease Control, 1964. 10. Delgado DG, Cobbs CG: Infections of prosthetic valves and intravascular devices , in Mandell GL, Douglas RG Jr, Bennett JE (eds): Principles and Practice of Infectious Diseases . New York, John Wiley & Sons Inc, 1979, vol 1, pp 690-700. 11. Lerner PI: Infective endocarditis: A review of selected topics . Med Clin North Am 1974;58: 605-622. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Kingella kingae Endocarditis in a Child With a Prosthetic Aortic Valve and Bifurcation Graft

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1983.02140300081025
Publisher site
See Article on Publisher Site

Abstract

Abstract Kingella kingae is an aerobic gram-negative bacillus previously classified under the genus Moraxella.1 Its habitat is uncertain. The organism has been isolated from blood, bone, and joint aspirates, pus, and nose and throat cultures.1-3 However, reported descriptions of clinical infections associated with K kingae have been few.3-7 Our review of the literature showed two previous reports of bacterial endocarditis caused by this organism.3,4 We report a third case, to date, of K kingae endocarditis and, to our knowledge, the first instance in which infection has occurred in a patient with artificial indwelling devices. Report of a Case.—A 9-year-old girl had undergone repair of a truncus arteriosus with a bifurcation graft and had had an aortic valve replacement. She was in her usual state of health until one week before admission, when symptoms of an upper respiratory tract infection developed. On the night before admission, she References 1. Henriksen SD, Bøvre K: Moraxella kingii sp nov: A haemolytic, saccharolytic species of the genus Moraxella . J Gen Microbiol 1968;51: 377-385.Crossref 2. Henriksen SD: Corroding bacteria from the respiratory tract: I. Moraxella kingii . Acta Pathol Microbiol Scand B 1969;75:85-90. 3. Miridjanian A, Berrett D: Infective endocarditis caused by Moraxella kingae . West J Med 1978;129:344-346. 4. Christensen CE, Emmanouilides GC: Bacterial endoca[ill]itis due to 'Moraxella new species I.' N Engl J Med 1967;277:803-804.Crossref 5. Wong AS, Dyke J, Perry D, et al: Paraspinal mass associated with intervertebral disk infection secondary to Moraxella kingii . J Pediatr 1978;92:86-88.Crossref 6. Vincent J, Podewell C, Franklin GW, et al: Septic arthritis due to Kingella (Moraxella) kingii: Case report and review of the literature . J Rheumatol 1981;8:501-503. 7. Redfield DC, Overturf GD, Ewing N, et al: Bacteria, arthritis and skin lesions due to Kingella kingae . Arch Dis Child 1980;55:411.Crossref 8. Henriksen SD, Bøvre K: Transfer of Moraxella kingae—Henriksen and Bøvre to the genus Kingella gen nov in the family Neisseriaceae . Int J System Bacteriol 1976;26: 447-450.Crossref 9. King EO: The Identification of Unusual Pathogenic Gram-Negative Bacteria . Atlanta, Centers for Disease Control, 1964. 10. Delgado DG, Cobbs CG: Infections of prosthetic valves and intravascular devices , in Mandell GL, Douglas RG Jr, Bennett JE (eds): Principles and Practice of Infectious Diseases . New York, John Wiley & Sons Inc, 1979, vol 1, pp 690-700. 11. Lerner PI: Infective endocarditis: A review of selected topics . Med Clin North Am 1974;58: 605-622.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Apr 1, 1983

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