MULTIFOCAL INVASIVE KINGELLA-KINGAE INFEC TION

Case report. - A 2-year-old child non immunodeficient, presented with septicemia due to Kingella kingae successively complicated by meningit is, arthritis of one knee and endocarditis. Outcome was favourable aft er (I long and adjusted antibiotherapy invoking in particular for the endocarditis ceftriaxone (100 mg/kg/d) and amikacin (20 mg/kg/d) durin g 3 weeks, then amoxicillin per os (200 mg/kg/d) during 3 weeks. Concl usions, - Bacteriologic characteristics of the bacteria, the culture o f which requires medium base with additional nutrient are reviewed. Th e tropism of Kingella kingae is essentially osteoarticular and cardiac as shown by the cases reported in the literature. Its susceptibility to antibiotics explains the frequent favourable outcome. (C) 1998 Else vier, Paris.