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[eikenella corrodens infective endocarditis].the hacek microorganisms (haemophilus spp, actinobacillus actinomycetemcomitans, cardiobacterium hominis, eikenella corrodens, and kingella kingae) account for 3% of the cases of endocarditis. they have the following similar clinical and microbiological properties: are gram-negative bacilli, more easily isolated in aerobic media; their cultures require prolonged incubation time for growing (mean, 3.3 days); and may be considered part of normal flora of upper respiratory tract and oropharynx. the ...200516041457
bacterial aetiology of acute osteoarticular infections in children.to study the bacterial aetiology of acute osteoarticular infections in children and to analyse the efficiency of culture methods.200516092454
contribution of a broad range polymerase chain reaction to the diagnosis of osteoarticular infections caused by kingella kingae: description of twenty-four recent pediatric diagnoses.microbiologic diagnosis of septic arthritis and osteomyelitis in children is hindered by the less than optimal yield of blood and osteoarticular fluid cultures.200516094222
characterization and immunogenicity of kingella kingae outer-membrane proteins.in recent years, kingella kingae has emerged as an important pediatric pathogen but the antigenicity of the organism and the host immune response have not been studied. outer membrane proteins (omps) of 57 k. kingae isolates were characterized and the immune response of 19 children with invasive infections was studied by immunoblotting. kingella kingae omps were remarkably similar disregarding place and time of isolation and associated clinical condition (asymptomatic carriage, bacteremia, endoc ...200515607635
[acute osteomyelitis and septic arthritis in children: one year experience].to describe bacteriologic epidemiology of bone and joint infections, a total of 52 osteomyelitis, 52 arthritis and 20 osteoarthritis of children aged one month to 15 years during a one-year period (2001) were included in a retrospective unicentric review. the mean age was 3,9 +/-3,6 years. fever and pain were the most common clinical symptoms. the site of infection was single in 95%, involving lower extremities in 80%. bone scintigraphy was abnormal in 71% of osteomyelitis. positive cultures was ...200515653049
acute osteomyelitis and septic arthritis in children.to review the clinical presentation, clinical management and organisms responsible for acute haematogenous osteomyelitis (aho) and septic arthritis (sa) in the post haemophilus influenzae type b (hib) vaccine era and to evaluate current australian antibiotic guidelines for these conditions.200515670227
cardiobacterium hominis endocarditis: a case report and review of the literature.the present case report describes the clinical course of a patient who presented with cardiobacterium hominis endocarditis. a review of the literature follows the case presentation. c hominis, a fastidious gram-negative bacillus, is a member of the hacek group of microorganisms (haemophilus species, actinobacillus actinomycetemcomitans, c hominis, eikenella corrodens and kingella kingae). endocarditis caused by c hominis is uncommon and generally follows a subacute course. patients may present w ...200518159562
the changing face of infective endocarditis.infective endocarditis (ie) is an evolving disease with a persistently high mortality and morbidity, even in the modern era of advanced diagnostic imaging, improved antimicrobial chemotherapy, and potentially curative surgery. despite these improvements in health care, the incidence of the disease has remained unchanged over the past two decades and may even be increasing. chronic rheumatic heart disease is now an uncommon antecedent, whereas degenerative valve disease of the elderly, mitral val ...200516216860
the changing face of infective endocarditis.infective endocarditis (ie) is an evolving disease with a persistently high mortality and morbidity, even in the modern era of advanced diagnostic imaging, improved antimicrobial chemotherapy, and potentially curative surgery. despite these improvements in health care, the incidence of the disease has remained unchanged over the past two decades and may even be increasing. chronic rheumatic heart disease is now an uncommon antecedent, whereas degenerative valve disease of the elderly, mitral val ...200516216860
epidemiology and antibiotic treatment of infective endocarditis: an update. 200617041124
infective endocarditis. 200616902214
cardiobacterium hominis endocarditis: two cases and a review of the literature.cardiobacterium hominis, a member of the hacek group (haemophilus parainfluenzae, haemophilus aphrophilus, and haemophilus paraphrophilus, actinobacillus actinomycetemcomitans, c. hominis, eikenella corrodens, and kingella species), is a rare cause of endocarditis. there are 61 reported cases of c. hominis infective endocarditis in the english-language literature, 15 of which involved prosthetic valve endocarditis. there is one reported case of c. hominis after upper endoscopy and none reported ...200616955250
kingella kingae spondylodiscitis in a child.most osteoarticular infections in children are due to staphylococcus aureus. in this case, the isolation of kingella kingae by image guided disc aspiration resulted in modification and optimization of treatment. we take a look at a case of spondylodiscitis in a young child and review some of the current literature with regards to kingella kingae infections.200617065283
kingella kingae infections in children.kingella kingae is a beta-hemolytic gram-negative bacillus. it was first described in the 1960's by eo king and has been reported as a cause of osteo-articular pediatric infections since the early 1980's. we performed a retrospective review of all pediatric cases of invasive k. kingae infection between 1997 and 2002, in order to define the incidence, clinical presentation and outcome of invasive k. kingae infections in a pediatric population. during the study period, a total of 24 pediatric pati ...200616751740
kingella kingae: an emerging pediatric pathogen. 200616802628
kingella kingae septic arthritis with endocarditis in an adult.kingella kingae is part of the nonpathogenic flora normally found in the oral cavity and pharynx. recent reports have established that k. kingae can cause invasive infections in pediatric patients. few cases have been described in adults, however. we report a case of k. kingae arthritis of the knee followed by endocarditis in a 59-year-old woman. physicians and microbiologists should be alert to the possibility of k. kingae infection. k. kingae is easy to detect provided its specific culture req ...200616807042
current patterns of infective endocarditis in congenital heart disease.to assess the changing profile of infective endocarditis in patients with congenital heart disease.200616818488
kingella kingae orbital cellulitis in a 3-year-old. 200616244644
utility of extended blood culture incubation for isolation of haemophilus, actinobacillus, cardiobacterium, eikenella, and kingella organisms: a retrospective multicenter evaluation.the incidence of and average time to detection for haemophilus, actinobacillus, cardiobacterium, eikenella, and kingella (hacek) bacteria in blood cultures with standard incubation and the utility of extended incubation of blood culture bottles were reviewed at four tertiary care microbiology laboratories. hacek organisms were isolated from 35 (<0.005%) of 59,203 positive blood cultures. none of 407 blood cultures with extended incubation grew hacek or other bacteria. bacteremia from hacek bacte ...200616390985
kingella kingae: an emerging pathogen of acute osteoarticular infections in children. 200616396891
direct detection of cardiobacterium hominis in serum from a patient with infective endocarditis by broad-range bacterial pcr.bacterial dna was detected directly in the serum of a patient with endocarditis by broad-range 16s rrna pcr followed by sequencing and analysis of the results by the blast search. using these methods, cardiobacterium hominis was identified in 2 days from the date of serum collection. the microorganism was also isolated and identified using conventional methods (bacterial culture and biochemical tests) 17 days from the date of sample collection. this is the first report showing the direct detecti ...200616455944
[kingella kingae]. 200616462965
analysis of 525 samples to determine the usefulness of pcr amplification and sequencing of the 16s rrna gene for diagnosis of bone and joint infections.the 16s rrna gene pcr in the diagnosis of bone and joint infections has not been systematically tested. five hundred twenty-five bone and joint samples collected from 525 patients were cultured and submitted to 16s rrna gene pcr detection of bacteria in parallel. the amplicons with mixed sequences were also cloned. when discordant results were observed, culture and pcr were performed once again. bacteria were detected in 139 of 525 samples. culture and 16s rrna gene pcr yielded identical documen ...200616517890
leukotoxin confers beta-hemolytic activity to actinobacillus actinomycetemcomitans.actinobacillus actinomycetemcomitans is the etiologic agent of localized aggressive periodontitis, a rapidly progressing oral disease that occurs in adolescents. a. actinomycetemcomitans can also cause systemic disease, including infective endocarditis. in early work on a. actinomycetemcomitans workers concluded that this bacterium is not beta-hemolytic. more recent reports have suggested that a. actinomycetemcomitans does have the potential to be beta-hemolytic. while growing a. actinomycetemco ...200616552030
update on the management of skin, soft-tissue, and osteoarticular infections in children.to provide an update on the diagnosis and management of skin, soft-tissue, and osteoarticular infections in children.200616721144
outbreak of kingella kingae skeletal system infections in children in daycare.the objective of this study is to describe the investigation of an outbreak of one culture-proven and two presumptive cases of kingella kingae osteomyelitis detected within a 15-day period in a daycare center in israel.200616732151
comparative efficacies of amoxicillin, clindamycin, and moxifloxacin in prevention of bacteremia following dental extractions.we evaluated the efficacies of oral prophylactic treatment with amoxicillin (amx), clindamycin (cli), and moxifloxacin (mxf) in the prevention of bacteremia following dental extractions (bde). two hundred twenty-one adults who required dental extractions under general anesthesia were randomly assigned to a control group, an amx group, a cli group, and an mxf group (the individuals in the drug treatment groups received 2 g, 600 mg, and 400 mg, respectively, 1 to 2 h before anesthesia induction). ...200616940094
brevundimonas vesicularis septic arthritis in an immunocompetent child.septic arthritis is a rapidly destructive form of joint disease. the most common causative agents in children are staphylococcus aureus and kingella kingae, followed by group a streptococcus and streptococcus pneumoniae, and in neonates, enterobacteracea and group b streptococcus. in this paper, we describe a previously healthy toddler with septic arthritis of the shoulder joint caused by brevundimonas vesicularis. prompt treatment with cefuroxime resulted in a full recovery. this is the first r ...200716941131
[epidemiology and bacteriological diagnosis of paediatric acute osteoarticular infections].acute paediatric osteo-articular infections require a fast and sensitive diagnosis allowing a treatment directed to the causative pathogen. many micro-organisms can be incriminated, but staphylococcus aureus and kingella kingae markedly prevail. k. kingae became the first bacterial species responsible for septic arthritis in children < 3 years. more rarely, (2)haemolytic streptococci and streptococcus pneumoniae are found. the incidence of community acquired s. aureus resistant to oxacillin in o ...200717956825
septic arthritis in western and sub-saharan african children - a review.this article reviews what is known about the incidence, aetiology, presentation, bacteriology and management of septic arthritis in children. it compares where possible the different presentations and characteristics of this condition in the western and sub-saharan african regions.200716741731
septic arthritis in western and sub-saharan african children - a review.this article reviews what is known about the incidence, aetiology, presentation, bacteriology and management of septic arthritis in children. it compares where possible the different presentations and characteristics of this condition in the western and sub-saharan african regions.200716741731
development of a broad-range 16s rdna real-time pcr for the diagnosis of septic arthritis in children.the broad-range pcr has been successfully developed to search for fastidious, slow-growing or uncultured bacteria, and is mostly used when an empirical antibiotic treatment has already been initiated. the technique generally involves standard pcr targeting the gene coding for 16s ribosomal rna, and includes a post-pcr visualisation step on agarose gel which is a potential source of cross-over contamination. in addition, interpretation of the presence of amplified products on gels can be difficul ...200716904782
identification and characterization of an rtx toxin in the emerging pathogen kingella kingae.kingella kingae is an emerging bacterial pathogen that is increasingly recognized as the causative agent of a variety of pediatric diseases, including septic arthritis and osteomyelitis. the pathogenesis of k. kingae disease is believed to begin with colonization of the upper respiratory tract. in the present study, we examined interactions between k. kingae and cultured respiratory epithelial cells and observed potent cytotoxicity, detected by both microscopy and lactic acid dehydrogenase (ldh) ...200717098895
pantoea agglomerans, a plant pathogen causing human disease.we present 53 pediatric cases of pantoea agglomerans infections cultured from normally sterile sites in patients seen at a children's hospital over 6 years. isolates included 23 from the bloodstream, 14 from abscesses, 10 from joints/bones, 4 from the urinary tract, and 1 each from the peritoneum and the thorax. p. agglomerans was most associated with penetrating trauma by vegetative material and catheter-related bacteremia.200717442803
specific real-time polymerase chain reaction places kingella kingae as the most common cause of osteoarticular infections in young children.the use of universal 16s rdna polymerase chain reaction (pcr) has recently shown that the place of kingella kingae in osteoarticular infections (oai) in young children has been underestimated, but this technique is not the most sensitive or the most rapid method for molecular diagnosis. we developed a specific real-time pcr method to detect k. kingae dna and applied it to the etiologic diagnosis of oai.200717468645
[a tenacious lameness in a 2-year-old child].spondylodiscitis, a septic infection of the intervertebral disc spondylodiscitis, a septic infection of the intervertebral disc and adjacent vertebrae, is an unusual infection, mainly affecting children and elderly people. it is classically associated with tuberculosis, but other germs such as staphylococcus aureus, streptococcus pyogenes or mitis, and some even more unususal ones (e.g. kingella kingae), are often encountered in our countries. non tuberculous spondylodiscitis is found in approxi ...200717566390
[meningitis due to kingella kingae]. 200717583630
molecular diagnosis of kingella kingae pericarditis by amplification and sequencing of the 16s rrna gene.kingella kingae is a fastidious gram-negative bacillus that is considered an emerging pathogen in pediatric settings but remains less common in adults. here we describe a case of pericarditis in an immunocompetent adult host. the microorganism was identified directly from the clinical sample by molecular techniques, i.e., 16s rrna gene amplification and sequencing.200717634294
bacterial peritonitis caused by kingella kingae.kingella kingae is a commensal of the upper respiratory tract that occasionally causes skeletal infections in children and endocarditis in children and adults. we report a case of a 55-year-old man with liver disease and tense ascites who performed a paracentesis on himself and developed k. kingae peritonitis and bacteremia.200717634309
pediatric pelvic osteomyelitis.pelvic osteomyelitis is unusual in children. we retrospectively reviewed charts of patients with this infection seen at our institution. from 1998 to 2005, 31 patients with pelvic osteomyelitis were identified: 19 males and 12 females with an age range of 1.5 months to 17 years 9 months. duration of illness prior to admission ranged from 1 day to 2.5 months. chief complaints included nonspecific pain, fever, limp, and decreased weight bearing. microorganisms isolated included staphylococcus aure ...200717641126
pacemaker endocarditis due to haemophilus parainfluenza: case report and literature review.we report a case of pacemaker infective endocarditis in a 14 month old girl, caused by haemophilus parainfluenzae. there are no other cases in children reported in the literature. we discuss the issues surrounding the case and the evidence which influenced our management.200722368676
septic arthritis in iceland 1990-2002: increasing incidence due to iatrogenic infections.to assess the impact of increased number of diagnostic and therapeutic joint procedures on the incidence and type of septic arthritis (sa).200717901088
septic arthritis in iceland 1990-2002: increasing incidence due to iatrogenic infections.to assess the impact of increased number of diagnostic and therapeutic joint procedures on the incidence and type of septic arthritis (sa).200717901088
infective endocarditis due to haemophilus aphrophilus: a case report.to report the case of a child with infective endocarditis caused by haemophilus aphrophilus.200818213436
staphylococcus aureus bacteremia complicating herpes simplex virus type 1 stomatitis: case report and review of the literature.gingivostomatitis is a common clinical manifestation of primary herpes simplex virus type 1 (hsv-1) infection in children. the most common complication of herpetic gingivostomatitis is dehydration; rarely, it may be complicated by secondary bacteremia, and kingella kingae and group a streptococcus infections have been reported to be responsible for such episodes.200818251654
[kingella kingae: specific growth conditions in blood culture bottles]. 200818358221
[endocarditis due to aggregatibacter (formerly: actinobacillus) actinomycetemcomitans, a bacterium that grows in characteristic star-shaped colonies].a 72-year-old man, having had an artificial valve for almost 20 years now, presented with tiredness that had persisted for several weeks and reported weight loss of 5 kg. in more recent days he experienced fever and cold shivers, and an associated dry cough. bearing in mind the potential for endocarditis, blood cultures were grown. in this, we identified a small, gram-negative rod with a small, smooth, raised colony that grew slowly. we considered a micro-organism from the 'hacek group', which i ...200818491827
direct comparison of the bd phoenix system with the microscan walkaway system for identification and antimicrobial susceptibility testing of enterobacteriaceae and nonfermentative gram-negative organisms.the phoenix automated microbiology system (bd diagnostics, sparks, md) is designed for the rapid identification (id) and antimicrobial susceptibility testing (ast) of clinically significant human bacterial pathogens. we evaluated the performance of the phoenix instrument in comparison with that of the microscan walkaway system (dade behring, west sacramento, ca) in the id and ast of gram-negative clinical strains and challenge isolates of enterobacteriaceae (n = 150) and nonfermentative gram-neg ...200818495856
usefulness of broad-range pcr for the diagnosis of osteoarticular infections.conventional methods such as microbiological cultures may lack the sensitivity and specificity to establish definitive diagnosis of osteoarticular infections. herein, we review the general principles and the usefulness of broad-range pcr to improve the etiological diagnosis of osteoarticular infections.200818525362
streptobacillus moniliformis as the causative agent in spondylodiscitis and psoas abscess after rooster scratches.we report a case of streptobacillus moniliformis spondylodiscitis accompanied by a psoas abscess in an 80-year-old man scratched by a rooster. s. moniliformis was identified from abscess fluid by use of 16s rrna gene sequencing. after 18 weeks of antimicrobial therapy, the clinical condition of the patient improved.200818562588
empiric antibiotic therapy for acute osteoarticular infections with suspected methicillin-resistant staphylococcus aureus or kingella.the bacterial agents causing bone and joint infections have been changing. currently, methicillin-resistant staphylococcus aureus (mrsa) and kingella kingae are emerging pathogens. for treatment of mrsa infections, clindamycin, vancomycin, and linezolid are commonly prescribed antibiotics. kingella are sensitive to most penicillins and cephalosporins. because mrsa osteoarticular infections tend to be severe, longer periods of antibiotic treatment with more frequent monitoring of inflammatory mar ...200818600193
osteoarticular infections in belgian children: a survey of clinical, biological, radiological and microbiological data.the aim of this study is to report the pathogens which were found most frequently to be responsible for osteo-articular infections in infants and children in belgium, and to propose an appropriate empirical antibiotic therapy applicable before identification of the responsible pathogen. clinical presentation, imaging and blood biology are also reviewed and analysed. fifty-six cases of osteo-articular infections (acute/subacute osteomyelitis, osteo-arthritis, septic arthritis, spondylodiscitis, s ...200818686465
[pediatric osteoarticular infections caused by kingella kingae from 1995 to 2006 at chru de tours].use of molecular biology shows that kingella kingae is a pathogen frequently involved in osteoarticular infections in young children. this study describes the cases of osteoarticular infections due to k. kingae which happened from 1995 to 2006 in the chru of tours. the description is based on clinical and biological features. a k. kingae specific polymerase chain reaction was performed in our laboratory in order to improve k. kingae osteoarticular infections diagnosis, and is detailed here.200818725349
kingella kingae expresses type iv pili that mediate adherence to respiratory epithelial and synovial cells.kingella kingae is a gram-negative bacterium that colonizes the respiratory tract and is a common cause of septic arthritis and osteomyelitis. despite the increasing frequency of k. kingae disease, little is known about the mechanism by which this organism adheres to respiratory epithelium and seeds joints and bones. previous work showed that k. kingae expresses long surface fibers that vary in surface density. in the current study, we found that these fibers are type iv pili and are necessary f ...200818757541
trimethoprim-sulfamethoxazole for osteoarthritis caused by staphylococcus aureus or kingella kingae. 200818818554
invasive kingella kingae infections in children: clinical and laboratory characteristics.kingella kingae, a gram-negative coccobacillus, is being increasingly recognized as an invasive pathogen in children, causing mainly bacteremia and arthritis; however, there have been only a few studies on k kingae infections to date, mostly small-scale series. the aim of this study was to report our experience with invasive k kingae infections in children who were hospitalized at a major tertiary medical center in israel.200819047250
infective arthritis: bacterial 23s rrna gene sequencing as a supplementary diagnostic method.consecutively collected synovial fluids were examined for presence of bacterial dna (a 700-bp fragment of the bacterial 23s rrna gene) followed by dna sequencing of amplicons, and by conventional bacteriological methods. one or more microorganisms were identified in 22 of the 227 synovial fluids (9,7%) originating from 17 patients. sixteen of the patients had clinical signs of arthritis. for 11 patients molecular and conventional bacterial examinations were in agreement. staphylococcus aureus, s ...200819088916
kingella kingae: osteoarticular infections of the sternum in children: a report of six cases.kingella kingae is increasingly recognized as a pathogen of osteoarticular infections (oai) below the age of 2 years. it was reported that bones and joints which are rarely infected by other pathogens were frequently invaded by k. kingae. based on a series of six cases, we present the typical clinical and paraclinical manifestation of k. kingae infections of the sternum and sterno-manubrial joint.200819308540
new real-time pcr-based method for kingella kingae dna detection: application to samples collected from 89 children with acute arthritis.inoculation of blood culture vials with joint fluid samples has revealed the important pathogenic role of kingella kingae in pediatric arthritis. however, recent studies based on broad-range 16s ribosomal dna pcr and real-time pcr without a probe suggest that conventional methods remain suboptimal. we developed a new real-time pcr method with a probe that is highly specific for k. kingae and applied it to joint fluid samples collected from 89 children with suspected arthritis admitted to our ins ...200919369442
diversity and site-specificity of the oral microflora in the elderly.the purpose of the present study was to describe the bacterial diversity in the oral cavity of the elderly without root caries using bacterial microarrays, and to determine the site- and subject-specificity of bacterial colonization. samples were collected from the tongue dorsum, mucosa of the buccal fold, hard palate, supragingival plaque from sound root surfaces, and subgingival plaque from the same roots. a new 16 s rrna gene-based microarray method was used for the simultaneous detection of ...200919373498
[usefulness of synovial fluid inoculation in blood culture bottles for diagnosing kingella kingae septic arthritis: state of the question]. 200919409667
expression of kingella kingae type iv pili is regulated by sigma54, pils, and pilr.kingella kingae is a member of the neisseriaceae and is being recognized increasingly as an important cause of serious disease in children. recent work has demonstrated that k. kingae expresses type iv pili that mediate adherence to respiratory epithelial and synovial cells and are selected against during invasive disease. in the current study, we examined the genome of k. kingae strain 269-492 and identified homologs of the rpon and the pils and pilr genes that are essential for pilus expressio ...200919465661
dissemination of kingella kingae in the community and long-term persistence of invasive clones.although kingella kingae is being increasingly recognized as an important pediatric pathogen, our current understanding of the transmission of the organism is limited. the dissemination of k. kingae in the community was studied in 2 ethnic groups living side-by-side in southern israel.200919593253
kingella kingae prosthetic valve endocarditis complicated by a paravalvular abscess. 200919603602
comparisons of subgingival microbial profiles of refractory periodontitis, severe periodontitis, and periodontal health using the human oral microbe identification microarray.this study compared the subgingival microbiota of subjects with refractory periodontitis (rp) to those in subjects with treatable periodontitis (grs = good responders) or periodontal health (ph) using the human oral microbe identification microarray (homim).200919722792
effects of preincubation temperature on the detection of fastidious organisms in delayed-entry samples in the bact/alert 3d blood culture system.this study evaluates the effect of preincubation on delayed-entry samples for fastidious organisms including the hacek group, streptococcus species, neisseria meningitidis, haemophilus species and corynebacterium species for the bact/alert 3d system (biomérieux) using the fa (aerobic) medium. bottles were inoculated with two different concentrations (0.5 mcfarland and a 1:100,000 dilution) of each organism and either loaded into the system immediately or stored at 4 degrees c, room temperature ( ...200919733598
moraxella lacunata septic arthritis in a patient with lupus nephritis.moraxella lacunata is a rare, usually commensal gram-negative rod most commonly associated with eye infections. we report a unique case of noniatrogenic m. lacunata bacteremia and septic knee arthritis in a patient with class iii-iv lupus nephritis and speculate on the association between invasive moraxella infection and renal impairment.200919794049
an adult case of urinary tract infection with kingella kingae: a case report.kingella kingae, though part of the normal upper respiratory tract and genitourinary tract, is increasingly being recognized as an important human pathogen. during the past decade, it has emerged as a significant pathogen in the pediatric age group primarily causing bacteremia and osteoarticular infections. adult infection usually occurs in individuals who are severely immunocompromised and most infections have taken the form of septicemia or septic arthritis. bacteremia due to k. kingae has bee ...200919830146
acute haemophilus parainfluenzae endocarditis: a case report.numerous pathogens can cause infective endocarditis, including haemophilus parainfluenzae. h. parainfluenzae is part of the h. aphrophilus, actinobacillus actinomycetemcomitans, cardiobacterium hominis, eikenella corrodens, and kingella kingae group that may cause about 3% of the total endocarditis cases, and is characterized by a subacute course and large vegetations.200919830211
pharyngeal colonization by kingella kingae in children with invasive disease.kingella kingae organisms isolated from the blood of 3 children with invasive infections were identical by pulsed field gel electrophoresis and random amplified polymorphic dna-polymerase chain reaction analysis to those recovered from the patients' pharynx, demonstrating the likely role of upper respiratory tract colonization in the pathogenesis of the disease caused by this bacterium.200919106774
[pediatric osteo-articular infections with negative culture results: what about kingella kingae?].kingella kingae is an emerging pathogen that is recognized as a causative agent of septic arthritis and osteomyelitis, primarily in infants and children. the bacterium is best detected by rapid inoculation in blood culture systems or by real-time pcr assays. pathogenesis of the agent was linked recently to the production of a potent cytotoxin, known as rtx, which is toxic to a variety of human cell types. the locus encoding the rtx toxin is thought to be a putative virulence factor, and is, appa ...200919994673
rapid universal identification of bacterial pathogens from clinical cultures by using a novel sloppy molecular beacon melting temperature signature technique.a real-time pcr assay with the ability to rapidly identify all pathogenic bacteria would have widespread medical utility. current real-time pcr technologies cannot accomplish this task due to severe limitations in multiplexing ability. to this end, we developed a new assay system which supports very high degrees of multiplexing. we developed a new class of mismatch-tolerant "sloppy" molecular beacons, modified them to provide an extended hybridization range, and developed a multiprobe, multimelt ...200919923485
rapid universal identification of bacterial pathogens from clinical cultures by using a novel sloppy molecular beacon melting temperature signature technique.a real-time pcr assay with the ability to rapidly identify all pathogenic bacteria would have widespread medical utility. current real-time pcr technologies cannot accomplish this task due to severe limitations in multiplexing ability. to this end, we developed a new assay system which supports very high degrees of multiplexing. we developed a new class of mismatch-tolerant "sloppy" molecular beacons, modified them to provide an extended hybridization range, and developed a multiprobe, multimelt ...200919923485
kingella kingae endocardial abscess and cerebral infarction in a previously well immunocompetent child.kingella kingae is an emerging paediatric pathogen that most commonly is associated with relatively benign osteoarticular disease in children. this report concerns a 1-year-old child with kingella kingae endocarditis and perivalvular abscess complicated by septic cerebral emboli and osteomyelitis leading to long-term neurological sequelae, highlighting the capacity of this organism to cause severe invasive disease in children.200922190987
molecular diagnosis of kingella kingae osteoarticular infections by specific real-time pcr assay.kingella kingae is an emerging pathogen that is recognized as a causative agent of septic arthritis and osteomyelitis, primarily in infants and children. the bacterium is best detected by rapid inoculation in blood culture systems or by real-time pcr assays. pathogenesis of the agent was linked recently to the production of a potent cytotoxin, known as rtx, which is toxic to a variety of human cell types. the locus encoding the rtx toxin is thought to be a putative virulence factor, and is, appa ...200919074654
cardiac device-related endocarditis: epidemiology, pathogenesis, diagnosis and treatment - a review.cardiac device-related endocarditis (cde) is a phenomenon for which incidence is on the rise; it presents difficult management problems to the clinician. on one hand, there is the patient who needs the implanted device, and the potential morbidity and mortality associated with its removal. on the other hand, there is the problem of a persistent infection - usually acquired during insertion of an electrical device - that is resistant to many antibiotics, has a high recurrence rate, and necessitat ...200922477546
aortic homograft endocarditis caused by cardiobacterium hominis and complicated by agranulocytosis due to ceftriaxone.the present report describes a very rare case of an aortic homograft valve endocarditis caused by cardiobacterium hominis. the case was complicated by an agranulocytosis after 3 weeks of antibiotic treatment induced by ceftriaxone. alternative oral treatment with ciprofloxacin and rifampicin was successful, no surgical intervention was needed and homograft function could be preserved.201022797477
actinobacillus actinomycetemcomitans endocarditis in a 1.5 year old toddler.the authors report a 1.5-year-old girl who developed actinobacillus actinomycetemcomitans (aa) endocarditis involving the pulmonic valve. she had a congenital cardiac abnormality, but no history of dental manipulation. the case illustrates an uncomplicated course with three unique features; the youngest reported infant with endocarditis caused by aa with vegetation on the pulmonic valve. she underwent a benign course with complete recovery. the authors report a 1.5-year-old girl who developed aa ...201022767569
procession to pediatric bacteremia and sepsis: covert operations and failures in diplomacy.despite advances in diagnosis and treatment, bacterial sepsis remains a major cause of pediatric morbidity and mortality, particularly among neonates, the critically ill, and the growing immunocompromised patient population. sepsis is the end point of a complex and dynamic series of events in which both host and microbial factors drive high morbidity and potentially lethal physiologic alterations. in this article we provide a succinct overview of the events that lead to pediatric bloodstream inf ...201020566606
kingella kingae spondylodiscitis in young children: toward a new approach for bacteriological investigations? a preliminary report.as the result of improved bacteriological techniques, kingella kingae is a slow-growing gram-negative coccobacillus that is emerging as an important cause of spondylodiscitis in children younger than 3 years of age. the high pharyngeal carrier rates of this slow-growing gram-negative coccobacillus combined with the low incidence of identified k. kingae infections is possibly explained by a low virulence of this bacterium. the use of specific real-time polymerase chain reaction (pcr) on blood sam ...201021455474
gangliosides block aggregatibacter actinomycetemcomitans leukotoxin (ltxa)-mediated hemolysis.aggregatibacter actinomycetemcomitans is an oral pathogen and etiologic agent of localized aggressive periodontitis. the bacterium is also a cardiovascular pathogen causing infective endocarditis. a. actinomycetemcomitans produces leukotoxin (ltxa), an important virulence factor that targets white blood cells (wbcs) and plays a role in immune evasion during disease. the functional receptor for ltxa on wbcs is leukocyte function antigen-1 (lfa-1), a ß-2 integrin that is modified with n-linked car ...201022069577
rtx proteins: a highly diverse family secreted by a common mechanism.repeats-in-toxin (rtx) exoproteins of gram-negative bacteria form a steadily growing family of proteins with diverse biological functions. their common feature is the unique mode of export across the bacterial envelope via the type i secretion system and the characteristic, typically nonapeptide, glycine- and aspartate-rich repeats binding ca(2+) ions. in this review, we summarize the current state of knowledge on the organization of rtx loci and on the biological and biochemical activities of t ...201020528947
[isolated bacteraemia caused by kingella kingae]. 201020006566
crystal structure analysis reveals pseudomonas pily1 as an essential calcium-dependent regulator of bacterial surface motility.several bacterial pathogens require the "twitching" motility produced by filamentous type iv pili (t4p) to establish and maintain human infections. two cytoplasmic atpases function as an oscillatory motor that powers twitching motility via cycles of pilus extension and retraction. the regulation of this motor, however, has remained a mystery. we present the 2.1 a resolution crystal structure of the pseudomonas aeruginosa pilus-biogenesis factor pily1, and identify a single site on this protein r ...201020080557
crystal structure analysis reveals pseudomonas pily1 as an essential calcium-dependent regulator of bacterial surface motility.several bacterial pathogens require the "twitching" motility produced by filamentous type iv pili (t4p) to establish and maintain human infections. two cytoplasmic atpases function as an oscillatory motor that powers twitching motility via cycles of pilus extension and retraction. the regulation of this motor, however, has remained a mystery. we present the 2.1 a resolution crystal structure of the pseudomonas aeruginosa pilus-biogenesis factor pily1, and identify a single site on this protein r ...201020080557
management of acute hematogenous osteomyelitis in children.in children, osteomyelitis is primarily hematogenous in origin and acute in nature. the principal cause of osteomyelitis in children is staphylococcus aureus, and both the epidemiology and pathogenesis of s. aureus infections, including osteomyelitis, have changed in recent years owing to the emergence of community-associated methicillin-resistant s. aureus. this review focuses on advances in the diagnosis and overall management of acute hematogenous osteomyelitis in children with these changes ...201020109047
examination of type iv pilus expression and pilus-associated phenotypes in kingella kingae clinical isolates.kingella kingae is a gram-negative bacterium that is being recognized increasingly as a cause of septic arthritis and osteomyelitis in young children. previous work established that k. kingae expresses type iv pili that mediate adherence to respiratory epithelial and synovial cells. pila1 is the major pilus subunit in k. kingae type iv pili and is essential for pilus assembly. to develop a better understanding of the role of k. kingae type iv pili during colonization and invasive disease, we exa ...201020145101
invasive pediatric kingella kingae infections: a nationwide collaborative study.kingella kingae is a gram-negative coccobacillus, increasingly recognized as an invasive pediatric pathogen. to date, only few small series of invasive k. kingae infections have been published, mostly from single medical centers. a nationwide multicenter study was performed to investigate the epidemiologic, clinical, and laboratory features of children with culture-proven k. kingae infections.201020182400
filifactor alocis--involvement in periodontal biofilms.bacteria in periodontal pockets develop complex sessile communities that attach to the tooth surface. these highly dynamic microfloral environments challenge both clinicians and researchers alike. the exploration of structural organisation and bacterial interactions within these biofilms is critically important for a thorough understanding of periodontal disease. in recent years, filifactor alocis, a fastidious, gram-positive, obligately anaerobic rod was repeatedly identified in periodontal les ...201020193074
rapid differentiation of francisella species and subspecies by fluorescent in situ hybridization targeting the 23s rrna.francisella (f.) tularensis is the causative agent of tularemia. due to its low infectious dose, ease of dissemination and high case fatality rate, f. tularensis was the subject in diverse biological weapons programs and is among the top six agents with high potential if misused in bioterrorism. microbiological diagnosis is cumbersome and time-consuming. methods for the direct detection of the pathogen (immunofluorescence, pcr) have been developed but are restricted to reference laboratories.201020205957
kingella kingae osteoarticular infections in young children: clinical features and contribution of a new specific real-time pcr assay to the diagnosis.kingella kingae is an emerging pathogen that may be recognized as the most common bacteria responsible for osteoarticular infections (oai) in young children. however, its diagnosis remains a challenge and thus little evoked in infants, because k. kingae is a difficult germ to isolate on solid medium, and clinical signs are often mild. the main objective of this prospective study is to describe the clinical, biologic, and radiologic features of children with oai caused by k. kingae. in addition, ...201020357599
subtle bacterial endocarditis due to kingella kingae in an infant: a case report.a 9-month-old infant presented with fever, dyspnoea, and a murmur. echocardiography showed a mitral vegetation with significant regurgitation. mitral valve plasty was performed on day 6, and was polymerase chain reaction positive for kingella kingae. the cardiac outcome was favourable. this case illustrates a subtle presentation of k. kingae mitral valve infective endocarditis in a normal-cardaic infant, treated with early surgery, and the agent belonged to the hacek (haemophilus spp actinobacil ...201020465860
[sacroiliitis due to kingella kingae in an adult: updates on this pathogen].we report here the case of a sacro-iliitis due to kingella kingae in a 35 year-old patient. this case report points out the pathogenic potency in adults of this organism which is known as a cause of invasive infections in young children. inoculation of blood culture vials with clinical specimens and the use of nucleic acid amplification have recently improved the sensitivity to identify kingella kingae and to diagnose infections which need an efficient antimicrobial therapy.201020478779
evaluation of the analytical performance of the xpert mtb/rif assay.we performed the first studies of analytic sensitivity, analytic specificity, and dynamic range for the new xpert mtb/rif assay, a nucleic acid amplification-based diagnostic system that detects mycobacterium tuberculosis and rifampin (rif) resistance in under 2 h. the sensitivity of the assay was tested with 79 phylogenetically and geographically diverse m. tuberculosis isolates, including 42 drug-susceptible isolates and 37 rif-resistant isolates containing 13 different rpob mutations or mutat ...201020504986
first report of septic arthritis caused by klebsiella oxytoca.klebsiella oxytoca is known to be a pathogen in immunodeficient adults and children. here we report the first case of a k. oxytoca infection associated with spontaneous arthritis of the knee in a child with no history of immunosuppressive therapy or previous bacterial infections. despite an initial antibiotic treatment failure, a second treatment led to a cure of the infection with no joint sequelae.201020573877
clinical disease caused by klebsiella in 2 unrelated patients with interleukin 12 receptor beta1 deficiency.patients with interleukin 12 (il-12)p40 or il-12 receptor β1 (il12rβ1) deficiencies are prone to develop infections caused by mycobacteria and salmonella; other infections have only been rarely observed. in this report we describe 2 unrelated patients with complete autosomal recessive il12rβ1 deficiency who suffered from sepsis attributable to klebsiella pneumoniae. a mexican boy suffered from disseminated bacille calmette-guérin disease and infections caused by k pneumoniae and candida albicans ...201020855390
infections of people with complement deficiencies and patients who have undergone splenectomy.the complement system comprises several fluid-phase and membrane-associated proteins. under physiological conditions, activation of the fluid-phase components of complement is maintained under tight control and complement activation occurs primarily on surfaces recognized as "nonself" in an attempt to minimize damage to bystander host cells. membrane complement components act to limit complement activation on host cells or to facilitate uptake of antigens or microbes "tagged" with complement fra ...201020930072
[kingella kingae spondilodiscitis in an adult]. 201021093187
matrix-assisted laser desorption ionization-time of flight mass spectrometry as an alternative to 16s rrna gene sequencing for identification of difficult-to-identify bacterial strains.conventional methods are sometimes insufficient to identify human bacterial pathogens, and alternative techniques, often molecular, are required. matrix-assisted laser desorption ionization-time of flight mass spectrometry (maldi-tof ms) identified with a valid score 45.9% of 410 clinical isolates from 207 different difficult-to-identify species having required 16s rrna gene sequencing. maldi-tof ms might represent an alternative to 16s rrna gene sequencing.201021106794
bacterial endosymbiont localization in hyalesthes obsoletus, the insect vector of bois noir in vitis vinifera.one emerging disease of grapevine in europe is bois noir (bn), a phytoplasmosis caused by "candidatus phytoplasma solani" and spread in vineyards by the planthopper hyalesthes obsoletus (hemiptera: cixiidae). here we present the first full characterization of the bacterial community of this important disease vector collected from bn-contaminated areas in piedmont, italy. length heterogeneity pcr and denaturing gradient gel electrophoresis analysis targeting the 16s rrna gene revealed the presenc ...201021183640
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