[Espondilodiskitis caused by Kingella kingae in children: a case report]. / Espondilodiscitis causada por Kingella kingae en pediatría: reporte de un case.

During the last years, spondilodiskitis due to Kingella kingae has been a new target of interest, since it is the second agent that causes non tuberculous espondilodiskitis in children, after Staphylococcus aureus. Its clinical presentation is very inespecific, sometimes with fever, abdominal or lumbar disconfort, nocturnal pain, altered walking and sedestation. Images, culture methods and PCR (polymerase chain reaction) can be helpful for diagnosis, although in an important percent of the cases, etiology cannot be determined. Although there are no established guidelines for treatment, before the suspicion, empiric antibiotic treatment should be started for good prognosis. We describe a case of a 3 year old boy, who had this disease and then a review about spondilodiskitis in childhood and microbiological aspects of Kingella kingae.

Coxalgia en niños menores de 10 años / hip pain in children under 10 years of age

El dolor de cadera en un niño menor de 10 años es un desafío diagnóstico. La causa de este dolor puede ser inflamatoria, infecciosa o propia de un esqueleto en desarrollo. Como en todo paciente pediátrico, la clínica algunas veces no será evidente y requerirá de la experiencia del médico para poder obtener síntomas y signos que guíen el estudio. En esta revisión se presentan las causas más frecuentes de coxalgia en pacientes menores de 10 años.

Hip pain in children under ten years of age is a diagnostic challenge. The origin of the pain can be inflammatory, infectious, or proper to a pediatric growing skeleton. As in every pediatric patient, clinical history may not be evident and the physician experience will be necessary to obtain clinical features to guide the patient study. In this review, the most frequent causes of hip pain in children under ten years of age are displayed.