Open AccessQ Fever and Kingella kingae Endocarditis in a Toddler
Author(s) -
Shelly Kagan,
Itzhak Levy,
Liat AshkenaziHoffnung,
Alex Lowenthal,
Robert E. Goldstein,
Daniel Landau,
Oded Scheuerman
Publication year - 2019
Publication title -
the pediatric infectious disease journal/the pediatric infectious disease journal
Language(s) - English
Resource type - Journals
eISSN - 1532-0987
pISSN - 0891-3668
DOI - 10.1097/inf.0000000000002469
Subject(s) - medicine , kingella kingae , endocarditis , coxiella burnetii , tetralogy of fallot , toddler , serology , coinfection , polymerase chain reaction , q fever , virology , surgery , immunology , heart disease , antibody , virus , biology , psychology , septic arthritis , developmental psychology , biochemistry , arthritis , gene
A toddler after tetralogy of Fallot graft repair in infancy was diagnosed with endocarditis. Blood cultures were positive for Kingella kingae and serology was positive Coxiella burnetii. He was treated medically and surgically. A postoperative specimen polymerase chain reaction confirmed a coinfection. A comprehensive patient history was imperative for identification of an unlikely infection at this age.