{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:39:35Z","timestamp":1790537975920,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,23]],"date-time":"2016-03-23T00:00:00Z","timestamp":1458691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cases of infection with hypervirulent <jats:italic>Klebsiella pneumoniae<\/jats:italic> are gradually increasing in number, and cause life\u2010threatening community\u2010acquired infection even in immunocompetent patients. A 14\u2010year\u2010old boy developed septic hip arthritis due to hypervirulent <jats:italic>K<\/jats:italic>. <jats:italic>pneumoniae<\/jats:italic> (sequence type 23, serotype K1, <jats:italic>magA<\/jats:italic> positive). The patient initially seemed to have been successfully treated with antibiotics and surgical intervention, but septic arthritis developed into osteomyelitis of the femoral head and myositis, which required long\u2010term antibiotic therapy and additional surgical intervention. This is the first pediatric case of hypervirulent <jats:italic>K<\/jats:italic>. <jats:italic>pneumoniae<\/jats:italic> septic hip arthritis. Treatment plans should mainly consist of antibiotic therapy and surgical intervention. Clinicians, even pediatricians, in developed countries should be aware of the increasing incidence of hypervirulent <jats:italic>Klebsiella pneumoniae<\/jats:italic> infection.<\/jats:p>","DOI":"10.1111\/ped.12806","type":"journal-article","created":{"date-parts":[[2016,3,23]],"date-time":"2016-03-23T08:07:01Z","timestamp":1458720421000},"page":"382-385","source":"Crossref","is-referenced-by-count":21,"title":["Pediatric hypervirulent <i>Klebsiella pneumoniae<\/i> septic arthritis"],"prefix":"10.1111","volume":"58","author":[{"given":"Shun","family":"Kishibe","sequence":"first","affiliation":[{"name":"Department of General Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Okubo","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"},{"name":"Department of Quantitative Methods Harvard School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeko","family":"Morino","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shintaro","family":"Hirotaki","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Tame","sequence":"additional","affiliation":[{"name":"Division of Laboratory Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotaro","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Diseases Toho University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshikazu","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Infectious Diseases Toho University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norikazu","family":"Ota","sequence":"additional","affiliation":[{"name":"Division of Orthopedics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Shimomura","sequence":"additional","affiliation":[{"name":"Division of Orthopedics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Sakakibara","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiro","family":"Terakawa","sequence":"additional","affiliation":[{"name":"Department of General Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuho","family":"Horikoshi","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Pediatrics Tokyo Metropolitan Children's Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,23]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.4161\/viru.22718"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.08-2276"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/503420"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0026734"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.4161\/viru.20383"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.52.0175"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.2006.01641.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.47.7.2088-2092.2003"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1086\/590932"},{"key":"e_1_2_5_11_1","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1542\/peds.38.6.966","article-title":"Septic arthritis in infants and children. 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