Case of tuberculosis of the temporomandibular joint

Patel, Meera H.; Scott, Neil; Newlands, Carrie

doi:10.1016/j.bjoms.2011.05.012

Cited by 13 publications

(5 citation statements)

References 3 publications

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“…It is rare that the TMJ is affected by TB due to the absence of abundant cancellous bone in the mandible (Karjodkar et al, 2012). The clinical literature, however, describes it as erosion or destruction of the condyle which can be visualized with CT scans and the presence of TB was then confirmed with histology (Prasad et al, 2007;Patel et al, 2012). The diagnosis depends on the physician and some consider it to be tuberculous osteomyelitis (Karjodkar et al, 2012;Sheikh et al, 2012), while others consider it to be extra-pulmonary TB (Prasad et al, 2007;Helbling et al, 2010;Patel et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Skeletal manifestations of tuberculosis in modern human remains

Steyn

Buskes

2016

Clinical Anatomy

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Paleopathologists study the presence of diseases in the past and as such have a vast knowledge of skeletal changes associated with different conditions. Tuberculosis is one of the most studied diseases and still remains a major health problem today. Its manifestations in past populations have been extensively described, but less is known about its bony involvement in the post-antibiotic era. The aim of this study was to assess the frequency and manifestations of skeletal lesions in the post-antibiotic era in a South African sample and compare it to that found before the introduction of antibiotics. Skeletons of 205 individuals from modern skeletal collections and who are known to have died from TB were assessed. It was found that 39.2% of all individuals dying in the post-antibiotic era showed skeletal changes that could be associated with TB, while another 27.5% showed nonspecific changes. The highest incidences were found in individuals who died after 1985, when coinfection with HIV and drug resistance became common. While, as expected, vertebral and rib changes were the most common, the number of individuals who showed changes to the skull, and specifically intracranially, was surprising. These could most probably be associated with TB meningitis, although this specific cause of death was noted in only a few individuals. It seems that individuals may be living longer as a result of long-term antibiotic use, leaving more time for lesions to develop. Clin. Anat. 29:854-861, 2016.

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Section: Resultsmentioning

confidence: 99%

Skeletal manifestations of tuberculosis in modern human remains

Steyn

Buskes

2016

Clinical Anatomy

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“…It may occur through a carious tooth or in an area of gingivitis. [21][22][23] Secondary infection to the maxillofacial region can occur by haematogenous spread of the bacilli from a primary focus elsewhere in the body. 24 In the present study no information was available regarding TB status, so it cannot be excluded as a possible aetiology.…”

Section: Discussionmentioning

confidence: 99%

Sixty cases of extreme osteonecrosis and osteomyelitis of the mandible and maxilla in a West African population

Khullar

Tvedt

Chapman³

et al. 2012

International Journal of Oral and Maxillofacial Surgery

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“…Since our patient presented with large abscess formation and osteolytic changes in the temporomandibular region, possible surgical excision, decortication and joint reconstruction 8 may have been considered if anti-tuberculosis therapy failed. 8 Together with all these, socio-economic determinants of health must be addressed on a systematic level, or we risk the relapse of our patient, and occurrence in others.…”

Section: Case Reportmentioning

confidence: 99%

Tuberculosis of the Temporomandibular Region

Santos¹,

Reala²

2018

Philipp J Otolaryngol Head Neck Surg

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Objective: To describe a unique case of extrapulmonary tuberculosis (TB) of the temporomandibular area focusing on its insidious and destructive course over a 2-year period with insights into the diagnostic and therapeutic pitfalls encountered throughout its clinical development. Methods: Study Design: Case Report Setting: Tertiary Government Hospital Patient: One Results: A 33-year old man initially presented with right pre-auricular swelling and trismus that were unresponsive to antibiotic therapy. On subsequent follow-ups, initial symptoms were accompanied by a non-healing right pre-auricular wound, right ear discharge, trismus, and right facial paralysis (House-Brackmann III). Cranial and temporal bone computed tomography scans revealed osteolytic destruction of the right temporomandibular region extending to the auditory canal and of the right mastoid bone extending to the right mandibular condyle and parotid. Infected malignancy of the parotid, mandible and temporal bone were considered, but definitive diagnosis from an incision biopsy revealed caseating granulomatous inflammation consistent with tuberculosis. He was started on anti-tuberculosis medications with significant resolution of pre-auricular swelling, non-healing pre-auricular wound, facial paralysis and ear discharge but minimal improvement in mouth opening. Conclusion: Tuberculosis of temporomandibular region is rare and is associated with nonspecific manifestations. Delay in diagnosing and initiating appropriate treatment can lead to morbidity and serious complications involving destruction of the temporal bone, middle ear, mandible and parotid gland over its progression. A high index of suspicion by the physician and awareness of the patient’s health seeking behaviors could have aided in the early diagnosis and treatment of this extrapulmonary TB. Keywords: tuberculosis, temporomandibular region, pre-auricular swelling, trismus, antituberculosis therapy, facial paralysis, chronic mastoiditis, ear discharge

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Case of tuberculosis of the temporomandibular joint

Cited by 13 publications

References 3 publications

Skeletal manifestations of tuberculosis in modern human remains

Skeletal manifestations of tuberculosis in modern human remains

Sixty cases of extreme osteonecrosis and osteomyelitis of the mandible and maxilla in a West African population

Tuberculosis of the Temporomandibular Region

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