Case Report: septic arthritis of the temporomandibular joint in a neonate

Ankylosis of the temporomandibular joint secondary to neonatal group B streptococcal sepsis

“…None of the children had any documented examination of the TMJ during their initial illness. There are seven similar cases of TMJ ankylosis secondary to neonatal sepsis in the literature, indicating that the incidence may be higher than previously recognised …”

“…There are seven similar cases of TMJ ankylosis secondary to neonatal sepsis in the literature, indicating that the incidence may be higher than previously recognised. [4][5][6] Given the significant morbidity associated with TMJ ankylosis in a young child, we feel it is important to recognise that it may be associated with neonatal GBS sepsis. Identification of these children during the acute phase of septic arthritis of the TMJ and early intervention may have improved their outcomes.…”

Distraction Osteogenesis as a Treatment for Retrognathia and Obstructive Sleep Apnea Resulting From Temporomandibular Joint Septic Arthritis: A Case Report

“…Reported distant-site infections causing septic arthritis of the TMJ include upper respiratory infec- tions, septic arthritis in other joints, and a case of an umbilical infection in a neonate. 5,11,13 The synovium of the TMJ is the area that is most susceptible to hematogenous spread because of its extensive vascularity and lack of a basement membrane to limit the spread. 9 Contiguous spread of adjacent infections account for the majority of remaining cases of septic arthritis of the TMJ.…”

“…Reports of septic arthritis of the TMJ are relatively rare, with only approximately 80 cases reported in the previous 70 years. [1][2][3][4][5][6][7][8][9][10] Of these cases, most have been in adults, with only 11 cases reported in children younger than 12 years. 1,3-6,10 Septic arthritis of the TMJ can have different complications, including ankylosis, condylar resorption, and altered mandibular growth.…”

Septic arthritis of the temporomandibular joint: a case report

“…It is also characterized by preauricular edema and trismus12. Septic arthritis of the TMJ occurs from either local dissemination or hematogenous spread from a distant primary infectious site3.…”