Septic Arthritis of the Temporomandibular Joint—Unusual Presentations

Lohiya, Sapna; Dillon, Jasjit K.

doi:10.1016/j.joms.2015.06.166

Cited by 20 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The TMJ might be inherently vulnerable to hematogenous dissemination from a distant site because the high vascularity of its synovial membrane allows greater exposure to bacteria [11]. Contiguous spread of infection is common after dental procedures [6] [11], parotiditis, mastoiditis or otitis [12].…”

Section: Discussionmentioning

confidence: 99%

Septic Arthritis of the Temporomandibular Joint without an Apparent Source of Infection: A Case Report

Suda¹,

Takatsuji²,

Saito³

et al. 2017

OJST

View full text Add to dashboard Cite

Septic arthritis of the temporomandibular joint (TMJ) is a rare disease that is characterized by preauricular pain, edema, malocclusion, trismus and abscess formation in the TMJ region. An 85-year-old male visited our hospital with the complaint of left-sided TMJ swelling, pain and trismus. Septic arthritis of the left TMJ was diagnosed on the basis of considerable elevation of CRP (Creactive proteins) and CT imaging findings. The patient was treated with oral Faropenem at 450 mg daily, but CRP increased three days after the initial visit. He was hospitalized and treated with intravenous administration of cefazolin at 2 g and clindamycin at 1.2 g daily for six days. Propionibacterium species and Veillonella species grew in a culture of the joint aspirate, but there was no apparent source of infection. After acute infectious symptoms had passed, the patient was treated with oral amoxicillin at 750 mg daily for eight weeks and was instructed to do jaw opening exercise. The patient was discharged on the 11th hospital day. After three weeks of the hospital discharge, the patient healed completely. To avoid serious complications, clinicians should include septic arthritis of the TMJ in the differential diagnosis of preauricular pain, trismus and swelling.

show abstract

Section: Discussionmentioning

confidence: 99%

Septic Arthritis of the Temporomandibular Joint without an Apparent Source of Infection: A Case Report

Suda¹,

Takatsuji²,

Saito³

et al. 2017

OJST

View full text Add to dashboard Cite

show abstract

“…Blood samples showed increased inflammatory markers with leucocytes at 18.8 cells per μL (3.5-10.0), sedimentation rate 58 mm (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12), and C-reactive protein of 251 mg/L (< 4). Platelet count was low at 98 cells per μL (145-390), and creatinine was elevated at 172 μmol/L (60-105).…”

Section: Case Reportmentioning

confidence: 99%

“…Septic arthritis of the temporomandibular joint (TMJ) is a rare disease which usually presents with pain, pre-auricular swelling, lymphadenopathy, trismus, and malocclusion [ 1 , 2 ]. In addition, fever and malaise may be present [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Septic arthritis of the TMJ is caused by hematogenous spread, iatrogenic inoculation, and contiguous spread from adjacent structures or trauma [ 1 , 5 ]. Streptococci, staphylococci, Haemophilus influenzae , and Neisseria gonorrhoeae are the most common etiologies [ 1 , 2 , 6 ]. Suggested therapies include antibiotics, needle aspiration, arthrotomy, and arthroscopy with lavage [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A case of septic arthritis of the temporomandibular joint with necrotic peri-articular infection and Lemierre’s syndrome: an unusual presentation

Døving

Christensen

Huse

et al. 2020

Oral Maxillofac Surg

View full text Add to dashboard Cite

Background Septic arthritis of the temporomandibular joint (TMJ) is rare. It usually causes isolated, locoregional symptoms related to the infected intra-articular space but may also cause fever and malaise. Case report We present a case of a 72-year-old male with septic arthritis of the TMJ complicated by extensive peri-articular necrosis, septic shock, cerebral abscess, Lemierre’s syndrome, and a pathological fracture of the mandibular condyle. Conclusion Case reports describing such a severe course of the disease are few. Moreover, this is the first report of septic arthritis of the TMJ to cause Lemierre’s syndrome.

show abstract

“…In the past decades, only a few dozen cases of SATMJ have been reported; however, an increasing number of cases of SATMJ in children and adults have been reported in recent years (1–4). The disease predominantly occurs in male adults, the mortality rate of SATMJ is as high as 12%, and up to 75% of survivors develop significant functional disability in the involved joints (5).…”

Section: Introductionmentioning

confidence: 99%

Severe septic arthritis of the temporomandibular joint with pyogenic orofacial infections: A case report and review of the literature

Xiao

Feng

Huang

et al. 2017

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

Septic arthritis of the temporomandibular joint (SATMJ) is a rare entity that has only been reported a few dozen times worldwide. However, SATMJ is an acute infectious disease and associated with a high risk for misdiagnosis, which results in severe complications for patients. The present study reported a case of an 83-year-old female patient with severe pyogenic orofacial infections caused by right-side SATMJ, which was not cured by abscess incision drainage and anti-microbial treatment. Finally, the clinical signs were resolved by condylectomy and debridement of the erosive septic TMJ, after which the function of the TMJ was completely restored. In conclusion, a timely and correct diagnosis with early treatment is critical to preventing acute complications and late sequelae of SATMJ. In addition, literature associated with this topic was reviewed and discussed.

show abstract

Septic Arthritis of the Temporomandibular Joint—Unusual Presentations

Cited by 20 publications

References 15 publications

Septic Arthritis of the Temporomandibular Joint without an Apparent Source of Infection: A Case Report

Septic Arthritis of the Temporomandibular Joint without an Apparent Source of Infection: A Case Report

A case of septic arthritis of the temporomandibular joint with necrotic peri-articular infection and Lemierre’s syndrome: an unusual presentation

Severe septic arthritis of the temporomandibular joint with pyogenic orofacial infections: A case report and review of the literature

Contact Info

Product

Resources

About