Septic Arthritis of the Temporomandibular Joint: A Retrospective Review of 40 Cases

Cai, Xiaobo; Chen, Yang; Zhang, Zhiyuan; Qiu, Weimin; Chen, Minjie; Zhang, Sam

doi:10.1016/j.joms.2009.07.060

Cited by 70 publications

(106 citation statements)

References 11 publications

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“…Several studies have shown positive results from arthrocentesis for irrigation and drainage of the joint space [6] [7] [8]. Empiric antibiotic therapy should be initiated immediately after diagnosis, and appropriate modifications to the antibiotic regimen should be made after gram stains and cultures of the joint aspirate.…”

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

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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.

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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

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“…[4][5][6][7][8][9][10] In case 1, multiple conditions were considered in the differential diagnosis of unilateral facial pain. Trigeminal neuralgia was diagnosed because of otherwise inexplicable allodynia.…”

Section: Discussionmentioning

confidence: 99%

Septic Arthritis of the Temporomandibular Joint—Unusual Presentations

Lohiya

Dillon

2016

Journal of Oral and Maxillofacial Surgery

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“…El diagnóstico incluye el reconocimiento de las manifestaciones clínicas, exámenes de laboratorio, hallazgos imagenológicos, y en lo posible el análisis del líquido intrarticular 17 . Se debe sospechar en pacientes que debutan con dolor severo y repentino de la ATM, trismus y maloclusión aguda 5 . Las imágenes complementarias constituyen una importante ayuda para el diagnóstico.…”

Section: Discussionunclassified

“…En cuanto a los resultados negativos al cultivo, se pueden explicar por la antibioterapia empírica instaurada previamente, lo cual probablemente modificó la flora al momento de la aspiración o por problemas en el traslado y cultivo bacteriano. Sin embargo, el resultado negativo de presencia bacteriana en la sinovial no parece ser un evento aislado en este cuadro 5 . Debido a los pocos casos reportados, aún no hay consenso en cuanto al tratamiento de la artritis infecciosa de la ATM.…”

Section: Discussionunclassified

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Artritis infecciosa de la articulación temporomandibular consecutivo a otitis necrotizante: reporte de un caso

et al. 2015

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Septic Arthritis of the Temporomandibular Joint: A Retrospective Review of 40 Cases

Cited by 70 publications

References 11 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

Septic Arthritis of the Temporomandibular Joint—Unusual Presentations

Artritis infecciosa de la articulación temporomandibular consecutivo a otitis necrotizante: reporte de un caso

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