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Septic arthritis of the temporomandibular joint: a case report

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Septic arthritis of the temporomandibular joint (TMJ) is a rare disease. The most common symptoms of this disease are acute malocclusion, limited mouth opening, swelling, and tenderness of affected TMJ. These symptoms are often confused with internal derangement of the articular disc, rheu-matoid arthritis, retrodiscitis, or osteoarthritis. Therefore, differential diagnosis by image examination is required. Usually, antimicrobial treatment and surgical drainage by needle aspiration, arthroscopy, or arthrotomy are effective treatment approaches. In this study, a patient who was diagnosed with septic arthritis was treated with arthrocentesis and antibiotics without significant complications. We present a case report with a review of the literature.

Abstract

Septic arthritis of the temporomandibular joint (TMJ) is a rare disease. The most common symptoms of this disease are acute malocclusion, limited mouth opening, swelling, and tenderness of affected TMJ. These symptoms are often confused with internal derangement of the articular disc, rheu-matoid arthritis, retrodiscitis, or osteoarthritis. Therefore, differential diagnosis by image examination is required. Usually, antimicrobial treatment and surgical drainage by needle aspiration, arthroscopy, or arthrotomy are effective treatment approaches. In this study, a patient who was diagnosed with septic arthritis was treated with arthrocentesis and antibiotics without significant complications. We present a case report with a review of the literature.

참고문헌 (8)

  1. Cai XY, "Septic arthritis of the temporomandibular joint: a retrospective review of 40 cases", J Oral Maxillofac Surg, 68, pp.731~738 (2010)
  2. Klüppel LE, "Septic arthritis of the temporomandibular joint", J Craniofac Surg, 23, pp.1752~1754 (2012)
  3. Parmar J, "Case report: septic arthritis of the temporomandibular joint in a neonate", Br J Oral Maxillofac Surg, 46, pp.505~506 (2008)
  4. Leighty SM, "Septic arthritis of the temporomandibular joint: review of the literature and report of two cases in children", Int J Oral Maxillofac Surg, 22, pp.292~297 (1993)
  5. Bounds GA, "Septic arthritis of the temporomandibular joint--a problematic diagnosis", Br J Oral Maxillofac Surg, 25, pp.61~67 (1987)
  6. Gayle EA, "Septic arthritis of the temporomandibular joint: case reports and review of the literature", J Emerg Med, 45, pp.674~678 (2013)
  7. Trimble LD, "Acute suppurative arthritis of the temporomandibular joint in a patient with rheumatoid arthritis", J Maxillofac Surg, 11, pp.92~95 (1983)
  8. Sembronio S, "Septic arthritis of the temporomandibular joint successfully treated with arthroscopic lysis and lavage: case report and review of the literature", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 103, pp.e1~6 (2007)

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