Quintessence Int 48 (2017), No. 10 20. Oct. 2017
Quintessence Int 48 (2017), No. 10 (20.10.2017)
Page 809-813, doi:10.3290/j.qi.a39032, PubMed:28944379
Septic arthritis of the temporomandibular joint after acute otitis media in a child
Dubron, Kathia / Meeus, Jan / Grisar, Koenraad / Desmet, Stefanie / Dormaar, Titiaan / Spaey, Yannick / Politis, Constantinus
Septic arthritis of the temporomandibular joint as a complication of acute otitis media is rare in the Western world. This report describes the case of a 7-year-old boy who had pain in his right ear and limited mouth opening, following the onset of acute otitis media. A contrast-enhanced computed tomography scan revealed right-sided mastoiditis and hydrops of the right temporomandibular joint, suggesting septic arthritis. Real-time PCR and microbiologic analysis identified Streptococcus pyogenes and Staphylococcus epidermidis in the joint aspirate. Treatment with arthrocentesis and antibiotics led to full recovery of temporomandibular joint function.
Keywords: acute otitis media, arthrocentesis, diagnosis septic arthritis, mastoiditis, real-time PCR, Streptococcus pyogenes, temporomandibular joint, therapy