Septic arthritis of the temporomandibular joint after acute otitis media in a child

• Autores: Kathia Dubron, Jan Meeus, Koenraad Grisar, Stefanie Desmet, Titiaan Dormaar, Yannick Spaey, Constantinus Politis
• Localización: Quintessence International, ISSN-e 0033-6572, Vol. 48, Nº. 10, 2017, págs. 809-813
• Idioma: inglés
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• Resumen

  • 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.