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

• Fernanda Pintor ^[1] ; Rolando Carrasco ^[1] ; Francisco Verdugo-Avello ; Mirtha Landaeta ^[1]
  1. [1] Hospital San Juan de Dios

     Hospital San Juan de Dios

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 143, Nº. 6, 2015, págs. 805-808
• Idioma: español
• Títulos paralelos:
  • Septic arthritis of the temporomandibular joint: Report of one case
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• Resumen

  • Septic arthritis of the temporomandibular joint (TMJ) is an uncommon condition, caused by hematic bacterial migration or direct migration of other head and neck infections. We report a 41 year old female who presented a right temporomandibular joint involvement, with bone destruction of the mandibular condyle and an infectious process spreading to the temporal space, following a necrotizing medial and external otitis with associated mastoiditis. A septic arthritis of the TMJ by continuity was diagnosed and treated with antimicrobials, TMJ arthrocentesis and occlusal stabilization, with a positive evolution. However, the patient remains in control due a secondary TMJ osteoarthritis caused by the septic arthritis.