Differential Diagnosis and Treatment of Septic Arthritis in the Temporomandibular Joint: A Case Report and Literature Review
Kim Bo-La, 최효원, 김재영, 박광호, 허종기,
소속 상세정보
( Kim Bo-La ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
최효원 ( Choi Hyo-Won ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
김재영 ( Kim Jae-Young ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
박광호 ( Park Kwang-Ho ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
허종기 ( Huh Jong-Ki ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
Abstract
Septic arthritis of the temporomandibular joint (TMJ) is an uncommon disease caused by microbial pathogens through hematogenous infection, local spread, or iatrogenic infection. As the symptoms have an insidious onset, the early stage of septic arthritis is often confused with other diseases. A 49-year-old man was referred for increasing preauricular pain, swelling, and restricted mouth opening. He had been initially diagnosed as having a conventional temporomandibular joint disorder and trigeminal neuralgia and had been treated for the same. Imaging studies including panoramic view, lateral tomography, computed tomography with contrast enhancement, and magnetic resonance imaging were performed. Erosive bone change with displacement of the involved condyle, diffuse swelling of adjacent soft tissue, and fluid collection in the joint space were noted. Needle aspiration of the joint space and bacterial culture confirmed the diagnosis of septic arthritis of the TMJ and he was treated with antibiotic therapy and surgical drainage. Clinicians should always consider the diagnosis of septic arthritis of the TMJ in patients with preauricular pain or swelling.
키워드
Arthritis; Arthrocentesis; Infectious; Temporomandibular joint; Temporomandibular joint disorders
원문 및 링크아웃 정보
등재저널 정보