Septic arthritis of the temporomandibular joint as a complication of acute otitis media in a child: A rare case and the importance of real-time PCR for diagnosis

被引：20

作者：

Bast, F. ^{[1
]}

Collier, S. ^{[2
]}

Chadha, P. ^{[3
]}

Collier, J. ^{[3
]}

机构：

[1] AMEOS Klinikum Haldensleben, Dept Otorhinolaryngol, Haldensleben, Germany

[2] Great Ormond St Hosp Sick Children, Dept Microbiol, London, England

[3] Chelsea & Westminster Hosp, Craniofacial Unit, London, England

来源：

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2015年 / 79卷 / 11期

关键词：

Real time PCR; Septic arthritis; TMJ; Diagnostic; Therapy; OF-THE-LITERATURE; INFECTION;

D O I：

10.1016/j.ijporl.2015.08.014

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

We document the case of a 7-year-old boy who presented with pain in his left ear and trismus after a diagnosis of acute otitis media one week previously. His blood inflammatory markers were raised and magnetic resonance imaging (MRI) showed significant left temporomandibular joint effusion and partial attenuation of the left mastoid. A clinical diagnosis of septic arthritis of the TMJ was made and the patient was commenced on broadspectrum antibiotics. Analysis using real time PCR enabled identification of the offending organism, confirmation of the diagnosis and antibiotic treatment to be specifically tailored for treatment. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

引用

页码：1942 / 1945

页数：4

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