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

被引：9

作者：

Dubron, Kathia ^{[1
]}

Meeus, Jan ^{[1
]}

Grisar, Koenraad ^{[1
]}

Desmet, Stefanie ^{[2
]}

Dormaar, Titiaan ^{[1
]}

Spaey, Yannick ^{[1
]}

Politis, Constantinus ^{[1
]}

机构：

[1] Univ Hosp Leuven, Dept Oral & Maxillofacial Surg, Leuven, Belgium

[2] Univ Hosp Leuven, Lab Clin Bacteriol & Mycol, Leuven, Belgium

来源：

QUINTESSENCE INTERNATIONAL | 2017年 / 48卷 / 10期

关键词：

acute otitis media; arthrocentesis; diagnosis septic arthritis; mastoiditis; real-time PCR; Streptococcus pyogenes; temporomandibular joint; therapy; OF-THE-LITERATURE; DIAGNOSIS; INFECTION;

D O I：

10.3290/j.qi.a39032

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

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.

引用

页码：809 / 813

页数：5

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