Otogenic temporomandibular septic arthritis in a child: a case report and a review of the literature.
Acute otitis media
Children
Septic arthritis
Temporomandibular joint
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
22 Jul 2019
22 Jul 2019
Historique:
received:
07
06
2019
accepted:
15
07
2019
entrez:
24
7
2019
pubmed:
25
7
2019
medline:
25
1
2020
Statut:
epublish
Résumé
Acute otitis media is one of the most common infectious diseases in the paediatric age and although its complications such as acute mastoiditis have become rare thanks to improvements in therapeutic approaches, possible serious complications such as septic arthritis of the temporomandibular joint may develop. A prompt diagnosis and adequate treatment are essential to achieving the best outcome and avoiding serious sequelae. We describe a case occurring in a previously healthy 6-year-old female and review the literature currently available on this topic. The patient presented a right temporomandibular septic arthritis with initial mandibular bone involvement secondary to acute otitis media. She presented with torcicollis, trismus, right preauricular swelling over the temporomandibular joint and was successfully treated with antibiotic treatment alone. Septic arthritis of the temporomandibular joint is a rare complication of acute otitis media or acute mastoiditis in children. It should be suspected in patients presenting with trismus, preauricular swelling or fever. No guidelines on the diagnosis and treatment of this infectious disease are currently available.
Sections du résumé
BACKGROUND
BACKGROUND
Acute otitis media is one of the most common infectious diseases in the paediatric age and although its complications such as acute mastoiditis have become rare thanks to improvements in therapeutic approaches, possible serious complications such as septic arthritis of the temporomandibular joint may develop. A prompt diagnosis and adequate treatment are essential to achieving the best outcome and avoiding serious sequelae. We describe a case occurring in a previously healthy 6-year-old female and review the literature currently available on this topic.
CASE PRESENTATION
METHODS
The patient presented a right temporomandibular septic arthritis with initial mandibular bone involvement secondary to acute otitis media. She presented with torcicollis, trismus, right preauricular swelling over the temporomandibular joint and was successfully treated with antibiotic treatment alone.
CONCLUSIONS
CONCLUSIONS
Septic arthritis of the temporomandibular joint is a rare complication of acute otitis media or acute mastoiditis in children. It should be suspected in patients presenting with trismus, preauricular swelling or fever. No guidelines on the diagnosis and treatment of this infectious disease are currently available.
Identifiants
pubmed: 31331358
doi: 10.1186/s13052-019-0682-2
pii: 10.1186/s13052-019-0682-2
pmc: PMC6647282
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
88Subventions
Organisme : the Italian Ministry of Health
ID : Ricerca Corrente 2019 850/01
Références
Pediatr Infect Dis J. 2000 Nov;19(11):1113, 1115-6
pubmed: 11099104
Otolaryngol Head Neck Surg. 2001 Jul;125(1):111-2
pubmed: 11458229
Lancet. 2004 Feb 7;363(9407):465-73
pubmed: 14962529
Pediatr Clin North Am. 2005 Jun;52(3):711-28, v-vi
pubmed: 15925659
Br J Oral Maxillofac Surg. 2008 Apr;46(3):242-243
pubmed: 17560696
J Oral Maxillofac Surg. 2010 Apr;68(4):731-8
pubmed: 19954877
Expert Rev Anti Infect Ther. 2011 Dec;9(12):1125-31
pubmed: 22114963
BMC Pediatr. 2012 Nov 29;12:185
pubmed: 23190626
J Emerg Med. 2013 Nov;45(5):674-8
pubmed: 23896057
Int J Pediatr Otorhinolaryngol. 2014 Dec;78(12):2161-4
pubmed: 25447953
Int J Pediatr Otorhinolaryngol. 2015 Nov;79(11):1942-5
pubmed: 26340928
Int J Mol Sci. 2016 Jun 01;17(6):
pubmed: 27258258
J Craniomaxillofac Surg. 2016 Dec;44(12):1984-1987
pubmed: 27816417
JAMA Otolaryngol Head Neck Surg. 2017 May 1;143(5):466-471
pubmed: 28253398
Otolaryngol Head Neck Surg. 2017 Apr;156(4_suppl):S88-S105
pubmed: 28372534
Quintessence Int. 2017;48(10):809-813
pubmed: 28944379
Pediatr Emerg Care. 2017 Nov 20;:null
pubmed: 29189591
Plast Reconstr Surg Glob Open. 2018 Jan 23;6(1):e1648
pubmed: 29464173