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  • Title: Septic arthritis of the temporomandibular joint.
    Author: Klüppel LE, Bernabé FB, Primo BT, Stringhini DJ, da Costa DJ, Rebellato NL, Müller PR.
    Journal: J Craniofac Surg; 2012 Nov; 23(6):1752-4. PubMed ID: 23147304.
    Abstract:
    Septic arthritis of the temporomandibular joint is a rare acute infectious disease that requires attention from physicians and, once misdiagnosed, can have several implications for a patient. The most common microorganisms related to this disease are Staphylococcus aureus, Neisseria, Haemophilus influenzae, and Streptococcus. The infection of the joint may be caused by a direct spread of a local infection or by hematogenous inoculation from a distant focus. General predisposing factors, such as immunodepression, can eventually be found. The aim of the current study was to report a case in which a patient with an articular infection resulting from hematogenous dissemination from a distant site was successfully treated using joint drainage and systemic antibiotics. Secretion culture from the temporomandibular joint space was positive for S. aureus. After 1 month of antimicrobial therapy, the patient was asymptomatic and mandibular function was normal. Literature related to this topic was reviewed and discussed.
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