Septic arthritis of the temporomandibular joint in an unvaccinated adolescent

BMJ Case Rep. 2020 Jul 9;13(7):e235597. doi: 10.1136/bcr-2020-235597.

Abstract

Septic arthritis of the temporomandibular joint (TMJ) is a rare condition, particularly in the paediatric population. Our case involves a 15-year-old unvaccinated Amish man with acute pain and trismus of the TMJ. The diagnosis was reached after history, clinical examination, radiographic and laboratory examinations were performed. The patient improved after a minimally invasive surgical procedure and medical therapy. Failure to recognise and treat septic arthritis in a timely fashion can result in serious sequalae. Infectious aetiologies should be kept on the differential for any patient with acute TMJ pain.

Keywords: ear, nose and throat/otolaryngology; head and neck surgery; infectious diseases; oral and maxillofacial surgery; orthopaedics.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Amish*
  • Arthritis, Infectious / diagnosis*
  • Arthritis, Infectious / microbiology*
  • Arthritis, Infectious / therapy
  • Debridement
  • Humans
  • Male
  • Temporomandibular Joint / pathology
  • Temporomandibular Joint Disorders / diagnosis*
  • Temporomandibular Joint Disorders / microbiology*
  • Temporomandibular Joint Disorders / therapy