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

International Journal of Pediatric Otorhinolaryngology
F BastJ Collier

Abstract

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 broad-spectrum 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.

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Citations

Nov 7, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Romain LuscanNatacha Kadlub
Jul 25, 2019·Italian Journal of Pediatrics·Massimo Luca CastellazziPaola Marchisio
Aug 21, 2020·Journal of Veterinary Dentistry·Elizabeth J ElzerKyla F Ortved
Mar 16, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Ariel OmiunuBoris Paskhover
Jan 7, 2019·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Benjamin RogalaMichael Shimizu

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