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: 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: 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.

Otogenic temporomandibular septic arthritis in a child : a case report and a review of the literature / M.L. Castellazzi, L. Senatore, G. Di Pietro, R. Pinzani, S. Torretta, I. Coro, A. Russillo, I. Borzani, S. Bosis, P. Marchisio. - In: THE ITALIAN JOURNAL OF PEDIATRICS. - ISSN 1720-8424. - 45:1(2019 Jul 22), pp. 88.1-88.5. [10.1186/s13052-019-0682-2]

Otogenic temporomandibular septic arthritis in a child : a case report and a review of the literature

Senatore, Laura;Di Pietro, Giada;Torretta, Sara;Russillo, Antonio;Bosis, Samantha;Marchisio, Paola
2019-07-22

Abstract

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: 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: 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.
Acute otitis media; Children; Septic arthritis; Temporomandibular joint
Settore MED/38 - Pediatria Generale e Specialistica
Settore MED/31 - Otorinolaringoiatria
Settore MED/29 - Chirurgia Maxillofacciale
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/668356
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