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Differential Diagnosis and Treatment of Septic Arthritis in the Temporomandibular Joint: A Case Report and Literature Review

 Bola Kim  ;  Hyo-Won Choi  ;  Jae-Young Kim  ;  Kwang-Ho Park  ;  Jong-Ki Huh 
 Journal of Oral Medicine and Pain, Vol.44(3) : 127-132, 2019 
Journal Title
Journal of Oral Medicine and Pain
Issue Date
Arthritis ; Arthrocentesis ; Infectious ; Temporomandibular joint ; Temporomandibular joint disorders
Septic arthritis of the temporomandibular joint (TMJ) is an uncommon disease caused by
microbial pathogens through hematogenous infection, local spread, or iatrogenic infection.
As the symptoms have an insidious onset, the early stage of septic arthritis is often confused
with other diseases. A 49-year-old man was referred for increasing preauricular pain,
swelling, and restricted mouth opening. He had been initially diagnosed as having a conventional
temporomandibular joint disorder and trigeminal neuralgia and had been treated
for the same. Imaging studies including panoramic view, lateral tomography, computed
tomography with contrast enhancement, and magnetic resonance imaging were performed.
Erosive bone change with displacement of the involved condyle, diffuse swelling of adjacent
soft tissue, and fluid collection in the joint space were noted. Needle aspiration of the
joint space and bacterial culture confirmed the diagnosis of septic arthritis of the TMJ and
he was treated with antibiotic therapy and surgical drainage. Clinicians should always consider
the diagnosis of septic arthritis of the TMJ in patients with preauricular pain or swelling.
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2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Young(김재영) ORCID logo https://orcid.org/0000-0002-9423-438X
Park, Kwang Ho(박광호) ORCID logo https://orcid.org/0000-0003-1942-2986
Huh, Jong Ki(허종기) ORCID logo https://orcid.org/0000-0002-7381-3972
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