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Tuberculosis of the Temporomandibular Joint : A case of Misdiagnosis

Authors
 Hye Jeong Park  ;  Bong Chul Kim  ;  Eun-Joo Choi  ;  Sara Rebeca Kang Samayoa  ;  Hyung-Jun Kim 
Citation
 JOURNAL OF ORAL & FACIAL PAIN AND HEADACHE, Vol.28(2) : 165-170, 2014 
Journal Title
 JOURNAL OF ORAL & FACIAL PAIN AND HEADACHE 
ISSN
 2333-0384 
Issue Date
2014
MeSH
Arthritis, Infectious/diagnosis ; Diagnosis, Differential ; Diagnostic Errors* ; Discitis/microbiology ; Drainage ; Humans ; Male ; Middle Aged ; Osteoarthritis/diagnosis ; Range of Motion, Articular/physiology ; Temporomandibular Joint Disorders/diagnosis ; Temporomandibular Joint Disorders/microbiology* ; Tuberculosis, Osteoarticular/diagnosis*
Keywords
extrapulmonary tuber culosis ; preauricular swelling ; temporomandibular joint ; temporomandibular disorders
Abstract
Tuberculosis (TB), an infectious disease caused by Mycobacterium tuberculosis, continues to be a major health problem worldwide. Primary TB infection is mostly pulmonary, but it may also occur in the lymph nodes, abdomen, skin, meninges, joints, and central nervous system. TB in the head and neck region usually occurs in the cervical lymph nodes, but is extremely rare in the temporomandibular joint (TMJ). This rarity increases the risk for not considering TB in the differential diagnosis of patients presenting with TMJ pain. This article describes an unusual case of a 53-year-old man with painful swelling in the right preauricular area accompanied by difficulty in mouth opening. After surgical exploration, histopathologic findings revealed TB in the TMJ. The findings of this case highlight the importance of considering TB in the differential diagnosis of TMJ pain, especially for patients from endemic areas, patients who have lived or visited those areas, or patients with a preauricular swelling in the TMJ area.
Full Text
http://www.quintpub.com/journals/ofph/abstract.php?iss2_id=1232&article_id=14448&article=9&title=Tuberculosis%20of%20the%20Temporomandibular%20Joint:%20A%20Case%20of%20Misdiagnosis#.VI58xdKsXTp
DOI
10.11607/ofph.1061
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Advanced General Dentistry (통합치의학과) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Hye Jeong(박혜정)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98717
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