Produção Nacional
Revisado por pares
Septic Arthritis of the Temporomandibular Joint
2012; Lippincott Williams & Wilkins; Volume: 23; Issue: 6 Linguagem: Inglês
10.1097/scs.0b013e3182646061
ISSN1536-3732
AutoresLeandro Eduardo Klüppel, Felipe Bueno Rosetti BERNABÉ, Bruno Tochetto Primo, Diego José Stringhini, Delson João da Costa, Nelson Luís Barbosa Rebellato, Paulo Roberto Müller,
Tópico(s)Musculoskeletal synovial abnormalities and treatments
ResumoSeptic arthritis of the temporomandibular joint is a rare acute infectious disease that requires attention from physicians and, once misdiagnosed, can have several implications for a patient. The most common microorganisms related to this disease are Staphylococcus aureus, Neisseria, Haemophilus influenzae, and Streptococcus. The infection of the joint may be caused by a direct spread of a local infection or by hematogenous inoculation from a distant focus. General predisposing factors, such as immunodepression, can eventually be found. The aim of the current study was to report a case in which a patient with an articular infection resulting from hematogenous dissemination from a distant site was successfully treated using joint drainage and systemic antibiotics. Secretion culture from the temporomandibular joint space was positive for S. aureus. After 1 month of antimicrobial therapy, the patient was asymptomatic and mandibular function was normal. Literature related to this topic was reviewed and discussed.
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