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.
| Original language | English |
|---|---|
| Article number | 88 |
| Journal | Italian Journal of Pediatrics |
| Volume | 45 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jul 22 2019 |
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Keywords
- Acute otitis media
- Children
- Septic arthritis
- Temporomandibular joint
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Otogenic temporomandibular septic arthritis in a child : A case report and a review of the literature. / Castellazzi, Massimo Luca; Senatore, Laura; Di Pietro, Giada; Pinzani, Raffaella; Torretta, Sara; Coro, Ilaria; Russillo, Antonio; Borzani, Irene; Bosis, Samantha; Marchisio, Paola.
In: Italian Journal of Pediatrics, Vol. 45, No. 1, 88, 22.07.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Otogenic temporomandibular septic arthritis in a child
T2 - A case report and a review of the literature
AU - Castellazzi, Massimo Luca
AU - Senatore, Laura
AU - Di Pietro, Giada
AU - Pinzani, Raffaella
AU - Torretta, Sara
AU - Coro, Ilaria
AU - Russillo, Antonio
AU - Borzani, Irene
AU - Bosis, Samantha
AU - Marchisio, Paola
PY - 2019/7/22
Y1 - 2019/7/22
N2 - 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.
AB - 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.
KW - Acute otitis media
KW - Children
KW - Septic arthritis
KW - Temporomandibular joint
UR - http://www.scopus.com/inward/record.url?scp=85069795403&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069795403&partnerID=8YFLogxK
U2 - 10.1186/s13052-019-0682-2
DO - 10.1186/s13052-019-0682-2
M3 - Article
AN - SCOPUS:85069795403
VL - 45
JO - Italian Journal of Pediatrics
JF - Italian Journal of Pediatrics
SN - 1720-8424
IS - 1
M1 - 88
ER -