[Childhood septic temporomandibular arthritis].
OBJECTIVE
To report a clinical case of acute otitis media in a child, complicated by septic temporomandibular arthritis and to present a review of the literature.


METHODS
We report a case of a 7-year-old boy who presented an altered general condition, major hyperthermia, associated with a left temporozygomatic mass in a context of recurrent bilateral acute otitis media lasting for 2 months. Emergency computed tomodensitometry (CT scan) showed left temporomandibular joint arthritis. Treatment consisted of a parenteral double antibiotic therapy and prevention of temporomandibula (TM) ankylosis.


RESULTS
After 20 months of follow-up, the child showed a normal ORL examination with no maxillofacial sequelae.


CONCLUSIONS
All temporozygomatic masses presenting in a septic context should suggest the diagnosis of TM arthritis; computed tomodensitometry should be done immediately.
Hammoudi
K
K
Service d'otorhinolaryngologie et chirurgie cervicofaciale, CHR d'Orléans, 14, avenue de l'Hôpital, 45100 Orléans La Source, France. hammoudi_interne@yahoo.fr
Manceau
A
A
Cazeneuve
N
N
Poulain
D
D
Buis
J
J
Soin
C
C
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D010033:Otitis Media / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012008:Recurrence; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents