A Case of Chronic Infectious Arthritis of the Temporomandibular Joint Associated with Osteomyelitis without Malocclusion.
Infectious arthritis of the temporomandibular joint (TMJ) is rare, and previous reports have identified malocclusion resulting from condylar deformity and displacement of the condyle as one of the clinical characteristics of the disease. Here we report the case of a 33-year-old man with chronic infectious arthritis of the TMJ without malocclusion associated with osteomyelitis of the right mandible. Based on radiological findings of more prominent inflammation at the TMJ than in other regions and on the observed efficacy of antibiotic administration, we made a diagnosis of suppurative arthritis of the TMJ. Based on our empirical experience, including the present case, we speculate that refusal to cooperate with medical care may be a factor in the development of infectious arthritis of the TMJ.
Kito
Shinji
S
Department of Oral Diagnostic Science, Kyushu Dental College, Kitakyushu, Japan.
Hirashima
Souichi
S
Yoshioka
Izumi
I
Habu
Manabu
M
Kodama
Masaaki
M
Kokuryo
Shinya
S
Oda
Masafumi
M
Tanaka
Tatsurou
T
Wakasugi-Sato
Nao
N
Matsumoto-Takeda
Shinobu
S
Seta
Yuji
Y
Tominaga
Kazuhiro
K
Morimoto
Yasuhiro
Y