title: Septic arthritis of the temporomandibular joint.
abstract: Septic 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.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Ponta Grossa State University, Federal University of Paraná, Paraná, Brazil.
authors.forename: Leandro Eduardo
authors.initials: LE
authors.lastname: Klüppel
authors.forename: Felipe Bueno Rosetti
authors.initials: FB
authors.lastname: Bernabé
authors.forename: Bruno Tochetto
authors.initials: BT
authors.lastname: Primo
authors.forename: Diego José
authors.initials: DJ
authors.lastname: Stringhini
authors.forename: Delson João
authors.initials: DJ
authors.lastname: da Costa
authors.forename: Nelson Luis Barbosa
authors.initials: NL
authors.lastname: Rebellato
authors.forename: Paulo Roberto
authors.initials: PR
authors.lastname: Müller
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D013704:Temporomandibular Joint / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents