Septic arthritis of the temporomandibular joint caused by Aspergillus flavus infection as a complication of otitis externa.
Septic arthritis of the temporomandibular joint (TMJ) is a very rare complication of otitis externa that can lead to ankylosis and destruction of the joint. We report the case of a 74-year-old man who developed aspergillosis of the TMJ following otitis externa. To the best of our knowledge, this is the first reported case of TMJ septic arthritis secondary to otitis externa caused by Aspergillus flavus. The patient was successfully managed with condylectomy, debridement, and drug treatment with voriconazole.
Department of Otolaryngology, Unit 3, Christian Medical College, Vellore, Tamil Nadu, India, PIN 632004. laleevarghese@yahoo.co.in.
Lalee
L
Varghese
Rabin
R
Chacko
George M
GM
Varghese
Anand
A
Job
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001228:Aspergillosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D001231:Aspergillus flavus / Q000302:isolation & purification*; D003646:Debridement; D006801:Humans; D008297:Male; D010032:Otitis Externa / Q000150:complications*; D013704:Temporomandibular Joint / Q000382:microbiology* / Q000601:surgery; D065819:Voriconazole / Q000627:therapeutic use
D000935:Antifungal Agents; D065819:Voriconazole