title: Septic arthritis of the temporomandibular joint caused by rare bacteria Raoultella ornithinolytica.
abstract: Septic arthritis of the temporomandibular joint (TMJ) is an unusual disease in adults. Inoculation of the pathogen may occur through traumatic or iatrogenic injuries, or more often by haematogenous spread from a distant focus. The cause of infection is unknown in most cases. A case of ostensibly mild septic arthritis of the TMJ with a good response to antibiotic therapy and lavage, but that finally led to fatal destruction of the joint structures in a 38-year-old female patient, is reported herein. The infection was caused by Raoultella ornithinolytica - a rare bacterial species in humans, which has not been reported previously in any patients with joint problems. The arthritis manifested 5 weeks after an arthroscopy procedure, so the cause was not clear.
authors.affiliation: Department of Oral and Maxillofacial Surgery, General Hospital and First Medicine Faculty, Prague, Czech Republic. Electronic address: Jitka.Levorova@seznam.cz.
authors.forename: J
authors.initials: J
authors.lastname: Levorova
authors.affiliation: Department of Oral and Maxillofacial Surgery, General Hospital and First Medicine Faculty, Prague, Czech Republic.
authors.forename: V
authors.initials: V
authors.lastname: Machon
authors.affiliation: Department of Oral and Maxillofacial Surgery, General Hospital and First Medicine Faculty, Prague, Czech Republic.
authors.forename: A
authors.initials: A
authors.lastname: Guha
authors.affiliation: Department of Oral and Maxillofacial Surgery, General Hospital and First Medicine Faculty, Prague, Czech Republic.
authors.forename: R
authors.initials: R
authors.lastname: Foltan
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D019643:Arthroplasty, Replacement; D003937:Diagnosis, Differential; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011862:Radiography, Panoramic; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging / Q000382:microbiology*; D013705:Temporomandibular Joint Disorders / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents
keywords: rare infection; septic arthritis; temporomandibular joint; total alloplastic replacement