title: Bilateral septic arthritis of the temporo mandibular joint: case report.
abstract: Septic arthritis of the temporo-mandibular joint (TMJ) is a rare disease that has been reported infrequently. To the best of the authors' knowledge, only one case of bilateral TMJ septic arthritis has been reported. The contamination may result from direct extension of adjacent infection (dental or ENT), from hematogenous spread of blood-borne organisms or from direct inoculation. The most common presenting are trismus and pain, although swelling, tenderness and erythema have also been described. In addition, patients may develop fever, regional lymphadenopathy and malocclusion. Through a successively bilateral case of TMJ arthritis, without obvious portal of entry of the bacteria, we will analyze characteristics and treatment of this disease.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sahloul Hospital, Sousse, Tunisia.
authors.forename: Samia
authors.initials: S
authors.lastname: Ayachi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sahloul Hospital, Sousse, Tunisia.
authors.forename: Zouha
authors.initials: Z
authors.lastname: Mziou
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sahloul Hospital, Sousse, Tunisia.
authors.forename: Ramzi
authors.initials: R
authors.lastname: Moatemri
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sahloul Hospital, Sousse, Tunisia.
authors.forename: Habib
authors.initials: H
authors.lastname: Khochtali
mesh_terms: D000328:Adult; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D005334:Fever / Q000209:etiology / Q000382:microbiology; D006801:Humans; D010146:Pain / Q000209:etiology / Q000382:microbiology; D013704:Temporomandibular Joint / Q000382:microbiology* / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis* / Q000382:microbiology; D014313:Trismus / Q000209:etiology / Q000382:microbiology
keywords: Septic arthritis; adult; infection; temporo-mandibular joint