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Septic Arthritis of the Temporomandibular Joint in an Infant

Raymond Chuk1, John Arvier2, Barbara Laing3

  • 1Discipline of Paediatrics, UnitingCare Health Clinical School, The Wesley Hospital , Brisbane ; Department of Paediatrics, The Wesley Hospital , Brisbane.

Clinics and Practice
|August 4, 2015
PubMed

Insights

Infantile septic arthritis of the temporomandibular joint is a rare but serious pediatric infection. Early diagnosis and prompt treatment are crucial for optimal outcomes in infants and neonates.

Area of Science:

  • Pediatric Infectious Diseases
  • Paediatric Rheumatology
  • Craniofacial Infections

Background:

  • Septic arthritis of the temporomandibular joint (TMJ) is a rare pediatric condition.
  • It can lead to significant morbidity and mortality if not managed promptly.
  • Clinical presentation in neonates and infants is often non-specific, demanding high clinical suspicion.

Observation:

  • This case report details an eleven-month-old boy with acute TMJ septic arthritis.
  • The patient presented with symptoms suggestive of this uncommon infection.
  • Diagnostic and treatment protocols were initiated based on clinical suspicion.

Findings:

  • The infant experienced a full recovery from acute temporomandibular joint septic arthritis.
  • Prompt medical and potentially surgical interventions were key to the positive outcome.
  • Literature review supports aggressive management for best results.

Implications:

  • Highlights the importance of early recognition and aggressive management of TMJ septic arthritis in infants.
  • Emphasizes the need for heightened clinical suspicion in neonates and infants presenting with non-specific symptoms.
  • Underscores the potential for favorable outcomes with timely and appropriate medical and surgical care.

Keywords:
Temporomandibular jointmagnetic resonance imagingseptic arthritis

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