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Infectious arthritis and the temporomandibular joint. A review
Nicolás Patricio Skármeta1,2,3, Paula Andrea Espinoza-Mellado4,5, Nicolás Elissalt6
1Orofacial Pain, Occlusion, and TMDs, Facultad de Odontología, Universidad San Sebastián, Santiago, Chile.
Objective:
Microorganisms can cause acute infectious arthritis, chronic infectious arthritis, or reactive inflammatory arthritis. The aim of this study is to perform a narrative review of the pathophysiology, etiology, and diagnostic features of infectious arthritis and TMJ infectious arthritis.
Methods:
A search of the literature was performed using Medline, Scielo, Embase, and Google Scholar databases. The terms employed for the search were "Temporomandibular Joint Disorders" and "Infectious Arthritis"; or "Septic Arthritis"; or "Bacterial, Fungal, or Viral Arthritis." Over three hundred articles were screened for eligibility.
Results:
The selected articles were utilized to perform a narrative review of the general aspects of infectious arthritis and infectious arthritis affecting the TMJ.
Conclusion:
Infectious arthritis is a rare, yet very morbid, form of arthritis. Understanding general aspects of joint infections and specific features of TMJ infectious arthritis is imperative for an adequate diagnosis.
Insights
Infectious arthritis, including temporomandibular joint (TMJ) infectious arthritis, is a rare but serious condition. Understanding its causes and diagnostic features is crucial for effective treatment.
Area of Science:
- Rheumatology
- Infectious Diseases
- Oral and Maxillofacial Surgery
Background:
- Infectious arthritis encompasses acute, chronic, and reactive inflammatory forms, often caused by microorganisms.
- Temporomandibular joint (TMJ) infectious arthritis is a specific, yet critical, subset of joint infections.
Approach:
- A comprehensive narrative review was conducted.
- Literature search included Medline, Scielo, Embase, and Google Scholar databases.
- Keywords focused on "Infectious Arthritis," "Septic Arthritis," and "Temporomandibular Joint Disorders."
Key Points:
- Infectious arthritis, though rare, carries significant morbidity.
- Pathophysiology, etiology, and diagnostic features are key areas of focus.
- Specific considerations for TMJ infectious arthritis are highlighted.
Conclusions:
- Accurate diagnosis of infectious arthritis relies on understanding general joint infection principles.
- Recognizing the unique aspects of TMJ infectious arthritis is imperative for timely and appropriate patient management.
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