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Septic Arthritis of the Temporomandibular Joint in a Geriatric Patient: A Case Report
Vural Akın1, Hasan Yasan2, Deniz Karaosmanoğlu Akın3
1Department of Otorhinolaryngology and Head and Neck Surgery, Yüksekova State Hospital, Hakkari, TUR.
Abstract:
Septic arthritis of the temporomandibular joint is a rare pathology. There is no consensus in the literature regarding etiopathogenesis and treatment. Pain, swelling, trismus, and mandibular deviation are common. If diagnosis is delayed and appropriate treatment is not given, complications such as osteomyelitis, ankylosis, and systemic spread may develop. This article presents the case of an 85-year-old male patient with septic arthritis of the temporomandibular joint, including clinical, laboratory, and radiological features, accompanied by relevant literature. Since treatment was started early and there were no comorbidities, the disease was controlled without the need for surgical intervention or any complications. The case presented in this article is one of the oldest patients in the literature. Decreased oral intake due to loss of function of the temporomandibular joint in geriatric patients may predispose them to systemic spread.
Insights
Septic arthritis of the temporomandibular joint is rare, with no clear treatment consensus. Early intervention in this elderly patient successfully managed the condition without complications.
Area of Science:
- Infectious Diseases
- Orthopedics
- Rheumatology
Background:
- Septic arthritis of the temporomandibular joint (TMJ) is an uncommon condition with debated etiopathogenesis and treatment strategies.
- Common symptoms include pain, swelling, trismus, and mandibular deviation, with potential for severe complications if untreated.
Observation:
- A case study of an 85-year-old male with septic arthritis of the temporomandibular joint is presented.
- The patient's clinical, laboratory, and radiological features are detailed, alongside a review of existing literature.
- This case represents one of the oldest reported patients with this condition.
Findings:
- Early diagnosis and treatment, coupled with the absence of comorbidities, led to successful disease control.
- The patient did not require surgical intervention and experienced no complications.
Implications:
- Prompt management of temporomandibular joint septic arthritis is crucial, particularly in geriatric patients.
- Functional loss in the TMJ in elderly individuals may increase the risk of systemic spread of infection.
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