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[Temporomandibular staphylococcal arthritis].

M Alazia, C Granthil, D Raoult

    Annales Francaises D'Anesthesie Et De Reanimation
    |January 1, 1983
    PubMed
    Summary

    Staphylococcus aureus can cause temporo-mandibular joint infections, diagnosed by severe pain and trismus without abscesses. Early treatment is crucial to prevent rapid ankylosis.

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    Area of Science:

    • Infectious Diseases
    • Orthopedics
    • Otolaryngology

    Background:

    • Temporo-mandibular joint (TMJ) infections are uncommon but can lead to severe complications.
    • Staphylococcus aureus is a common pathogen in pyogenic infections.

    Observation:

    • Two cases of TMJ infection caused by Staphylococcus aureus are presented.
    • Clinical presentation included significant pain and trismus (difficulty opening the mouth).
    • Abscess formation was notably absent in both cases.

    Findings:

    • Blood cultures were positive for Staphylococcus aureus, confirming bacteremia.
    • Diagnosis relied on clinical symptoms (pain, trismus) and the absence of abscesses.
    • Rapid development of ankylosis (joint fusion) was observed.

    Implications:

    • Prompt diagnosis and initiation of treatment are essential for managing TMJ infections.
    • Early intervention can prevent the progression to irreversible joint damage like ankylosis.
    • This highlights the importance of considering Staphylococcus aureus in TMJ infections, even without visible abscesses.

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