Ayachi Samia, Mziou Zouha, Moatemri Ramzi, Khochtali Habib
Department of Oral and Maxillofacial Surgery, Sahloul Hospital, Sousse, Tunisia.
Pan Afr Med J. 2016 Oct 20;25:100. doi: 10.11604/pamj.2016.25.100.7943. eCollection 2016.
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.
颞下颌关节（TMJ）化脓性关节炎是一种罕见疾病，鲜有报道。据作者所知，仅报告过一例双侧TMJ化脓性关节炎病例。感染可能源于邻近感染（牙科或耳鼻喉科）的直接蔓延、血行性生物体的血行播散或直接接种。最常见的症状是牙关紧闭和疼痛，不过也有肿胀、压痛和红斑的描述。此外，患者可能会出现发热、局部淋巴结病和错牙合畸形。通过一例连续双侧TMJ关节炎病例，在无明显细菌入口的情况下，我们将分析该疾病的特征及治疗方法。
