ASST NORDMILANO, Sesto San Giovanni Hospital, Paediatric and Neonatology Unit, Sesto San Giovanni, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Paediatric Highly Intensive Care Unit and Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Ital J Pediatr. 2019 Jul 22;45(1):88. doi: 10.1186/s13052-019-0682-2.
Acute otitis media is one of the most common infectious diseases in the paediatric age and although its complications such as acute mastoiditis have become rare thanks to improvements in therapeutic approaches, possible serious complications such as septic arthritis of the temporomandibular joint may develop. A prompt diagnosis and adequate treatment are essential to achieving the best outcome and avoiding serious sequelae. We describe a case occurring in a previously healthy 6-year-old female and review the literature currently available on this topic.
The patient presented a right temporomandibular septic arthritis with initial mandibular bone involvement secondary to acute otitis media. She presented with torcicollis, trismus, right preauricular swelling over the temporomandibular joint and was successfully treated with antibiotic treatment alone.
Septic arthritis of the temporomandibular joint is a rare complication of acute otitis media or acute mastoiditis in children. It should be suspected in patients presenting with trismus, preauricular swelling or fever. No guidelines on the diagnosis and treatment of this infectious disease are currently available.
急性中耳炎是儿童时期最常见的传染病之一，尽管由于治疗方法的改进，急性乳突炎等并发症已经很少见，但仍有可能出现化脓性颞下颌关节炎等严重并发症。及时诊断和适当治疗对于获得最佳疗效和避免严重后遗症至关重要。我们描述了一例先前健康的 6 岁女性患者的病例，并回顾了目前关于该主题的文献。
患者出现右侧颞下颌关节化脓性关节炎，最初下颌骨受累继发于急性中耳炎。她出现斜颈、牙关紧闭、右耳前颞下颌关节肿胀，并仅通过抗生素治疗成功治疗。
化脓性颞下颌关节炎是儿童急性中耳炎或急性乳突炎的罕见并发症。对于出现牙关紧闭、耳前肿胀或发热的患者，应怀疑该病。目前尚无关于这种传染病的诊断和治疗的指南。
