未接种疫苗的青少年的颞下颌关节化脓性关节炎。
Septic arthritis of the temporomandibular joint in an unvaccinated adolescent.
机构信息
Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
出版信息
BMJ Case Rep. 2020 Jul 9;13(7):e235597. doi: 10.1136/bcr-2020-235597.
Septic arthritis of the temporomandibular joint (TMJ) is a rare condition, particularly in the paediatric population. Our case involves a 15-year-old unvaccinated Amish man with acute pain and trismus of the TMJ. The diagnosis was reached after history, clinical examination, radiographic and laboratory examinations were performed. The patient improved after a minimally invasive surgical procedure and medical therapy. Failure to recognise and treat septic arthritis in a timely fashion can result in serious sequalae. Infectious aetiologies should be kept on the differential for any patient with acute TMJ pain.
颞下颌关节（TMJ）的化脓性关节炎是一种罕见的疾病，尤其是在儿科人群中。我们的病例涉及一名 15 岁未接种疫苗的阿米什男性，他患有 TMJ 的急性疼痛和牙关紧闭。在进行了病史、临床检查、影像学和实验室检查后做出了诊断。患者在接受微创外科手术和药物治疗后症状得到改善。如果不能及时识别和治疗化脓性关节炎，可能会导致严重的后遗症。对于任何患有急性 TMJ 疼痛的患者，都应考虑感染性病因。
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