Mats Døving1, Erik Egeland Christensen2,3, Lars Peder Huse4, Øystein Vengen5. 1. Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, PO Box 4956, Nydalen, 0424, Oslo, Norway. matdov@ous-hf.no. 2. Department of Infectious diseases, Oslo University Hospital Ullevål, Oslo, Norway. 3. Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 4. Department of Maxillofacial Surgery, Oslo University Hospital Ullevål, PO Box 4956, Nydalen, 0424, Oslo, Norway. 5. Department of Cardiothoracic Surgery, Oslo University Hospital Ullevål, Oslo, Norway.
Abstract
BACKGROUND: Septic arthritis of the temporomandibular joint (TMJ) is rare. It usually causes isolated, locoregional symptoms related to the infected intra-articular space but may also cause fever and malaise. CASE REPORT: We present a case of a 72-year-old male with septic arthritis of the TMJ complicated by extensive peri-articular necrosis, septic shock, cerebral abscess, Lemierre's syndrome, and a pathological fracture of the mandibular condyle. CONCLUSION: Case reports describing such a severe course of the disease are few. Moreover, this is the first report of septic arthritis of the TMJ to cause Lemierre's syndrome.
BACKGROUND:Septic arthritis of the temporomandibular joint (TMJ) is rare. It usually causes isolated, locoregional symptoms related to the infected intra-articular space but may also cause fever and malaise. CASE REPORT: We present a case of a 72-year-old male with septic arthritis of the TMJ complicated by extensive peri-articular necrosis, septic shock, cerebral abscess, Lemierre's syndrome, and a pathological fracture of the mandibular condyle. CONCLUSION: Case reports describing such a severe course of the disease are few. Moreover, this is the first report of septic arthritis of the TMJ to cause Lemierre's syndrome.