Septic arthritis of the temporomandibular joint as a complication of acute otitis media in a child: A rare case and the importance of real-time PCR for diagnosis

2015 ◽  
Vol 79 (11) ◽  
pp. 1942-1945 ◽  
Author(s):  
F. Bast ◽  
S. Collier ◽  
P. Chadha ◽  
J. Collier
Keyword(s):  
Septic Arthritis ◽  
Temporomandibular Joint ◽  
Real Time ◽  
Otitis Media ◽  
Real Time Pcr ◽  
Rare Case ◽  
Acute Otitis Media

scholarly journals Immunostimulant as an adjuvant therapy on Toll-like receptor concentration in children with acute otitis media

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ashraf S. El Hamshary ◽  
Hesham A. Abdel Rahman ◽  
Mohamed Aboelsoued ◽  
Rasha A. Elsayed ◽  
Abdelhakim F. Elwany
Keyword(s):  
Adjuvant Therapy ◽  
Bacterial Infection ◽  
Real Time ◽  
Otitis Media ◽  
Real Time Pcr ◽  
Acute Otitis Media ◽  
Toll Like Receptor ◽  
Tlr2 Expression ◽  
Before And After ◽  
Group B

Abstract Background Acute otitis media (AOM) is the commonest pediatric bacterial infection, affecting up to 75% of children at some time before age 5 years. AOM is among the primary reasons for antibiotic prescriptions in pediatric outpatients. This study aimed to detect the value of immunostimulant as an adjuvant therapy with antibiotics for treatment of acute otitis media in children. This study included 60 children suffering from acute otitis media; their age ranged from 3 to 5 years during the period from May 2018 to March 2019. The patients in this study were divided into 2 groups: group A included 30 patients with AOM who received amoxicillin and clavulanic acid antibiotic at attack of AOM. Group B included 30 patients with AOM who received the same antibiotic with immunostimulant (Echinacea extract) for 3 months. Samples of blood were taken from all patients to detect the level of Toll-like receptor by real-time PCR, before and after 3 months of antibiotic and immunostimulant therapy. All cases underwent assessment including complete history taking, otoscopic examination of the ear, and blood sample to detect the level of Toll-like receptor (TLR) before and after the therapy by real-time PCR. Results There was a significant (P < 0.05) decrease in the TLR2 expression in antibiotic-treated patients than its expression before treatment. On the other hand, there was a significant (P < 0.05) increase in the TLR2 expression in immunostimulant plus antibiotic-treated patients than its expression before treatment; there was a high significant (P < 0.001) increase in the expression of TLR2 in the immunostimulant plus antibiotic than the antibiotic-treated patients. Conclusion The role of antibiotics against bacterial infection causing acute otitis media can be enhanced by immunostimulant which increases the expression of Toll-like receptors which play a major role stimulating immune system to resist bacterial infection.

scholarly journals Septic Arthritis of the Temporomandibular Joint Secondary to Acute Otitis Media in an Adult: A Rare Case with Achromobacter xylosoxidans

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Ryan Chin Taw Cheong ◽  
Laura Harding
Keyword(s):  
Septic Arthritis ◽  
Temporomandibular Joint ◽  
Otitis Media ◽  
Rare Complication ◽  
Acute Otitis Media ◽  
Japanese Literature ◽  
Achromobacter Xylosoxidans ◽  
Accident And Emergency ◽  
Intravenous Antibiotics

Septic arthritis of the temporomandibular joint (SATMJ) is a rare complication of acute otitis media (AOM) with only four reported cases in the English and Japanese literature. Based on the unusual nature of this clinical condition, we discuss the first documented case due to Achromobacter xylosoxidans and the utility of myringotomy with long-term intravenous antibiotics via a peripherally inserted central catheter (PICC). We describe the case of a 76-year-old male patient that was brought in by ambulance to the accident and emergency (A&E) department due to severe right-sided otalgia with increased hearing impairment. A clinical diagnosis of acute otitis media with sepsis was made and the patient was commenced on the sepsis protocol. He then developed symptoms of septic arthritis of the TMJ which was confirmed on radiological imaging. After a multidisciplinary team discussion, the patient was treated with a myringotomy and intravenous ceftriaxone for 8 weeks in the community via a PICC rather than TMJ arthrocentesis with positive outcomes at 3 months’ follow-up.

scholarly journals Acute otitis media in an infant complicated with osteoarthritis of temporomandibular joint and sub-periosteal abscess of the clavicle

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Kaoutar Cherrabi ◽  
Hind Cherrabi
Keyword(s):  
Septic Arthritis ◽  
Temporomandibular Joint ◽  
Nutritional Assessment ◽  
Acute Otitis Media ◽  
Clinical Signs ◽  
Rare Condition ◽  
Pediatric Emergency ◽  
Ear Infections ◽  
The Right

Abstract Background Otomastoiditis is a very frequent affection and a current complication of mal-treated benign ear infections in children. However, this a very rare case of the association of two rare complications of otomastoiditis in a newborn. On the one hand, septic arthritis of the temporomandibular joint which is a very rare condition that is difficult to diagnose, and when unrecognized or not treated accordingly, it can resolve in serious infectious complication and or definitive injury to the temporomandibular joint. On the other hand, osteomyelitis of the clavicle is also very rare, and only a few cases have been cited in the literature concerning infants. Case presentation This 46-day-old infant was brought to pediatric emergency consultation for 2 swelling inflammatory bulges, one in the right mastoid and pre-auricular regions, and another in the right basi-cervical area. The infant was hypertrophic febrile, hypotonic, and pale. He had preserved archaic reflexes. Besides, blood test showed an inflammatory syndrome, inflammatory anemia, and no other abnormalities. Upon supplementary computed tomodensitometry exam, the diagnosis of a combination of septic arthritis of the right temporomandibular joint and sub-periosteal abscess of the ipsilateral clavicle in a context of hypotrophy and malnutrition was suspected. A pus sample was obtained for bacteriological evaluation, after which the infant had a course of intravenous associated antibiotics, along with nutritional assessment and management. Surgical drainage of both collections was performed. The 6-month follow-up was satisfactory, without clinical signs of functional impact on temporomandibular joint, or acromioclavicular joint. Conclusion This work stresses the necessity of thorough clinical examination of infants even in cases of benign ear infections, as well as the importance of adapted treatment and follow-up, which could allow early diagnosis, appropriate treatment, or even prevention of severe complications that can be associated with such benign conditions.

Trismus and TMJ disorders as first clinical manifestations in an intracranial acquired cholesteatoma

2021 ◽  
Vol 14 (5) ◽  
pp. e242460
Author(s):  
Chiara Copelli ◽  
Domenico Catapano ◽  
Alfonso Manfuso ◽  
Aurelio d’Ecclesia
Keyword(s):  
Hearing Loss ◽  
Temporomandibular Joint ◽  
Otitis Media ◽  
Rare Case ◽  
Clinical Manifestations ◽  
Chronic Otitis Media ◽  
Temporomandibular Joint Disorders ◽  
Intracranial Extension ◽  
Rare Occurrence ◽  
Acquired Cholesteatoma

Intracranial extension of acquired cholesteatoma is a rare occurrence that can develop secondary to trauma, chronic otitis media or acquired aural cholesteatoma. The most commonly observed symptoms are headache and hearing loss. The authors report on a rare case of intracranial cholesteatoma presenting with atypic symptoms: swelling and temporomandibular joint disorders.

Acute otitis media in a 5 year-old child complicated by mastoiditis and abscess of the temporomandibular joint

2017 ◽  
Vol 82 (2) ◽  
pp. 74
Author(s):  
M. R. Bogomil’sky ◽  
M. M. Polunin ◽  
Yu. L. Soldatsky ◽  
A. V. Timofeeva ◽  
A. A. Polyakov ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Otitis Media ◽  
Acute Otitis Media

scholarly journals A rare case of bilateral acute otitis media leading to bilateral facial paresis in an adult

2016 ◽  
Vol 3 (1) ◽  
pp. 144
Author(s):  
Inderdeep Singh ◽  
Lakshmi Ranjit
Keyword(s):  
Otitis Media ◽  
Facial Palsy ◽  
Rare Case ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Facial Paresis ◽  
Successful Management ◽  
Rare Presentation ◽  
Nerve Paresis ◽  
Middle Ear Disease

<p class="abstract">Facial nerve paresis is a known complication of middle ear disease. However it is more commonly seen as a complication of chronic otitis media as compared to acute otitis media (AOM). There are very few reported cases of AOM leading to facial palsy and even fewer ones of bilateral acute otitis media leading to bilateral facial palsy. Since this is a very rare presentation its management and treatment are not very well outlined as per standard guidelines. Here we have presented a very rare case of bilateral AOM leading to bilateral facial paresis, how the case progressed and how it was managed. We have tried to bring forth the salient features of the presentation, the progression and the resolution of the disease due to the successful management<span lang="EN-IN">.</span></p>

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