scholarly journals Acute arthritis of the right temporomandibular joint due to Lyme disease: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christina Weise ◽  
Matthias C. Schulz ◽  
Karin Frank ◽  
Marcel Cetindis ◽  
Bernd Koos ◽  
...  

Abstract Background Lyme disease is the most frequent tick-borne infectious disease in Europe. It often presents with a wide variety of symptoms. For this reason, affection of the temporomandibular joint (TMJ) caused by Lyme disease (LD) can be misdiagnosed as a common temporomandibular disorder (TMD). Case presentation The purpose of this case report of a 25-year-old woman presenting to the Departments of Orthodontics and Oral and Maxillofacial Surgery with extensive symptoms of temporomandibular disorder is to illustrate the delayed diagnosis of Lyme disease which was only made after extensive therapy of the temporomandibular joint. The specialist literature only reports a few cases of patients suffering from Lyme disease with TMJ manifestations. Conclusion This case report and the relevant literature review aim to emphasize the importance of accurate request of medical history and differential diagnosis of acute TMJ arthritis and arthralgia. Early interdisciplinary diagnosis of Lyme disease and early antibiotic therapy are essential to avoid misdiagnosis and unnecessary, sometimes invasive, therapies.

2021 ◽  
Author(s):  
Christina Weise ◽  
Matthias C. Schulz ◽  
Karin Frank ◽  
Marcel Cetindis ◽  
Bernd Koos ◽  
...  

Abstract Lyme disease is the most frequent tick-borne infectious disease in Europe. It often presents with a wide variety of symptoms. For this reason, affection of the temporomandibular joint (TMJ) caused by Lyme disease (LD) can be misdiagnosed as a common temporomandibular disorder (TMD). The purpose of this case report of a 25-year old woman presenting to the Departments of Orthodontics and Maxillofacial Surgery with extensive symptoms of Temporomandibular Disorder is to illustrate the delayed diagnosis of Lyme disease, which was only made after extensive therapy of the temporomandibular joint. The specialist literature only reports a few cases of patients suffering from Lyme disease with TMJ manifestations. This case report and the relevant literature review aim to emphasize the importance of accurate request of medical history and differential diagnosis of acute TMJ arthritis and arthralgia. Early interdisciplinary diagnosis of Lyme disease and early antibiotic therapy are essential to avoid misdiagnosis and unnecessary, sometimes invasive, therapies.


2020 ◽  
Vol 13 (8) ◽  
pp. 475-483
Author(s):  
Timothy Collins

The temporomandibular joint (TMJ) is prone to a number of disease states involving any one of its anatomical components. The current favoured term for problems associated with the TMJ is ‘temporomandibular disorder’ (TMD). TMD is one of the most common orofacial pain conditions. Patients will present to GPs and general dental practitioners as well as directly to accident and emergency, typically for referral to Oral and maxillofacial surgery, due to either significant acute pain or chronic pain that can no longer be tolerated. Common features of TMD include pain in the face and preauricular area, restricted jaw movement, and noise from the TMJs during jaw movements. TMD can coincide with poor general health, psychological co-morbidities such as depression and often affects quality of life.


2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Kakia A.F. Namugenyi ◽  
Ferdinand M. Oompie ◽  
Kasandji F. Kabambi

Appendicitis is a common childhood condition requiring surgical intervention and delayed diagnosis can have serious consequences. This report describes the case of a child who presented with an acute abdomen and intestinal obstruction. Multidetector (MD) CT demonstrated a left-sided caecum and an inflamed appendix with a faecolith. Maximum intensity projection (MIP) post-processing was key in identifying the appendicular artery and determine the diagnosis. At surgery, however, a mobile caecum and the appendix were positioned on the right side.


2021 ◽  
Vol 8 ◽  
Author(s):  
Qihua Wang ◽  
Rami W. A. Alshayyah ◽  
Hang Lv ◽  
Yang Yu ◽  
Xinyu Liu ◽  
...  

Traumatic testicular dislocation is a rare complication secondary to different kinds of accidents. A 61-year-old man, who was injured by wall collapse and was diagnosed as pelvic fracture and posterior urethral rupture 5 months ago, came to the urologic department to seek urethral reconstruction. However, thorough physical examination and imaging examination confirmed a round mass in the right inguinal region and an empty right scrotum, which support diagnosis of testicular dislocation. The patient did not take the initiative to complain about that because he thought the right testis had been destroyed by the accident already. So the patient underwent fiber cystourethroscopy, urethral reconstruction, and orchiopexy. No testicular atrophy was confirmed at follow-up. We reviewed previous reports about traumatic testicular dislocation and analyzed the cause of delayed diagnosis.


Author(s):  
Sharanbasappa Japatti ◽  
Bhavesh Dhoke ◽  
Georgina Dhalwale ◽  
Priyanka Taneja

<p>Aplasia of mandibular condyle is one of the several facial manifestations of many syndromes. It is considered as an extremely exceptional stipulation, if it is not seen as a part of any syndrome. The incidence expected 1 in 5600. It occurs due to the growth instability in development of condyle in the intrauterine life, late in the first trimester. It is not discernible at birth and seems to be steadily acquired during the growth. We report a case of condylar aplasia on the right side in an 18-year-old female. The patient reported to the department of Oral and Maxillofacial Surgery at ACPM dental College, Dhule, with a chief complaint of underdeveloped lower jaw. The etiology of this condition was unknown, clinical examination and conventional radiographs revealed complete absence of condyle on the right side. A proper diagnosis along with the differentiation from the syndromic cases is of importance. The aim of this article is to present a case with peculiar type of non-syndromic condylar aplasia. <strong></strong></p>


2019 ◽  
Vol 26 (10) ◽  
pp. 1724-1732
Author(s):  
Arfa Baig ◽  
Bushra Ghani ◽  
Oam Parkash ◽  
Lubna Memon ◽  
Shoaib Muhammad Chohan ◽  
...  

Temporomandibular Disorder (TMD) has been considered as one of the commonest disorder in Pakistan. In this disorder, the patient complains of pain in Temporomandibular joint and associated anatomical muscles. This research study has been performed to evaluate the frequency of Anxiety and Depression in patients with Chronic Temporomandibular Disorder (CTMD). Objectives: The objective of this research study is to evaluate the frequency of Anxiety and Depression among patients with Chronic Temporomandibular joint Disorder. Study Design: A Cross-sectional Descriptive research study. Setting: This research study was conducted in the Department of Oral and Maxillofacial Surgery at Dr. Ishrat-ul-Ebad Khan Institute of Oral and Health sciences, Dow University of Health Sciences and Dr. Ruth K.M. Pfau Civil Hospital, Karachi, Pakistan. Period: This research study was conducted for a respective period of 1 year from 1st March 2018 to 1st March 2019. Materials and Methods: A total of 213 patients having persisting Temporomandibular joint pain for more than 6 months were included in this study. The diagnosis of Temporomandibular Disorder (TMD) was established if the patient demonstrated pain/discomfort in the Temporomandibular Joint (TMJ) and muscles of mastication and masticatory dysfunction for a period, exceeding 6 months. After demographic questions, Hospital Anxiety and Depression Scale (HADS) was administered to each patient and the intensity and severity of Anxiety and Depression were recorded and documented by the Operator. Results: The percentage of Anxiety and Depression among patients with Chronic Temporomandibular Disorder (TMD) was 31.46% (67/213) and 36.15% (77/213). Conclusion: In our respective study, the Frequency of psychological disorders like Anxiety and Depression were significantly high. Our results showed that an adequate and profound diagnosis and treatment planning is very necessary for all patients suffering from Chronic Temporomandibular Disorder (CTMD) so that both physical and psychological factors of patients with Chronic Temporomandibular Disorder (CTMD) should be taken into primary foremost consideration prior to the decision pertaining to its management respectively.


2017 ◽  
Vol 2 (2) ◽  
pp. 129
Author(s):  
Nurwahida Nurwahida ◽  
Andri Hardianto ◽  
Kiki A. Rizki

Objective: Sialolithiasis is a common disease of the salivary glands. Sialolithiasis occurs mainly in the submandibular gland (80–90%) and to a lesser extent in the parotid gland (5–20%). Sialoliths may be single or multiple. Multiple sialolith in the submandibular gland are rare. Seventy to 80% of cases feature solitary stones; only about 5% of patients have three or more stones.  Patients commonly experience pain and/or swelling.Methods: A 51-year-old male came to Department of Oral and Maxillofacial Surgery with a swelling and pain at the right submandibular. The panoramic radiograph showed a radiopacity mass with well-defined in right submandibular. The Ultrasonographic interpretation showed hypoechoic inhomogeneous mass with multiple calcification.The submandibular gland removal was performed by extraoral approach.Result:Multiple sialolith in the submandibular gland are rare. A surgical approach for removal of sialolith in the submandibular gland could be intraoral or extraoral. In this case report, we described five stones in the submandibular gland. which were removed by extraoral approach.Conclusion: There are various methods available for the management of salivary stones. In this case report, removal of the submandibular gland with the stone should still be preferred as the gold standard of treatment and could avoid recurrence of this medical condition.


We report a very rare case of squamous cell cancer of the right foot which had metastasize to the ipsilateral popliteal lymph node after initial diagnosis and treatment for the loco-regional disease.


2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.


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