amoxicillin-potassium-clavulanate-combination and Temporomandibular-Joint-Disorders

Septic arthritis of the temporomandibular joint as a complication of acute otitis media is rare in the Western world. This report describes the case of a 7-year-old boy who had pain in his right ear and limited mouth opening, following the onset of acute otitis media. A contrast-enhanced computed tomography scan revealed right-sided mastoiditis and hydrops of the right temporomandibular joint, suggesting septic arthritis. Real-time PCR and microbiologic analysis identified Streptococcus pyogenes and Staphylococcus epidermidis in the joint aspirate. Treatment with arthrocentesis and antibiotics led to full recovery of temporomandibular joint function.

Topics: Acute Disease; Amoxicillin-Potassium Clavulanate Combination; Arthritis, Infectious; Arthrocentesis; Child; Humans; Male; Otitis Media; Radiography, Panoramic; Real-Time Polymerase Chain Reaction; Streptococcus pyogenes; Temporomandibular Joint Disorders; Tomography, X-Ray Computed