Acute suppurative arthritis of the temporomandibular joint due to intra-articular injection of steroid: A case report

DOI 1 Citations 10 References
  • IIDA Akihiko
    Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
  • IKEDA Nobuyuki
    Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
  • OHNUKI Hisashi
    Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
  • AJIMA Hisao
    Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences
  • NISHIYAMA Hideyoshi
    Division of Oral and Maxillofacial Radiology, Niigata University Graduate School of Medical and Dental Sciences
  • TAKAGI Ritsuo
    Division of Oral and Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences

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Other Title
  • 関節腔ステロイド注入を契機に発症した急性化膿性顎関節炎の1例

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Abstract

We present a case of acute suppurative arthritis of the temporomandibular joint (TMJ) due to repeated intra-articular injection of steroid. The patient was an 82-year-old woman who complained of swelling and pain of the right TMJ. At the first visit, an abscess around the TMJ was observed. CT findings revealed that the bone surface of the right TMJ was absorbed and rough, and the inside of the condylar head was sclerotic. Administration of intravenous antibiotics and drainage were performed. Progressive trismus and bony ankylosis of the TMJ were suspected 9 months after discharge. It is considered that the intra-articular injection of steroid should be performed carefully under strict infection control.<br>

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