{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T14:57:00Z","timestamp":1774709820343,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 5-year-old previously healthy child presented with right-sided otalgia, right facial and temporal swelling, and right jaw pain in the setting of 6 days of low-grade fever. The child had no trauma, vomiting, or prior dental treatments. On physical examination, the patient had facial swelling, erythema, and tenderness over the right temporal region along with trismus, as well as pain on palpation of the right temporomandibular joint (TMJ). A computed tomography scan revealed otitis media, Luc's abscess, and TMJ septic arthritis requiring surgical drainage and intravenous antibiotics. The patient responded well to treatment and recovered without sequelae. Dr. Cardwell Luc first described Luc's abscess in 1913 as a rare complication of middle ear infection leading to an abscess in the infratemporal space. To our knowledge, our case is the first documented case of concurrent Luc's abscess and TMJ septic arthritis in a previously healthy child as complications of acute otitis media. This case highlights 2 rare complications of a common medical condition that pediatric emergency care providers should recognize due to the need for surgical intervention, without which there may be longstanding sequelae.<\/jats:p>","DOI":"10.1097\/pec.0000000000001348","type":"journal-article","created":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T20:27:09Z","timestamp":1511296029000},"page":"e285-e287","source":"Crossref","is-referenced-by-count":14,"title":["Luc's Abscess and Temporomandibular Joint Septic Arthritis"],"prefix":"10.1097","volume":"36","author":[{"given":"Carmelle","family":"Tsai","sequence":"first","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, The Children's Hospital of Philadelphia and The University of Pennsylvania, Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Deramo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Health System Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaofan","family":"Shen","sequence":"additional","affiliation":[{"name":"Division of Hematology and Oncology, Department of Pediatrics, Children's Hospital of Los Angeles and University of Southern California, Los Angeles, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Vandiver","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Health System Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineeta","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Health System Dallas, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2017,11,21]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1159\/000191472","article-title":"Complications of suppurative otitis media: still a problem in the 21st century","volume":"71","year":"2009","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1288\/00005537-191310000-00006","article-title":"The sub-periosteal temporal abscess of otic origin without intra-ossesous suppuration","volume":"23","year":"1913","journal-title":"Laryngoscope"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1017\/S0022215100137648","article-title":"Luc's abscess\u2014a rare complication of middle-ear infection","volume":"111","year":"1997","journal-title":"J Laryngol 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complication of mastoiditis","volume":"96","year":"2014","journal-title":"Ann R Surg Engl"},{"key":"bib10-20230930","first-page":"242","article-title":"Septic arthritis of the temporomandibular joint in a 6-year-old child","volume":"46","year":"2007","journal-title":"Br J Oral Maxillofac Surg"},{"key":"bib11-20230930","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.jemermed.2013.01.034","article-title":"Septic Arthritis of the temporomandibular joint: case reports and review of the literature","volume":"45","year":"2013","journal-title":"J Emerg Med"},{"key":"bib12-20230930","doi-asserted-by":"crossref","first-page":"1942","DOI":"10.1016\/j.ijporl.2015.08.014","article-title":"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","volume":"79","year":"2015","journal-title":"Int J Pediatr 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