{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T14:57:01Z","timestamp":1774709821562,"version":"3.50.1"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,26]]},"abstract":"<jats:p>Septic arthritis of the temporomandibular joint (TMJ) is rare, but patients with this diagnosis are at high risk for significant morbidity. We present a case of a 15-year-old man who presented with increasing trismus for 3\u2009days. He had only minimal discomfort and swelling of the right cheek and temporal region, and pericoronitis of an impacted wisdom tooth was suspected. Under intravenous antibiotics, pain subsided, but trismus and a slight swelling remained. CT scan showed septic arthritis of the TMJ with an abscess formation penetrating into the epidural space. Immediate drainage and craniotomy were performed. Under intravenous antibiotics, the patient made a full recovery. The source of infection remained undetermined. To our knowledge, this is the first reported case of septic arthritis of the TMJ spreading into the epidural space.<\/jats:p>","DOI":"10.1136\/bcr-2017-223563","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T05:05:16Z","timestamp":1528779916000},"page":"bcr-2017-223563","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Septic arthritis of the temporomandibular joint leading to an epidural abscess"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0145-2095","authenticated-orcid":false,"given":"Joern","family":"Wittig","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzad","family":"Borumandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Gaggl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Hachleitner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,11]]},"reference":[{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2007.06.688"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.2","doi-asserted-by":"crossref","first-page":"1752","DOI":"10.1097\/SCS.0b013e3182646061","article-title":"Septic arthritis of the temporomandibular joint","volume":"23","author":"Kl\u00fcppel","year":"2012","journal-title":"J Craniofac Surg"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.3","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.joms.2009.07.060","article-title":"Septic arthritis of the temporomandibular joint: a retrospective review of 40 cases","volume":"68","author":"Cai","year":"2010","journal-title":"J Oral Maxillofac Surg"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.4","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1016\/S0278-2391(10)80147-8","article-title":"Joint infection as a complication of temporomandibular joint arthroscopy: a case report","volume":"51","author":"McCain","year":"1993","journal-title":"J Oral Maxillofac Surg"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.5","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1017\/S0022215100108813","article-title":"Septic arthritis of the temporomandibular joint complicating otitis externa","volume":"103","author":"Thomson","year":"1989","journal-title":"J Laryngol Otol"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.6","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/S0278-2391(98)90725-X","article-title":"Septic arthritis of the temporomandibular joint after the removal of third molars","volume":"56","author":"Moses","year":"1998","journal-title":"J Oral Maxillofac Surg"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.7","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.tripleo.2006.08.028","article-title":"Septic arthritis of the temporomandibular joint successfully treated with arthroscopic lysis and lavage: case report and review of the literature","volume":"103","author":"Sembronio","year":"2007","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.8","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.nic.2012.05.003","article-title":"Epidemiology of central nervous system infection","volume":"22","author":"Riddell","year":"2012","journal-title":"Neuroimaging Clin N Am"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.9","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70044-4"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(05)80519-3"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.11","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1053\/joms.2002.35736","article-title":"Streptococcal infection of the temporomandibular joint of hematogenous origin: a case report and contemporary therapy","volume":"60","author":"Goldschmidt","year":"2002","journal-title":"J Oral Maxillofac Surg"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.12","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s10006-016-0604-z","article-title":"Acute septic arthritis of the temporomandibular joint derived from otitis media: a report and review of the English and Japanese literature","volume":"21","author":"Ishikawa","year":"2017","journal-title":"Oral Maxillofac Surg"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.13","doi-asserted-by":"crossref","unstructured":"Tsai C , Deramo J , Shen X , et al . Luc\u2019s abscess and temporomandibular joint septic arthritis: two rare sequelae of acute otitis media. Pediatr Emerg Care 2017.doi:10.1097\/PEC.0000000000001348","DOI":"10.1097\/PEC.0000000000001348"},{"key":"2025042703521521000_2018.jun11_1.bcr-2017-223563.14","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","author":"Gayle","year":"2013","journal-title":"J Emerg Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:52:26Z","timestamp":1745751146000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,11]]},"references-count":14,"alternative-id":["10.1136\/bcr-2017-223563"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223563","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,11]]}}}