Septic arthritis of multiple native joints following tooth extraction

Authors

  • Chidambar Siddegowda Department of Oral and Maxillofacial Surgery, ACPM Dental College and Hospital, Dhule, Maharashtra, India
  • Nalina Nanjundappa Department of Physiology, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India
  • Sharanbasappa Japatti Department of Oral and Maxillofacial Surgery, ACPM Dental College and Hospital, Dhule, Maharashtra, India
  • Akshaya Subramanian Department of Oral and Maxillofacial Surgery, ACPM Dental College and Hospital, Dhule, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20214691

Keywords:

Septic arthritis, Bacteremia, Total knee arthroplasty, Streptococcus

Abstract

Infection of the distant parts of the body especially the joints after a tooth extraction is uncommon, but when it occurs due to the virulence of the organism or due to the risk factors, it may cause severe joint infection with abscess formation and may limit the movements. We report a case of arthritis of the knee joint along with involvement of other joints following mandibular third molar teeth extraction one week postoperatively. The patient had swelling and limited range of motion of the involved joints, pain over other multiple joints. The patient had two episodes of postoperative septic arthritis following each mandibular third molar extraction. He was diagnosed of having septic arthritis and treated with antibiotics, analgesics, and steroids, that resolved after 3 weeks. 

References

Elana D, Leigh P, Stuart S, Mea W, Robert S. Septic arthritis of the shoulder in a dental patient: a case report and review. N York state dental j. 2014;80:18-20.

Fe Marqués A, Maestre Vera JR, Mateo Maestre M, González Romo F, Castrillo Amores MA. Septic arthritis of the knee due to Prevotella loescheii following tooth extraction. Med Oral Patol Oral Cir Bucal. 2008;13(8):E505-7.

Danilkowicz RM, Lachiewicz AM, Lorenzana DJ, Barton KD, Lachiewicz PF. Prosthetic Joint Infection After Dental Work: Is the Correct Prophylaxis Being Prescribed? A Systematic Review. Arthroplast Today. 2021;7:69-75.

Kansara T, Pernia M, Kim Y, Saeed M. Rare Occurrence of Prosthetic Knee Septic Arthritis Due to Streptococcus viridans in the Background of a Dental Procedure. Cureus. 2019;11(10):e5980.

Tattevin P, Crémieux AC, Pottier P, Huten D, Carbon C. Prosthetic joint infection: when can prosthesis salvage be considered? Clin Infect Dis. 1999;29(2):292-5.

Gillespie WJ. Prevention and management of infection after total joint replacement. Clin Infect Dis. 1997;25(6):1310-7.

Ip D, Yam SK, Chen CK. Implications of the changing pattern of bacterial infections following total joint replacements. J Orthop Surg (Hong Kong). 2005;13(2):125-30.

Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M et al. Management of septic arthritis: a systematic review. Ann Rheum Dis. 2007;66(4):440-5.

Kaandorp CJE, Van Schaardenburg D, Krijnen P, Habbema JD. Risk factors for septic arthritis in patients with joint disease A Prospective Study. 1995;38(12):18113-25.

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Published

2021-11-25

Issue

Section

Case Reports