An intriguing case of locked jaw secondary to melioidosis

Tejasvini Vaid, Karthik Rao, Handattu Manjunath Hande

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 56-year-old woman presented with fever, pain and restriction of movement of the right temporomandibular joint. She was premorbidly diagnosed to have type 2 diabetes mellitus and rheumatoid arthritis. Local examination revealed a poorly demarcated severely tender, erythematous swelling in the right preauricular region. All haematological and biochemical investigations were within normal limits. MRI of the neck revealed the presence of a masticator space infection with intramuscular abscess involving the masseter and the temporalis muscles along with intracranial extension. Osteomyelitic changes were detected in the right mandibular condyle, temporal bone and in the temporomandibular joint. Melioidosis was suspected due to this unique clinical presentation of an abscess at an unusual and atypical site. Blood cultures identified the Gram-negative bacilli Burkholderia pseudomallei, which established the diagnosis of Melioidosis. Remarkable improvement was attained with antibiotics meropenem and cotrimoxazole, deferring the need for any surgical intervention.

Original languageEnglish
Article number213060
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 01-12-2015

Fingerprint

Melioidosis
meropenem
Temporomandibular Joint
Jaw
Abscess
Burkholderia pseudomallei
Mandibular Condyle
Masseter Muscle
Temporal Bone
Sulfamethoxazole Drug Combination Trimethoprim
Type 2 Diabetes Mellitus
Bacillus
Rheumatoid Arthritis
Fever
Neck
Anti-Bacterial Agents
Pain
Infection
Blood Culture

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Vaid, Tejasvini ; Rao, Karthik ; Hande, Handattu Manjunath. / An intriguing case of locked jaw secondary to melioidosis. In: BMJ Case Reports. 2015 ; Vol. 2015.
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An intriguing case of locked jaw secondary to melioidosis. / Vaid, Tejasvini; Rao, Karthik; Hande, Handattu Manjunath.

In: BMJ Case Reports, Vol. 2015, 213060, 01.12.2015.

Research output: Contribution to journalArticle

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