Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Infectious Myositis of the Jaw Presenting as Trismus of Unknown Origin

  • Kim, Hee-Young (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Chung, Jin-Woo (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University)
  • Received : 2020.11.11
  • Accepted : 2020.12.18
  • Published : 2020.12.30
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Abstract

Infectious myositis, an infection of the skeletal muscles, is a rare condition and potentially life-threatening if not detected and treated in the early stages. This clinical entity may arise from various pathogens, such as bacteria, fungi, parasites, and viruses. A propagation of contiguous infection, penetrating trauma, vascular insufficiency, or hematogenous spreading of microorganisms can cause infectious myositis. Though several cases have been reported in large muscle groups in the lower extremities, there are only a few reports on infectious myositis of the masticatory muscles. We report three cases of infectious myositis presenting jaw pain and trismus. Unlike a common head and neck infection caused by the spreading of odontogenic origin, the early diagnosis of infectious myositis was difficult because no specific lesion suspected to be the infection source was observed in the physical examination and the plain radiographs. Advanced imaging modalities such as computed tomography and magnetic resonance imaging, and laboratory evaluation is useful for the early detection of infectious myositis.

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References

  1. Odell EW. Clinical problem solving in dentistry. 3rd ed. Edinburgh: Churchill Livingstone Elsevier; 2010. pp. 37-41.
  2. Nagaraju K, Gladue HS, Lundberg IE. Inflammatory diseases of muscle and other myopathies. In: Firestein GS, Budd R, Gabriel SE, McInnes IB, O'Dell J, eds. Kelley and Firestein's textbook of rheumatology. 10th ed. Philadelphia: Elsevier; 2017. pp. 1461-1488.
  3. Crum-Cianflone NF. Bacterial, fungal, parasitic, and viral myositis. Clin Microbiol Rev 2008;21:473-494. https://doi.org/10.1128/CMR.00001-08
  4. Crum-Cianflone NF. Infection and musculoskeletal conditions: infectious myositis. Best Pract Res Clin Rheumatol 2006;20:1083-1097. https://doi.org/10.1016/j.berh.2006.08.005
  5. Martin A, Aftab S, Grewal US, Pampiglione T, Bracewell TG, Macerola AE. Infectious myositis of the iliacus muscle: an important differential in the unwell child with a limp. J Case Rep Images Surg 2015;1:17-20.
  6. Chusid MJ, Hill WC, Bevan JA, Sty JR. Proteus pyomyositis of the piriformis muscle in a swimmer. Clin Infect Dis 1998;26:194-195. https://doi.org/10.1086/517062
  7. Schwartzman WA, Lambertus MW, Kennedy CA, Goetz MB. Staphylococcal pyomyositis in patients infected by the human immunodeficiency virus. Am J Med 1991;90:595-600. https://doi.org/10.1016/S0002-9343(05)80011-7
  8. Crum NF. Bacterial pyomyositis in the United States. Am J Med 2004;117:420-428. https://doi.org/10.1016/j.amjmed.2004.03.031
  9. Yonetsu K, Izumi M, Nakamura T. Deep facial infections of odontogenic origin: CT assessment of pathways of space involvement. AJNR Am J Neuroradiol 1998;19:123-128.
  10. Kim KS. Facial pain induced by isolated lateral pterygoid pyomyositis misdiagnosed as trigeminal neuralgia. Muscle Nerve 2013;47:611-612. https://doi.org/10.1002/mus.23635
  11. Miyake H. Beitrage zur kenntnis der sogenannten myositis infectiosa. Mitt Grenzgeb Med Chir 1904;13:155-198.
  12. Altrocchi PH. Spontaneous bacterial myositis. JAMA 1971;217: 819-820. https://doi.org/10.1001/jama.1971.03190060057016
  13. Koutures CG, Savoia M, Pedowitz RA. Staphylococcus aureus thigh pyomyositis in a collegiate swimmer. Clin J Sport Med 2000;10:297-299. https://doi.org/10.1097/00042752-200010000-00013
  14. Kang JH, Huh KH, Kho HS. Non-infectious myositis of the lateral pterygoid muscle: a report of four cases. Int J Oral Maxillofac Surg 2015;44:226-228. https://doi.org/10.1016/j.ijom.2014.09.023
  15. Forner L, Larsen T, Kilian M, Holmstrup P. Incidence of bacteremia after chewing, tooth brushing and scaling in individuals with periodontal inflammation. J Clin Periodontol 2006;33:401-407. https://doi.org/10.1111/j.1600-051X.2006.00924.x
  16. Chiedozi LC. Pyomyositis. Review of 205 cases in 112 patients. Am J Surg 1979;137:255-259. https://doi.org/10.1016/0002-9610(79)90158-2
  17. Heo MS, An BM, Lee SS, Choi SC. Use of advanced imaging modalities for the differential diagnosis of pathoses mimicking temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:630-638. https://doi.org/10.1016/S1079-2104(03)00373-1

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