A Case of Chronic Infectious Arthritis of the Temporomandibular Joint Associated with Osteomyelitis without Malocclusion

Infectious arthritis of the temporomandibular joint (TMJ) is rare, and previous reports have identified malocclusion resulting from condylar deformity and displacement of the condyle as one of the clinical characteristics of the disease. Here we report the case of a 33-year-old man with chronic infectious arthritis of the TMJ without malocclusion associated with osteomyelitis of the right mandible. Based on radiological findings of more prominent inflammation at the TMJ than in other regions and on the observed efficacy of antibiotic administration, we made a diagnosis of suppurative arthritis of the TMJ. Based on our empirical experience, including the present case, we speculate that refusal to cooperate with medical care may be a factor in the development of infectious arthritis of the TMJ

Batch studies on nitrate removal from potable water

A sulphur / limestone autotrophic denitrification process was used to achieve the biological removal of nitrate from groundwater. The feasibility of the system was evaluated under anaerobic conditions using laboratory-scale batch reactors. The optimum sulphur / limestone ratio was determined to be 1:1 (wt/wt). Different initial nitrate-nitrogen concentrations (94, 57, and 10 mg NO3--N/l) were used during the batch tests to examine nitrate removal efficiencies. The results showed that the higher the initial concentration, the longer it takes before nitrate removal commences. Both total suspended solid (TSS) and mean size of particles increased with time, which may be related to bacterial growth in the system. WaterSA Vol.28(3) 2002: 319-32