Difference between revisions of "Septic bursitis"
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**Immunocompromise | **Immunocompromise | ||
**Failure to resopnd to course of PO abx | **Failure to resopnd to course of PO abx | ||
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| + | ==See Also== | ||
| + | *[[Bursitis]] | ||
==Source== | ==Source== | ||
Revision as of 02:38, 25 May 2014
Background
- Most common sites are prepatellar bursa and olecranon bursa
Clinical Features
- Acute pain, tenderness, warmth, and erythema of affected bursa
- None of which is seen in aseptic bursitis
- Fever (<50%)
Diagnosis
- Bursal fluid aspiration
- Both diagnostic and therapeutic
Treatment
- Antibiotics
- Cover staph/strep (including MRSA)
- Clindamycin 300mg TID x10d OR dicloxacillin 500mg q6hr x10d
- Drainage
- Incision and Drainage vs. serial needle drainage
Disposition
- Consider admission for:
- Extensive purulent bursitis
- Extensive surrounding cellulitis
- Suspected joint involvement
- Immunocompromise
- Failure to resopnd to course of PO abx
See Also
Source
- Tintinalli