Difference between revisions of "Septic bursitis"

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==Background==
 
==Background==
 
*Most common sites are prepatellar bursa and olecranon bursa
 
*Most common sites are prepatellar bursa and olecranon bursa
 
+
*Nonseptic bursitis
 
==Clinical Features==
 
==Clinical Features==
 
*Acute pain, tenderness, warmth, and erythema of affected bursa
 
*Acute pain, tenderness, warmth, and erythema of affected bursa
 +
**None of which is seen in aseptic bursitis
 
*Fever (<50%)
 
*Fever (<50%)
  

Revision as of 21:09, 27 February 2012

Background

  • Most common sites are prepatellar bursa and olecranon bursa
  • Nonseptic bursitis

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

Disposition

  • Consider admission for:
    • Extensive purulent bursitis
    • Extensive surrounding cellulitis
    • Suspected joint involvement
    • Immunocompromise
    • Failure to resopnd to course of PO abx

Source

  • Tintinalli