Difference between revisions of "Septic bursitis"
| Line 1: | Line 1: | ||
==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