Difference between revisions of "Septic bursitis"

(Text replacement - "==Treatment==" to "==Management==")
Line 25: Line 25:
**Suspected joint involvement
**Suspected joint involvement
**Failure to resopnd to course of PO abx
**Failure to resopnd to course of PO antibiotics
==See Also==
==See Also==

Revision as of 01:06, 14 July 2016


  • 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%)

Differential Diagnosis


  • Bursal fluid aspiration
    • Both diagnostic and therapeutic



Cover Staphylococcus aureus (80-90%) and Streptococcus

Outpatient Options

Treatment followup with primary physician is important since the regimen may need extension to 3 weeks.

Inpatient Options

  • Vancomycin 25-30 mg/kg IV loading then 15-20 mg/kg IV OR
  • Clindamycin 600 mg (10/mg/kg) IV three times daily
  • Linezolid 600 mg IV BID (10mg/kg Q8hrs for pediatrics)


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

See Also