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 | ||
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==Clinical Features== | ==Clinical Features== | ||
*Acute pain, tenderness, warmth, and erythema of affected bursa | *Acute pain, tenderness, warmth, and erythema of affected bursa | ||
Revision as of 11:06, 15 March 2012
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
Disposition
- Consider admission for:
- Extensive purulent bursitis
- Extensive surrounding cellulitis
- Suspected joint involvement
- Immunocompromise
- Failure to resopnd to course of PO abx
Source
- Tintinalli