Difference between revisions of "Septic bursitis"

(Disposition)
(Text replacement - "==Diagnosis==" to "==Evaluation==")
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*[[Prepatellar bursitis (nonseptic)]]
 
*[[Prepatellar bursitis (nonseptic)]]
  
==Diagnosis==
+
==Evaluation==
 
*Bursal fluid aspiration
 
*Bursal fluid aspiration
 
**Both diagnostic and therapeutic
 
**Both diagnostic and therapeutic

Revision as of 16:42, 25 July 2016

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%)

Differential Diagnosis

Evaluation

  • Bursal fluid aspiration
    • Both diagnostic and therapeutic

Management

Antibiotics

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)

Disposition

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

See Also

References