Septic bursitis

Revision as of 11:06, 15 March 2012 by Jswartz (talk | contribs)

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