- Most common sites are prepatellar bursa and olecranon bursa
- Acute pain, tenderness, warmth, and erythema of affected bursa
- None of which is seen in aseptic bursitis
- Fever (<50%)
- Bursal fluid aspiration
- Both diagnostic and therapeutic
- 80-90% of septic bursitis is caused by S. aureus, with Streptococcus also playing a large role. Tailor antibiotic therapy appropriately.
- Consider admission for:
- Extensive purulent bursitis
- Extensive surrounding cellulitis
- Suspected joint involvement
- Failure to resopnd to course of PO antibiotics
- Hanrahan JA. Recent Developments in Septic Bursitis. Curr Infect Dis Rep. (2013) 15: 421 - 425.