Septic bursitis

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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

  • 80-90% of septic bursitis is caused by S. aureus, with Streptococcus also playing a large role. Tailor antibiotic therapy appropriately.[1]

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

  1. Hanrahan JA. Recent Developments in Septic Bursitis. Curr Infect Dis Rep. (2013) 15: 421 - 425.