Septic Bursitis

From Anvita Health Wiki

Contents 1 Etiology 2 Clinical-manifestations 3 Laboratory 4 Management 5 More General Terms 6 References

Etiology

• trauma with direct transcutaneous inoculation of superficial bursa
• organisms

• Staphylococcus aureus (80%)
• Streptococcus
• gram negative organisms, fungi & mycobacteria are rarely involved

• predisposing factors

• diabetes mellitus
• alcoholism
• rheumatoid arthritis
• gout

Clinical-manifestations

• involvement of superficial bursae

• prepatellar
• infrapatellar
• olecranon

• pain & localized swelling
• discrete bursal swelling with surrounding cellulitis
• fever
• maximal tenderness over the bursa
• perservation of joint motion

Laboratory

• aspiration of bursal fluid

• gram stain
• culture

• complete blood count ( CBC)

Management

• drainage of bursa

• surgical drainage may be necessary
• if bursal fluid cannot be drained by aspiration
• if the patient is not responding to therapy

• antibiotic therapy

• cefazolin ( Ancef) 0.5-1.5 g IV/ IM 6-8 hr
• cephalexin ( Keflex) 500 mg PO QID
• nafcillin 1-2 g IV every 4 hours
• dicloxacillin 500 mg PO QID

More General Terms

• bursitis
• infection (infectious disease)

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998

septic bursitis