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Related Experiment Videos

Septic bursitis: presentation, treatment and prognosis.

D A Raddatz1, G S Hoffman, W A Franck

  • 1Department of Medicine, Mary Imogene Bassett Hospital, Cooperstown, NY 13326.

The Journal of Rheumatology
|December 1, 1987
PubMed
Summary

Septic bursitis commonly affects the olecranon and prepatellar bursae, often caused by Staphylococcus aureus. Treatment may require prolonged management due to slow clinical resolution and frequent complications like cellulitis.

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Dear editor: walter a. Franck, MD.

Orthopedics·2014

Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Dermatology

Background:

  • Septic bursitis is a common joint infection.
  • Previous studies have identified common pathogens and risk factors.

Purpose of the Study:

  • To review septic bursitis episodes.
  • To highlight clinical observations and treatment outcomes.

Main Methods:

  • Retrospective review of 49 septic bursitis episodes in 45 patients.
  • Analysis of involved bursae, pathogens, risk factors, bursal fluid analysis, and treatment responses.

Main Results:

  • Olecranon (63%) and prepatellar (27%) bursae were most affected.
  • Staphylococcus aureus was the most common pathogen (78%).

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  • Skin breakage, trauma, and occupational factors were significant risk factors.
  • Bursal fluid white blood cell (WBC) counts showed wide variation.
  • Many patients did not respond to initial oral antibiotics.
  • Cellulitis (89%) and profound edema (11%) were common.
  • Clinical resolution was slow, averaging over 5 weeks, sometimes up to 20 weeks.

    • Conclusions:

    • Septic bursitis requires careful management due to frequent complications and slow recovery.
    • Clinical presentation includes frequent cellulitis and edema.
    • Treatment may necessitate prolonged antibiotic courses or surgical intervention.
    • Further research into optimal treatment strategies is warranted.