Septic bursitis: Difference between revisions
m (Rossdonaldson1 moved page Septic Bursitis to Septic bursitis) |
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*Bursal fluid aspiration | *Bursal fluid aspiration | ||
**Both diagnostic and therapeutic | **Both diagnostic and therapeutic | ||
==Differential Diagnosis== | |||
*[[Olecranon bursitis (nonseptic)]] | |||
*[[Prepatellar bursitis (nonseptic)]] | |||
==Treatment== | ==Treatment== | ||
Revision as of 18:11, 29 September 2014
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
Differential Diagnosis
Treatment
- Antibiotics
- Cover staph/strep (including MRSA)
- Clindamycin 300mg TID x10d OR dicloxacillin 500mg q6hr x10d
- Drainage
- Incision and Drainage vs. serial needle drainage
Disposition
- Consider admission for:
- Extensive purulent bursitis
- Extensive surrounding cellulitis
- Suspected joint involvement
- Immunocompromise
- Failure to resopnd to course of PO abx
See Also
Source
- Tintinalli