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Septic bursitis
From WikEM
Contents
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
- Cover Staphylococcus aureus Streptococcus (including MRSA)
Outpatient Options
- Clindamycin 300 mg PO three times daily x 10 days
- TMP/SMX 2 DS tabs PO two times daily x 10 days
- Dicloxacillin 500mg q6hr x10 days
Inpatient Options
- Vancomycin 15-20 mg/kg IV BID
- Clindamycin 600 mg IV three times daily
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
Authors
Jordan Swartz, Ross Donaldson, Yos Yachivev, Neil Young, Claire, Daniel Ostermayer
