Septic Bursitis

Question 1

What is septic bursitis?

Answer 1

Infection of the bursa

Question 2

What areas does septic bursitis affect?

Answer 2

Affects superficial > than deep

• Olecranon
• Prepatellar
• Infrapatellar
• 1st MTP

Question 3

What is the cause of septic bursitis?

Answer 3

Trauma to the skin

Question 4

What is the patho of septic bursitis?

Answer 4

Direct inoculation through the skin

- Rarely from cellulitis or hematogenous seeding

Question 5

What is the clinical presentaion of septic bursitis?

Answer 5

Redness
Warmth
Swelling
Typically don’t see ROM restriction

Question 6

What is used to diagnosse septic bursitis?

Answer 6

X ray
- R/O

Aspiration
- Acute vs Chronic

Question 7

What are important facts about acute aspiration of septic bursitis?

Answer 7

80%- S. aureus

β-hemolytic strep

Aerobic G(-) bacilli:

• E.coli
• C. jejuni
• Pseudomonas

Question 8

What are important facts about chronic aspiration of septic bursitis?

Answer 8

• *Think systemic infection**
• B. abortus
• M. tuberculosis
• Fungus

Question 9

What is the outpatient treatment of septic arthritis?

Answer 9

Antibiotics

• Penicillin or 1st generation cephalosporin
• MRSA add- tri/sulfa

PCN allergy
- Clindamycin or linezolid

Question 10

What is the inpatient treatment of septic arthritis?

Answer 10

IV

• Nafcillin
• Oxacillin
• Cefazolin

MRSA

• Add Vancomycin
• Daptomycin
• Linezolid