Book contents
- Frontmatter
- Contents
- Preface
- Contributors
- Part I Clinical Syndromes – General
- Part II Clinical Syndromes – Head and Neck
- Part III Clinical Syndromes – Eye
- Part IV Clinical Syndromes – Skin and Lymph Nodes
- Part V Clinical Syndromes – Respiratory Tract
- Part VI Clinical Syndromes – Heart and Blood Vessels
- Part VII Clinical Syndromes – Gastrointestinal Tract, Liver, and Abdomen
- Part VIII Clinical Syndromes – Genitourinary Tract
- Part IX Clinical Syndromes – Musculoskeletal System
- 67 Infection of Native and Prosthetic Joints
- 68 Bursitis
- 69 Acute and Chronic Osteomyelitis
- 70 Polyarthritis and Fever
- 71 Infectious Polymyositis
- 72 Psoas Abscess
- Part X Clinical Syndromes – Neurologic System
- Part XI The Susceptible Host
- Part XII HIV
- Part XIII Nosocomial Infection
- Part XIV Infections Related to Surgery and Trauma
- Part XV Prevention of Infection
- Part XVI Travel and Recreation
- Part XVII Bioterrorism
- Part XVIII Specific Organisms – Bacteria
- Part XIX Specific Organisms – Spirochetes
- Part XX Specific Organisms – Mycoplasma and Chlamydia
- Part XXI Specific Organisms – Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific Organisms – Fungi
- Part XXIII Specific Organisms – Viruses
- Part XXIV Specific Organisms – Parasites
- Part XXV Antimicrobial Therapy – General Considerations
- Index
68 - Bursitis
from Part IX - Clinical Syndromes – Musculoskeletal System
Published online by Cambridge University Press: 05 March 2013
- Frontmatter
- Contents
- Preface
- Contributors
- Part I Clinical Syndromes – General
- Part II Clinical Syndromes – Head and Neck
- Part III Clinical Syndromes – Eye
- Part IV Clinical Syndromes – Skin and Lymph Nodes
- Part V Clinical Syndromes – Respiratory Tract
- Part VI Clinical Syndromes – Heart and Blood Vessels
- Part VII Clinical Syndromes – Gastrointestinal Tract, Liver, and Abdomen
- Part VIII Clinical Syndromes – Genitourinary Tract
- Part IX Clinical Syndromes – Musculoskeletal System
- 67 Infection of Native and Prosthetic Joints
- 68 Bursitis
- 69 Acute and Chronic Osteomyelitis
- 70 Polyarthritis and Fever
- 71 Infectious Polymyositis
- 72 Psoas Abscess
- Part X Clinical Syndromes – Neurologic System
- Part XI The Susceptible Host
- Part XII HIV
- Part XIII Nosocomial Infection
- Part XIV Infections Related to Surgery and Trauma
- Part XV Prevention of Infection
- Part XVI Travel and Recreation
- Part XVII Bioterrorism
- Part XVIII Specific Organisms – Bacteria
- Part XIX Specific Organisms – Spirochetes
- Part XX Specific Organisms – Mycoplasma and Chlamydia
- Part XXI Specific Organisms – Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific Organisms – Fungi
- Part XXIII Specific Organisms – Viruses
- Part XXIV Specific Organisms – Parasites
- Part XXV Antimicrobial Therapy – General Considerations
- Index
Summary
Inflammation of bursal sacs, or bursitis, is a common condition. Bursae are fluid-filled sacs that act as cushions between tendons and either bone or skin. There are more than 150 bursae in the human body. Most cases of bursitis involve either the olecranon or the prepatellar bursa, and the majority are related to trauma. About one-third are infected and a few are secondary to inflammation associated with rheumatologic disorders. Trauma can result in both septic and nonseptic bursitis. Septic bursitis can occur as a complication of bacteremia without a history of trauma to the involved area. A common cause of septic bursitis is the injection of medication, often corticosteroids, into a bursa as treatment for nonseptic bursitis. Septic bursitis is less common in the pediatrics patient but does occur and is usually associated with acute trauma such as sports-related injuries.
Septic and nonseptic bursitis of superficial bursae such as at the olecranon and prepatellar sites may present as both red and tender (Figure 68.1). Clinical features, including fever or infection at another site, may help differentiate infected from noninfected. Bursitis of deeper bursae is usually nonseptic, but tuberculous bursitis of the greater trochanter and other sites has occurred. Microorganisms from the skin cause most infectious bursitis. Although Staphylococcus aureus is the most common single microorganism isolated from infected bursa, if introduced any microorganism (hemolytic streptococci or gram-negative bacilli) can infect these spaces.
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- Clinical Infectious Disease , pp. 475 - 478Publisher: Cambridge University PressPrint publication year: 2008