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  1. The clinical spectrum of severe septic bursitis in northwestern Spain : A 10 year study.

    Article - En anglais


    To assess the clinical and microbiological characteristics of septic bursitis in those cases that required treatment at the hospital during the past 10 years in a northwestern arca of Spain.


    The charts of all patients diagnosed as having septic bursitis at Hospital Xeral-Calde.

    Lugo, Spain, from October 1987 through September 1997 were reviewed based on published criteria and graded according to severity.


    Sixty-nine patients diagnosed with definite and 6 with probable septic bursitis met the criteria for severe septic bursitis.

    Sixty-two were male (82.7%). The mean age at the time of diagnosis was 51 years.

    The most frequently involved sites were olecranon (47%) and prepatellar (44%) bursae.

    Among predisposing factors, the presence of prepatellar bursitis was correlated with a job that involved frequent trauma on the bursae.

    The main clinical and laboratory findings were cellulitis and/or erythema (94.7%), fever (77.3%), and leukocytosis (72%). Noninflammatory synovial fluid (SF,<2.000 leukocytes/mm3) was observed in 4/32 (12.5%) cases.

    Positive SF cultures were obtained in 69 of 75 patients (92%). Staphylococcus aureus was the most common pathogen (84%). Blood cultures were positive in 12 of 62 patients (19.4%). Three patients had osteomyelitis.

    This complication was associated with a longer delay to diagnosis from the onset of symptoms (>3 weeks vs 9.3 ± 13.3 days for the group as a whole). (...)

    Mots-clés Pascal : Bursite, Infection, Staphylococcus aureus, Micrococcaceae, Micrococcales, Bactérie, Exploration bactériologique, Exploration clinique, Hospitalisation, Epidémiologie, Traitement, Homme, Système ostéoarticulaire pathologie, Juxtaarticulaire pathologie, Bactériose

    Mots-clés Pascal anglais : Bursitis, Infection, Staphylococcus aureus, Micrococcaceae, Micrococcales, Bacteria, Bacteriological investigation, Clinical investigation, Hospitalization, Epidemiology, Treatment, Human, Diseases of the osteoarticular system, Juxtaarticular disease, Bacteriosis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0207843

    Code Inist : 002B05B02J. Création : 16/11/1999.