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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0207843
Code Inist : 002B05B02J. Création : 16/11/1999.