A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_sessionas2a5i4g7odjh4lp67ohcmh3ol56ptvv): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

Clinical characteristics and outcomes of septic bursitis. | LitMetric

Clinical characteristics and outcomes of septic bursitis.

Infection

Division of Rheumatology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Suite 4B, Boston, MA, 02215, USA.

Published: December 2017

Purpose: Limited data guide practice in evaluation and treatment of septic bursitis. We aimed to characterize clinical characteristics, microbiology, and outcomes of patients with septic bursitis stratified by bursal involvement, presence of trauma, and management type.

Methods: We conducted a retrospective cohort study of adult patients admitted to a single center from 1998 to 2015 with culture-proven olecranon and patellar septic bursitis. Baseline characteristics, clinical features, microbial profiles, operative interventions, hospitalization lengths, and 60-day readmission rates were determined. Patients were stratified by bursitis site, presence or absence of trauma, and operative or non-operative management.

Results: Of 44 cases of septic bursitis, patients with olecranon and patellar bursitis were similar with respect to age, male predominance, and frequency of bursal trauma; patients managed operatively were younger (p = 0.05). Clinical features at presentation and comorbidities were similar despite bursitis site, history of trauma, or management. The most common organism isolated from bursal fluid was Staphylococcus aureus. Patients managed operatively were discharged to rehabilitation less frequently (p = 0.04).

Conclusions: This study of septic bursitis is among the largest reported. We were unable to identify presenting clinical features that differentiated patients treated surgically from those treated conservatively. There was no clear relationship between preceding trauma or bursitis site and clinical course, management, or outcomes. Patients with bursitis treated surgically were younger. Additional study is needed to identify patients who would benefit from early surgical intervention for septic bursitis.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s15010-017-1030-3DOI Listing

Publication Analysis

Top Keywords

septic bursitis
28
bursitis
12
clinical features
12
bursitis site
12
patients
9
clinical characteristics
8
outcomes patients
8
trauma management
8
olecranon patellar
8
patients managed
8

Similar Publications

Tuberculosis of the elbow joint: the complexity of diagnosis and treatment-A case report and review of literature.

J Med Case Rep

March 2025

University Center for Orthopaedics, Trauma and Plastic Surgery, Shoulder and Elbow Section, University Hospital Carl Gustav Carus, Fetscherstraße 74, 01307, Dresden, Germany.

Background: Tuberculosis is one of the deadliest diseases worldwide, with an estimated incidence of more than 10 million new cases annually. As part of bone and joint tuberculosis (5-6% of all extrapulmonary tuberculosis cases), elbow tuberculosis is a rare manifestation-especially in the Western world-and is associated with nonspecific symptoms such as swelling, redness, and painful limitation of motion. This often leads to initial misdiagnoses, such as septic arthritis or rheumatoid arthritis, resulting in a significant delay in diagnosis and treatment.

View Article and Find Full Text PDF

Musculoskeletal infections associated with species: a case series.

J Bone Jt Infect

September 2024

Division of Public Health, Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.

: is an uncommon pathogen that has been reported to infect musculoskeletal structures. However, studies are largely limited to case reports, and little is known regarding management and outcomes of these infections. : We performed a multicenter retrospective cohort study of adults with culture-confirmed musculoskeletal infections at three Mayo Clinic centers in Arizona, Florida, and Minnesota from November 2011 through April 2022.

View Article and Find Full Text PDF
Article Synopsis
  • - Non-septic olecranon bursitis (NSOB) is inflammation of the olecranon bursa that usually resolves on its own, while septic olecranon bursitis (SOB) is caused by bacterial infections and presents with serious systemic symptoms needing medical attention.
  • - A case study highlighted a 24-year-old woman with disseminated cryptococcal infection due to bilateral SOB, which is uncommon in healthy individuals; she underwent surgery and received antifungal treatment, leading to positive outcomes.
  • - Infections like SOB from rare pathogens can be tricky to diagnose, especially in immunocompetent patients, making it essential to involve specialists for proper management and to prevent long-term complications.
View Article and Find Full Text PDF

Optimal antibiotics duration following surgical management of septic olecranon bursitis: a 12-year retrospective analysis.

J Bone Jt Infect

March 2024

Division of Public Health, Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.

Article Synopsis
  • The study reviewed charts of 91 adult patients who underwent surgery for septic olecranon bursitis at Mayo Clinic from 2000 to 2022, focusing on antibiotic treatment and outcomes.
  • Most patients (92%) received postoperative antibiotics for a median duration of 21 days, which was linked to a significant reduction in clinical failure rates.
  • Active smokers faced higher odds of treatment failure, especially when antibiotics were not administered, highlighting the need for standardized antibiotic protocols in treating this condition.
View Article and Find Full Text PDF

β-Lactam antibiotics are widely used with increased utilization in hospitalized patients. Of this population, as high as 10-20% report an allergy to β-lactam antibiotics but <5% are at risk of developing clinically significant immunoglobulin E- or T-lymphocyte-mediated reactions. Most of the time, these reported allergies are present during an illness with no previous inquiry of their validity, which makes investigation and possible removal of this allergy label a challenge.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!