Septic Bursitis: Causes, Symptoms, and Treatment of Infected Bursa

Septic Bursitis: Causes, Symptoms, and Treatment of Infected Bursa

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Focused Health Topics
Contributed byAlexander Enabnit+3 moreJan 19, 2024

Introduction:

Septic bursitis is a condition characterized by the inflammation and infection of a bursa, a fluid-filled sac that cushions and reduces friction between tendons, muscles, and bones near joints. This article provides an overview of septic bursitis, discussing its causes, symptoms, diagnosis, and available treatment options to effectively manage and resolve this condition.

Understanding Septic Bursitis:

  • Definition: Septic bursitis occurs when bacteria or other infectious agents invade and infect a bursa, leading to inflammation and fluid accumulation within the sac.
  • Commonly Affected Bursae: Septic bursitis commonly affects bursae located near joints prone to repetitive trauma or pressure, such as the olecranon (elbow), prepatellar (knee), or subacromial (shoulder) bursae.

Causes and Risk Factors:

  • Bacterial Infection: Bacterial infection is the primary cause of septic bursitis, commonly caused by Staphylococcus aureus, although other bacteria can be involved.
  • Puncture or Injury: Bacterial entry into the bursa can occur through direct trauma, puncture wounds, insect bites, or open skin near the bursa.
  • Risk Factors: Certain occupations or activities that involve repetitive joint movements, prolonged pressure or friction on bursae, or compromised immune function can increase the risk of septic bursitis.

Symptoms and Effects:

  • Localized Pain and Swelling: Septic bursitis typically presents with localized pain, tenderness, swelling, and warmth around the affected bursa.
  • Restricted Joint Movement: Inflammation and swelling of the bursa can limit joint movement and cause discomfort during joint flexion or extension.
  • Systemic Symptoms: In severe cases, systemic symptoms such as fever, chills, and malaise may be present.

Diagnosis and Evaluation:

  • Medical History and Physical Examination: A healthcare professional will review the individual's medical history, assess symptoms, and conduct a physical examination to evaluate the affected bursa.
  • Bursa Aspiration and Analysis: Aspiration of fluid from the affected bursa is performed to analyze its characteristics, including cell count, presence of bacteria, and inflammatory markers.

Treatment Options:

  • Bursa Aspiration and Antibiotics: Prompt aspiration of the infected fluid from the bursa helps relieve pain, reduce swelling, and obtain a sample for laboratory analysis. Antibiotic therapy targeting the specific bacteria causing the infection is initiated.
  • Immobilization and Rest: Immobilizing the affected joint with the use of a splint or brace and allowing for adequate rest can promote healing and reduce further irritation.
  • Surgical Drainage: In certain cases, surgical drainage may be necessary to remove large amounts of infected fluid or to facilitate healing if conservative measures are not sufficient.

Rehabilitation and Follow-up:

  • Physical Therapy: After resolution of the infection, physical therapy may be recommended to restore joint function, flexibility, and strength.
  • Follow-up Care: Regular follow-up appointments with a healthcare professional are important to monitor the progress of treatment, assess the response to antibiotics, and address any complications or recurrent infections.

Prevention and Self-Care:

  • Protective Measures: Taking precautions to avoid repetitive trauma or pressure on bursae, such as using padding or cushions, wearing appropriate protective equipment, and practicing proper body mechanics during activities, can help prevent septic bursitis.
  • Prompt Wound Care: Proper wound care, including cleansing, disinfection, and covering of any open skin near bursae, reduces the risk of bacterial entry.
  • Hygiene Practices: Maintaining good hygiene, including regular handwashing and keeping skin clean and dry, can help minimize the risk of bacterial infections.

Conclusion:

Septic bursitis requires early recognition and appropriate treatment to prevent complications and promote healing. Seeking medical attention, obtaining a proper diagnosis, and adhering to prescribed treatments are essential for effectively managing septic bursitis and restoring joint function.

Hashtags: #SepticBursitis #InfectedBursa #JointInfection #BursaInflammation


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Krish Tangella MD, MBA picture
Approved by

Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team
Alexander Enabnit picture
Author

Alexander Enabnit

Senior Editorial Staff
Alexandra Warren picture
Author

Alexandra Warren

Senior Editorial Staff
Sandhya Kumar picture
Author

Sandhya Kumar

Editorial Staff

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