Article information
Resumen
La bursitis séptica es una enfermedad frecuente. Se produce principalmente en las bursas olecraneana y prepatelar, y afecta a varones de media edad. Las principales manifestaciones clínicas son fiebre, tumefacción, celulititis peribursal y afección de la piel que rodea la bursa.
Se han descrito actividades físicas asociadas a una mayor susceptibilidad a padecer bursitis séptica. Staphylococcus aureus es el responsable de hasta el 80% de los casos, y otros gérmenes implicados con menor frecuencia son Staphylococcus epidermidis, Streptococcus agalactie, anaerobios y gramnegativos.
El tratamiento se basa en el uso temprano y apropiado del antibiótico, según el resultado del antibiograma, aspiraciones frecuentes y duración del tratamiento basada en los resultados de los cultivos de las aspiraciones seriadas.
Palabras clave:
Bursitis
Infección
Enfermedades de partes blandas
Abstract
Septic bursitis is a common disease. This infection usually affects subcutaneous localized bursae such the prepatellar and olecranon. Men are affected more frecuently. The main clinical manifestations of bursitis are: tenderness, fever, peribursal cellulitis and skin involvement on the bursa.
Some physical activities are associated with an increased susceptibility to septic bursitis. Staphylococcus aureus is responsible of 80% of cases, other microorganism are Staphylococcus epidermidis, Streptococcus agalactie, gramnegative and anaerobic micoorganism.
A therapeutic approach consiting of prompt and appropiate antibiotic usage, frequent needle drainage, and treatment duration based on the culture results of serial aspirations is effective.
Key words:
Bursitis
Infection
Soft tissue disease
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