Información del artículo
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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Bibliografía
[1.]
J.J. Canoso.
Musculoskeletal conditions.
Rheumatology in primary care, Saunders, (1997),
[2.]
B. Zimmermann 3rd, D.J. Mikolich, G. Ho Jr.
Septic bursitis.
Semin Arthritis Rheum, 24 (1995), pp. 391-410
[3.]
G. Ho Jr, A.D. Tice, S.R. Kaplan.
Septic bursitis in the prepatellar and olecranon bursae: an analysis of 25 cases.
Ann Intern Med, 89 (1978), pp. 21-27
[4.]
N. Gómez Rodríguez, M.J. Méndez García, J.L. Ferreiro Seoane, et al.
Burstitis infecciosas: estudio de 40 casos de localización prepatelar y olecraneana.
Enferm Infecc Microbiol Clin, 15 (1997), pp. 237-242
[5.]
D.A. Raddatz, G.S. Hoffman, W.A. Franck.
Septic bursitis presentation, treatment and prognosis.
J Rheumatol, 14 (1987), pp. 1160-1163
[6.]
C. García Porrúa, M.A. González Gay, D. Ibáñez, M.J. García-Pais.
The clinical spectrum of severe bursitis in northwestern Spain: a 10 year study.
J Rheumatol, 26 (1999), pp. 663-667
[7.]
J.C. Cea Pereiro, J. García Meijide, A. Mera Varela, J.J. Gómez Reino.
A Comparison between Septic Bursitis caused by Staphylococcus aureus and those caused by other Organism.
Clin Rheumatol, 20 (2001), pp. 10-14
[8.]
E. Ginesty, C. Dromer, D. Galy-Fourcade, J.F. Benazet, V. Marc, L. Zabraniecki, et al.
Iliopsoas bursopathies. A review of twelve cases.
Rev Rhum Engl Ed, 65 (1998), pp. 181-186
[9.]
E.K. Chartash, P.K. Good, E.S. Gould, R.A. Furie.
Septic subdeltoid bursitis.
Semin Artritis Rheum, 22 (1992), pp. 25-29
[10.]
J.J. Canoso, P.R. Sheckman.
Septic subcutaneus bursitis, report of sixteen cases.
J Rheumatol, 6 (1979), pp. 96-102
[11.]
R.A. Roschmann, C.L. Bell.
Septic bursitis in immunocompromised patients.
Am J Med, 83 (1987), pp. 661-665
[12.]
R.J. Enzenauer, J.L. Pluss.
Septic olecranon bursitis in patients with chronic obstructive pulmonary disease.
Am J Med, 100 (1996), pp. 479-480
[13.]
S. Rubayi, J.Z. Montgomerie.
Septic ischial bursitis in patients with spinal cord injury.
Paraplegia, 30 (1992), pp. 200-203
[14.]
R. Greene, R. Kaufman, F.P. Quismorio.
Septic bursitis in systemic lupus erithematosus.
Clinic Rheumatol, 3 (1984), pp. 55-59
[15.]
P. Lambie, R. Kaufman, R. Beardmore.
Septic ischial bursitis in systemic lupus erithematosus presenting as a perirectal mass.
J Rheumatol, 16 (1989), pp. 1497-1499
[16.]
A. Lagana, J.J. Canoso.
Subcutaneous bursitis in scleroderma.
J Rheumatol, 19 (1992), pp. 1586-1590
[17.]
D. Buskila, J. Tenenbaum.
Septic bursitis in human immunodeficiency virus infection.
J Rheumatol, 16 (1989), pp. 1374-1376
[18.]
J. Tehranzadeh, R.R. Ter-Oganeysan, L.S. Steinbach.
Musculoskeletal disorders associated with HIV infection and AIDS. Part I: infectious musculoskeletal conditions.
Skeletal Radiol, 33 (2004), pp. 249-259
[19.]
V.K. Jain, R.V. Cestero, J. Baum.
Septic and aseptic olecranon bursitis in patients on maintenance hemodialysis.
Clin Exp Dial Apheresis, 5 (1981), pp. 405-414
[20.]
J.I. Harwell, D. Fisher.
Pediatric septic bursitis: case reporto of retrocalcaneal infection and review of the literature.
Clin Infect Dis, 15 (2001), pp. E102-E104
[22.]
N. Gómez Rodríguez, J.L. Ferreiro, A. Willisch, R. Muñoz López, E. Formigó, G. González Mediero.
Infecciones osteoarticulares por Streptococcus agalactiae: aportacion de 4 casos.
Enferm Infecc Microbiol Clin, 13 (1995), pp. 99-103
[23.]
D. Portnoy, I. Wink, G.K. Richards.
Bursitis and cellulitis due to penicillin-tolerant group B streptococci.
Can Med Assoc J, 127 (1982), pp. 138-139
[24.]
O. Brocq, L. Euller, E. Petit, G. Ziegler.
First reported case of infection of the suprapatellar bursae of the knee due to Streptococcus pneumoniae.
Arthritis Rheum, 33 (1990), pp. 1063-1064
[25.]
J. Reparaz, F.J. Reparaz.
Bursitis séptica por Streptococcus pneumoniae moderadamente resistente a penicilina.
Enferm Infecc Microbiol Clin, 9 (1991), pp. 585-587
[26.]
C.V. Vartian, E.J. Septimus.
Septic bursitis caused by gram-negative bacilli.
J Infect Dis, 160 (1989), pp. 908-909
[27.]
P.A. Fischer, A. Kopp, E.M. Massarotti.
Anaerobic septic bursitis: case report and review.
Clin Infect Dis, 22 (1996), pp. 879
[28.]
M.J. Rutten, J.C. Van den Berg, F.H. Van den Hoogen, J.A. Lemmens.
Nontuberculous mycobacterial bursitis and arthritis of the shoulder.
Skeletal Radiol, 27 (1998), pp. 33-35
[29.]
N. Schlesinger, B.I. Hoffman.
Fungal bursitis: olecranon bursitis caused by Candida parapsilosis with review of the literature.
J Clin Rheumatol, 1 (1995), pp. 232-235
[30.]
D.L. Smith, J.H. McAfee, L.M. Lucas, K.L. Kumar, D.M. Romney.
Septic and nonseptic olecranon bursitis. Utility of the surface temperature probe in the early differentiation of septic and nonseptic cases.
Arch Intern Med, 149 (1989), pp. 1581-1585
[32.]
G. Ho Jr, A.D. Tice.
Comparison of nonseptic and septic bursitis.
Arch Intern Med, 139 (1979), pp. 1269-1273
[33.]
D.A. Viggiano, J.C. Garret, M.L. Clayton.
Septic artritis presenting as olecranon bursitis in patients with rheumatoid arthritis. A report of three cases.
J Bone Joint Surg, 62A (1980), pp. 1011-1012
[34.]
G. Ho Jr, D.J. Mikolich.
Bacterial infection of the superficial subcutaneous bursae.
Clin Rheum Dis, 12 (1986), pp. 437-457
[35.]
R.W. Strickland, S.J. Vukelja, J.R. Wohlgethan, J.J. Canoso.
Hemorrhagic subcutaneous bursitis.
J Rheumatol, 18 (1991), pp. 112-114
[36.]
G. Ho, J.S. Toder, B. Zimmermann.
An overview of septic arthritis and septic bursitis.
Orthopedics, 7 (1984), pp. 1571-1576
[37.]
R.J. Newman, G.D.W. Curtis, M.P.E. Slack.
Bursal fluid lactate determination and the diagnosis of bursitis.
BMJ, 286 (1983), pp. 2022-2023
[38.]
J.J. Canoso.
Bursal membrane and fluid.
Laboratory diagnostic procedures in the rheumatic diseases, 3rd ed., pp. 55-76
[39.]
M. Saini, J.J. Canoso.
Traumatic olecranon bursitis. Radiologic observations.
Acta Radiologica Diagnosis, 23 (1982), pp. 255-258
[40.]
J.B. Smason.
Post-traumatic fistula connecting prepatellar bursa with knee joint.
J Bone Joint Surg, 54A (1972), pp. 1553-1554
[41.]
R. Master, M.H. Weisman, T.G. Armbuster.
Septic arthritis of the glenohumeral joint. Unique clinical and radiographic features and a favourable outcome.
Arthritis Rheum, 20 (1977), pp. 1500-1506
[42.]
J.D. Macfarlane, S.J. Van der Linden.
Leaking rheumatoid olecranon bursitis as a cause of forearm swelling.
Ann Rheum Dis, 40 (1981), pp. 309-311
[43.]
J.P. Petrie, R.D. Wigley.
Proximal dissection of the olecranon bursa in rheumatoid arthritis.
Rheumatol Int, 4 (1984), pp. 139-140
[44.]
M.G. Soble, A.D. Kaye, R.C. Guay.
Rotator cuff tear: clinical experience with sonographic detection.
Radiology, 173 (1989), pp. 319-321
[45.]
N.J. Bureau, et al.
Ultrasiund of Musculoskeletal Infections.
Semin Musculoeskelet Radiol, 2 (1998), pp. 299-306
[46.]
M. Van Holsbeek, et al.
Sonography of bursae.
Musculoskeletal ultrasound, pp. 91-122
[47.]
J.J. Canoso, M.R. Goldsmith, S.G. Gerzof.
Foucher's sign of the Baker's cyst.
Ann Rheum Dis, 46 (1987), pp. 228-232
[48.]
D.J. Sartoris, Danzig L. Gilula, et al.
Synovial cysts of the hip joint and iliopsoas bursitis: a spectrum of imaging abnormalities.
Skeletal Radiol, 14 (1985), pp. 85-94
[49.]
J.C. Gerster, A. Anderegg.
Ultrasound imaging of achilles tendon.
J Rheumatol [letter], 15 (1988), pp. 382-383
[50.]
J. Beltran.
MR imaging of soft-tissue infection.
Magn Reson Imaging Clin North Am, 3 (1995), pp. 743-751
[51.]
F. Floemer, W.B. Morrison, G. Bongartz, H.P. Ledermann.
MRI characteristics of olecranon bursitis.
AJR Am J Roentgenol, 183 (2004), pp. 29-34
[52.]
F.D. Pien, D. Ching, E. Kim.
Septic bursitis: experience in a community practice.
Orthopedics, 14 (1991), pp. 981-984
[53.]
G. Ho Jr, E.Y. Su.
Antibiotic therapy of septic bursitis. Its implication in the treatment of septic arthritis.
Arthritis Rheum, 24 (1981), pp. 905-911
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