Statistics from Altmetric.com
Septic bursitis (SB) mainly affects the olecranon and patellar bursae. Subcutaneous localisation predisposes to trauma and may subsequently lead to infection. Most cases of SB are related to the subject's occupation (roofing, gardening, plumbing), but surgical interventions (aspiration, intrabursal injection) are among other probable causes.1 Bacteria account for most cases, Staphylococcus aureus being the most commonly found (80%).1,2 Fungal isolation is quite rare and always associated with immunosuppresion or debilitating conditions,3 but some species of Candida, Cryptococcus, Penicillium, and Sporothrix schenckii have been described.1 These atypical organisms usually develop in a late indolent pattern, and a delay in diagnosis and treatment may lead to considerable difficulties in eradication of infection. We report a case of SB caused by Candida parapsilosis in a previously healthy man, with no underlying disease or any risk factors, including HIV infection, who probably acquired joint infection at the hospital secondary to local steroid injection.
A 32 year old man with a one month history of mild inflammation of the right elbow presented to our hospital on 19 May 2000. He had an unremarkable past medical history, which did not include any toxic habits or recent trauma. Bursal aspiration showed that the synovial fluid had inflammatory characteristics (leucocyte count 4.9×109 cells/l (54% neutrophils), and a glucose level …
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.