TY - JOUR T1 - COmparison of nonseptic and septic bursitis further observations on the treatment of septic bursitis AU - Ho G, Jr, Tice AD Y1 - 1979/11/01 N1 - 10.1001/archinte.1979.03630480051017 JO - Archives of Internal Medicine SP - 1269 EP - 1273 VL - 139 IS - 11 N2 - Of 30 cases of olecranon and prepatellar bursitis, ten were septic. Fever, tenderness, peribursal cellulitis, and skin involvement over the bursa were more common in the septic cases. A high leukocyte count, low bursal-to-serum glucose ratio, and positive Gram-stained smear of the bursal fluid distinguished septic from nonseptic bursitis. Rheumatoid arthritis and gout may be accompanied by nonseptic bursitis. Septic bursitis may be associated with a sympathetic sterile effusion in a neighboring joint or adjacent fascial space. The duration of antibiotic treatment necessary to sterilize bursal fluid was proportional to the length of time infection had been present. A prospective antibiotic program disclosed an average of 12 days for successful therapy. A bactericidal agent against penicillin-resistant Staphylococcus aureus is the drug of choice.(Arch Intern Med 139:1269-1273, 1979) SN - 0003-9926 M3 - doi: 10.1001/archinte.1979.03630480051017 UR - http://dx.doi.org/10.1001/archinte.1979.03630480051017 ER -