Department of Medicine, Division of Infectious Disease, MetroHealth Medical Center, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH, 44109, USA,
Curr Infect Dis Rep. 2013 Oct;15(5):421-5. doi: 10.1007/s11908-013-0353-1.
Septic bursitis is a disease that can be difficult to distinguish from aseptic bursitis. There are no definitive treatment guidelines. The optimal duration of antibiotic therapy is not defined. Most of the cases are due to infection with Staphylococcus aureus, although many other pathogens can also cause this infection. The optimal management includes early recognition and prompt initiation of appropriate antibiotic therapy. Surgical management may be necessary, and complications can arise from open procedures. Endoscopic bursectomy may be considered for patients requiring surgical debridement. This approach may lead to decreased morbidity in those requiring surgical intervention.
化脓性滑囊炎是一种难以与无菌性滑囊炎区分的疾病。目前没有明确的治疗指南。抗生素治疗的最佳持续时间尚未确定。大多数病例是由金黄色葡萄球菌感染引起的,尽管许多其他病原体也可引起这种感染。最佳治疗方案包括早期识别和及时开始适当的抗生素治疗。可能需要手术治疗,开放性手术可能会引起并发症。对于需要手术清创的患者,可以考虑内镜滑囊切除术。这种方法可能会降低需要手术干预的患者的发病率。