Herring Kenneth, Mathern Seth, Khodaee Morteza
Department of Family Medicine, University of Colorado School of Medicine, 3055 Roslyn Street, Denver, CO 80238, USA.
Case Rep Orthop. 2018 Jun 6;2018:9086201. doi: 10.1155/2018/9086201. eCollection 2018.
Bursitis is a relatively common occurrence that may be caused by traumatic, inflammatory, or infectious processes. Septic bursitis most commonly affects the olecranon and prepatellar bursae. accounts for 80% of all septic bursitis, and most cases affect men and are associated with preceding trauma. We present a case of an 86-year-old female with an atypical septic bursitis involving the infrapatellar bursa. Not only are there very few reported cases of septic infrapatellar bursitis, but also this patient's case is particularly unusual in that she is a female with no preceding trauma who had on aspirate. The case also highlights the diagnostic workup of septic bursitis through imaging modalities and aspiration. This patient had full resolution of her septic bursitis with appropriate IV antibiotics.
滑囊炎是一种相对常见的病症,可能由创伤性、炎症性或感染性过程引起。化脓性滑囊炎最常累及鹰嘴滑囊和髌前滑囊,占所有化脓性滑囊炎的80%,大多数病例发生在男性,且与先前的创伤有关。我们报告一例86岁女性患有非典型化脓性髌下滑囊炎。不仅化脓性髌下滑囊炎的报道病例极少,而且该患者的情况尤为特殊,她是一名女性,无先前创伤史,抽吸物培养呈阳性。该病例还强调了通过影像学检查和抽吸对化脓性滑囊炎进行诊断性检查的过程。该患者通过适当的静脉抗生素治疗,化脓性滑囊炎完全治愈。