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Septic bursitis in an 8-year-old boy
Journal article   Open access   Peer reviewed

Septic bursitis in an 8-year-old boy

Panagiotis Kratimenos, Ioannis Koutroulis, Dante Marconi, Jennifer Ding, Christos Plakas and Margaret Fisher
Case reports in pediatrics, v 2014, pp 823921-4
2014
PMID: 24955272
url
https://doi.org/10.1155/2014/823921View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Background. The prepatellar bursa can become inflamed owing to repeated trauma. Prepatellar bursitis is extremely rare in children. Methods. We report the case of an 8-year-old boy who was treated for an erythematous, swollen, and severely painful right knee, fever, inability to bear weight on the leg, and purulent material draining from a puncture wound. We describe the differential diagnosis for tender swollen knee, including infection, gout, rheumatoid arthritis, and osteoarthritis. If untreated, prepatellar bursitis can progress to patellar osteomyelitis. Results. Wound cultures grew Streptococcus pyogenes, with the infection resolving with amoxicillin. Conclusions. A high index of suspicion is necessary in children presenting with prepatellar bursitis to prevent potentially devastating sequelae of infection of the septic joint.

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Pediatrics
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