Septic Bursitis in an 8-Year-Old Boy. (13th May 2014)

• Record Type: Journal Article
• Authors: Kratimenos, Panagiotis; Koutroulis, Ioannis; Marconi, Dante; Ding, Jennifer; Plakas, Christos; Fisher, Margaret
• Other Names: Chiu Nan-Chang Academic Editor.
• Is Part Of: Case reports in pediatrics. Volume 2014(2014)
• Publication Date: 2014-05-13
• Subjects: Pediatrics -- Periodicals; Pediatrics; Pediatrics; Electronic journals; Periodicals; Case Reports; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 618.92
• DOI: 10.1155/2014/823921
• Languages: English
• ISSNs: 2090-6803

Abstract

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.