Septic Bursitis

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To the editor: We have read with interest the article on septic bursitis (Ann Intern Med 89:21–27, 1978). Previous anecdotal reports indicated a low incidence of septic bursitis, and most current textbooks reflect this “dogma.” Our recent experience suggests a surprisingly high incidence of infected bursae in patients presenting with acute bursitis.

In the past 2 months we have seen two patients with bursitis (one with prepatellar and one with bilateral olecranon) from which Staphylococcus aureus was cultured. Each case involved trauma to the area but no evidence of skin breakage or fracture. Interestingly, the prepatellar bursitis occurred in a

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