Chronic Septic Bursitis Caused by Dematiaceous Fungi
Elie Gertner, MD, FRCP(C), FACP
Dr. Gertner is Professor of Medicine, University of Minnesota Medical School, and Chief, Section of Rheumatology, Regions Hospital, St. Paul, Minnesota.
Abstract not available. Introduction provided instead.
Septic bursitis is a commonly encountered condition. Because of the location of the olecranon and prepatellar bursae, they are the most frequently affected sites.1 The majority of cases of septic bursitis are due to bacterial pathogens, particularly gram-positive organisms (Staphylococcus aureus and streptococcal species). More recently, reports have appeared in the literature of chronic infectious bursitis caused by fungi and occurring in both immunocompromised and healthy immunocompetent individuals.
We report the first case of chronic, isolated, septic olecranon bursitis caused by Fonsecaea pedrosoi, review 3 other cases of bursitis caused by dematiaceous fungi, and discuss treatment.