CLINICOPATHOLOGICAL STUDY OF FUNGAL BURSITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 47
Abstract
BACKGROUND Bursitis is described as inflammation of a bursa. Bursitis may result from several causes like1,2 direct injury or trauma, prolonged pressure, overuse or strenuous activity, crystal-induced arthropathy, inflammatory arthritis and infection (septic bursitis). The majority of cases of septic bursitis are due to bacterial pathogens. More recently, reports have appeared in the literature of chronic infectious bursitis caused by fungi and occurring in both immunocompromised and healthy immunocompetent individuals.3 MATERIALS AND METHODS This is a descriptive study done from 2009 to 2015 conducted in the Department of Pathology, Government Medical College, Kozhikode. Study sample included retrospective material from 2009 to 2014 and prospective material from 2014 to 2015. The risk factors and clinical findings were assessed. The blocks of all specimens were cut and stained with H&E and fungal stains. RESULTS Out of the 45 cases of bursitis, 10 cases were diagnosed as fungal bursitis. 5 out of 10 cases were Masson-Fontana positive and diagnosed as Phaeohyphomycosis. 90% sustained injuries at the site of fungal bursitis. 70% of the cases with fungal bursitis had diabetes. Fungal bursitis was found to be more prevalent in the olecranon bursa (60%). CONCLUSION This study suggests that fungal bursitis is not a rare entity. The prevalence of fungal bursitis is more in olecranon bursa and in diabetic patients. The most common diagnosis was phaeohyphomycosis.
Authors and Affiliations
Shima Kannadas, Thundiparambil Raghavan Nisha
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