Bursitis may arise from non‐infectious and infectious aetiologies. Clinically, distinguishing one from the other can be challenging. Aseptic retrocalcaneal bursitis is a common disorder among athletes and physically active people. In contrast, infectious (septic) bursitis, although a common diagnosis in the olecranon and prepatellar bursa, has rarely been reported in the retrocalcaneal bursa.

Case presentation:

Here, we present an unusual case of retrocalcaneal septic bursitis as a complication of a delayed‐healing heel wound in a patient with underlying calcific insertional Achilles tendinopathy and aseptic retrocalcaneal bursitis.


Physicians should be aware of this clinical entity as a possible complication of a heel wound and initiate appropriate management if an infectious process is suspected.


Article metrics loading...

Loading full text...

Full text loading...



  1. Abdelwahab I.F., Klein M.J., Hermann G., Abdul‐Quader M.. ( 2005;). Focal tuberculous osteomyelitis of the calcaneus secondary to direct extension from an infected retrocalcaneal bursa. J Am Podiatr Med Assoc95:285–290[CrossRef]
    [Google Scholar]
  2. Hanrahan J.A.. ( 2013;). Recent developments in septic bursitis. Curr Infect Dis Rep15:421–425[CrossRef]
    [Google Scholar]
  3. Harwell J.I., Fisher D.. ( 2001;). Pediatric septic bursitis: case report of retrocalcaneal infection and review of the literature. Clin Infect Dis32:E102–E104[CrossRef]
    [Google Scholar]
  4. Kondreddi V., Gopal R.K., Yalamanchili R.K.. ( 2012;). Outcome of endoscopic decompression of retrocalcaneal bursitis. Indian J Orthop46:659–663[CrossRef]
    [Google Scholar]
  5. Perez C., Huttner A., Assal M., Bernard L., Lew D., Hoffmeyer P., Uçkay I.. ( 2010;). Infectious olecranon and patellar bursitis: short‐course adjuvant antibiotic therapy is not a risk factor for recurrence in adult hospitalized patients. J Antimicrob Chemother65:1008–1014[CrossRef]
    [Google Scholar]
  6. Samuel S., Boopalan P.R., Alexander M., Ismavel R., Varghese V.D., Mathai T.. ( 2011;). Tuberculosis of and around the ankle. J Foot Ankle Surg50:466–472[CrossRef]
    [Google Scholar]
  7. Small L.N., Ross J.J.. ( 2005;). Suppurative tenosynovitis and septic bursitis. Infect Dis Clin North Am19:991–1005[CrossRef]
    [Google Scholar]
  8. Soderquist B., Hedstrom S.A.. ( 1986;). Predisposing factors, bacteriology and antibiotic therapy in 35 cases of septic bursitis. Scand J Infect Dis18:305–311[CrossRef]
    [Google Scholar]
  9. van Dijk C.N., van Sterkenburg M.N., Wiegerinck J.I., Karlsson J., Maffulli N.. ( 2011;). Terminology for Achilles tendon related disorders. Knee Surg Sports Traumatol Arthrosc19:835–841[CrossRef]
    [Google Scholar]

Data & Media loading...

Most cited this month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error