Rat-bite fever in a child without a bite

Wang, Nelson Y; Osowicki, Joshua

doi:10.1136/archdischild-2020-320327

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Furthermore, reported cases without a bite history were up to 34 %. (6,13,16).Thus, we considered the possibility that she was infected through exposure to contaminated food or water. In a previous report, an outbreak of S. moniliformis blood stream infections was reported at a boarding school and led to the conclusion that it was transmitted through water that had been contaminated by rats (17).…”

Section: Discussionmentioning

confidence: 99%

Streptobacillus moniliformis Bacteremia in a Patient with Reactive Arthritis Without a Bite: A Case Report

Huang¹,

Shan²,

Wang³

et al. 2022

Jundishapur J Microbiol

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Introduction: Clinically, rat bite fever (RBF) is a condition caused by Spirillum minus or Streptobacillus moniliformis infections, following rat or any rodent bite. In the absence of a rat bite, this condition cannot be accurately diagnosed. Here, we report the first case of RBF due to S. moniliformis but without a rat bite in China. Case Presentation: A 77-year-old woman with reactive arthritis was admitted to the hospital due to high fever. Initially, we suspected reactive arthritis with liver function deterioration. However, we isolated a bacterium which was confirmed to be S. moniliformis using Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Subsequently, the patient was given targeted anti-infective treatment, which completely resolved the symptoms. The patient was discharged upon fully recovery. Conclusions: Rat bite fever infection caused by S. moniliformis may occur without actual rodent bite. MALDI-TOF MS may be applied to determine the diagnosis of RBF. Difficulties in pathogen and clinical diagnosis highlight the need for discovering the complete exposure history and a greater understanding of this rare zoonotic infections.

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Section: Discussionmentioning

confidence: 99%

Streptobacillus moniliformis Bacteremia in a Patient with Reactive Arthritis Without a Bite: A Case Report

Huang¹,

Shan²,

Wang³

et al. 2022

Jundishapur J Microbiol

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“…9 However, up to a third of patients do not report a known bite or rodent exposure. 1,10 On average, clinical symptoms develop 3-10 days after initial exposure, but may be delayed up to three weeks later. 3 When illness occurs, patients commonly present with abrupt onset of fever and rigors; the fever may resolve within a few days but ultimately relapses.…”

Section: Discussionmentioning

confidence: 99%

Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report

Edholm

Heyer

Nemetski

2021

Clinical Practice and Cases in Emergency Medicine

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Introduction: Fever and rash is a common pediatric presentation to the emergency department but can present a diagnostic challenge to the clinician. Here we report the successful identification and treatment of a rare zoonotic exanthem that was facilitated by a thorough history and physical exam. Case Report: Rat-bite fever is a potentially fatal systemic illness characterized by relapsing fever, rash, and migratory polyarthralgias. Treatment includes antibiotics for Streptobacillus moniliformis, the most common pathogen, as well as appropriate hygiene education and prevention strategies. We report a case of S. moniliformis in the absence of an actual rodent bite. Conclusion: Due to the generally non-specific presentation of the illness, as well as the growing trend of caring for domestic rodents, it is crucial that clinicians ask details related to zoonotic and other exposures while obtaining medical histories.

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Rat-bite fever in a child without a bite

Cited by 2 publications

References 3 publications

Streptobacillus moniliformis Bacteremia in a Patient with Reactive Arthritis Without a Bite: A Case Report

Streptobacillus moniliformis Bacteremia in a Patient with Reactive Arthritis Without a Bite: A Case Report

Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report

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