Cases reported "Rat-Bite Fever"

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1/11. Broad range polymerase chain reaction for diagnosis of rat-bite fever caused by streptobacillus moniliformis.

    An 11-year-old boy presented with fever, vomiting, rash, limping and blisters on his feet after a finger bite by his domestic rat. Although cultures from blood, cerebrospinal fluid and urine remained negative, broad range polymerase chain reaction amplification of a part of the 16S rRNA gene followed by sequencing allowed the detection and identification of streptobacillus moniliformis in blister fluid, thus confirming the suspected clinical diagnosis of rat-bite fever.
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2/11. Rat bite fever in a Greek child.

    Rat bite fever was diagnosed in a 10-year-old boy in a rural area of south-west greece. The clinical presentation was typical for this disease and the relevant causative agent (streptobacillus moniliformis) was isolated from blood cultures of the febrile patient. erythromycin treatment was efficient. Although extremely rare in continental europe, this infection must be taken into account as a potential hazard of a rat bite.
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3/11. Rat bite fever (streptobacillus moniliformis) with septicemia in a child.

    A 5-year-old girl was admitted to hospital with fever, headache and nausea. Her c-reactive protein raised from less than 11 mg/l to 65 mg/l and she developed a maculopapular, petechial rash, especially pronounced on the soles and palms. After incubation for 3 days, streptobacillus moniliformis was found in all blood cultures that had been taken. Some weeks before her admission, the girl had been playing with her grandmother's pet rats, which later had died from an unknown disease. There was no history of rat bite. Her condition improved rapidly after treatment with penicillin and chloramphenicol, and she was discharged from hospital after 10 days without sequelae.
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4/11. Rat bite fever mimicking rheumatoid arthritis.

    We report a case of streptobacillus moniliformis polyarthritis mimicking a rheumatoid arthritis, in a pet shop employee. In culture of fluid joint growth a curious Gram-negative bacillus was identified by polymerase chain reaction as streptobacillus moniliformis. The outcome was good after surgical debridment and rifampin-clindamycin combination during 4 weeks.
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5/11. rat-bite fever.

    A 23-year-old woman presented with fever, arthralgias and a skin rash. She possessed nine pet rats, and denied that she had been bitten. blood culture was positive for streptobacillus moniliformis, which can cause rat-bite fever. The patient fully recovered after treatment with clarithromycin.
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6/11. Rat bite fever caused by streptobacillus moniliformis in a child: human infection and rat carriage diagnosed by PCR.

    A child owning pet rats developed an eruptive fever with blisters, polyarthritis, and spectacular desquamation of the hands. streptobacillus moniliformis was identified after culture of the child's blister fluid and was detected in rat samples by molecular methods. Such detection in the pet of a human victim of rat bite fever has not been reported previously.
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7/11. rat-bite fever septic arthritis: illustrative case and literature review.

    rat-bite fever is a rare zoonotic infection caused by streptobacillus moniliformis or spirillum minus, which is characterised by fever, rash and arthritis. The arthritis has previously been described as non-suppurative and isolation of the organism from synovial fluid as very uncommon. This article reports a case of septic arthritis diagnosed as rat-bite fever when the organism was cultured from synovial fluid and reviews another 15 cases of S. moniliformis septic arthritis reported in the worldwide literature since 1985. Articles were included in this review if S. moniliformis was cultured from synovial fluid. Of the published cases, 88% presented with polyarthritis, affecting small and large joints although two had monoarticular hip sepsis. Fever was present in 88%, rash in 25% and 56% had extra-articular features. synovial fluid analysis revealed high cell counts in all cases (mean 51,000 x 10(9)/l) with a predominance of polymorphonuclear leucocytes, and organisms were found on Gram stain in only 50%. Penicillin was used for treatment in 56% of cases and surgery was required in 30%. All patients recovered. rat-bite fever arthritis can be suppurative and attempts should be made to isolate the organism from synovial fluid. The diagnosis should be considered when there is arthritis and a high synovial fluid cell count but no apparent organism, especially when the patient has had contact with rats.
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8/11. rat-bite fever as a cause of septic arthritis: a diagnostic dilemma.

    rat-bite fever results from an infection with the organism streptobacillus moniliformis. Symptomatic patients often present with fever, malaise, cough, maculopapular rash, and occasional arthritis, and usually have a history of rodent exposure. This report describes a patient with rat-bite fever resulting in suppurative arthritis. The patient's diagnosis was made by culture of S moniliformis from his left wrist. The diagnosis was delayed, however, owing to the lack of an exposure history, atypical clinical presentation, and the unusual microbiologic characteristics shown by this organism.
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9/11. Rat bite fever: report of a fatal case.

    Two days following a rat bite, a 3-month-old boy presented to the ED with a temperature of 40 C and several puncture wounds on his right hand. He died after a fulminating illness. Postmortem examination revealed endocarditis, interstitial pneumonia, hepatic and splenic congestion, and arthritis. blood cultures revealed the presence of streptobacillus moniliformis. Rat bite fever is rare in the united states, occurring most commonly in children and laboratory personnel.
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10/11. Rat bite fever misdiagnosed as rocky mountain spotted fever.

    A patient who had been exposed to ticks and who had also been bitten by a laboratory rat developed fever, headache, and a rash. He was treated with chloramphenicol for rocky mountain spotted fever, and recovered. blood cultures, however, grew streptobacillus moniliformis, a causative agent of rat bite fever. The case report illustrates the clinical similarities between rat bite fever and rocky mountain spotted fever.
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