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BMJ Case Rep. 2015 Dec 23;2015. pii: bcr2015212240. doi: 10.1136/bcr-2015-212240.

Oh rats! Fever, rash and arthritis in a young woman.

Author information

1
Department of Family Medicine, University of Virginia, Charlottesville, Virginia, USA.
2
Department of Family Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.
3
Department of Pediatrics, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.

Abstract

A 17-year-old girl presented with worsening right-sided hip and low back pain for 2 days. She had also experienced intermittent fevers and a recurring maculopapular rash over the past 2 weeks. Social history revealed the presence of three domestic rats living in the girl's home. Blood cultures returned positive for Streptobacillus moniliformis, the causative agent of rat-bite fever. Rat-bite fever often goes undiagnosed, as the clinical presentation is non-specific. Untreated, the infection can result in death due to sepsis or endocarditis. The bacterium is generally susceptible to penicillin antibiotics with full clinical recovery when treated in a timely and appropriate manner. After 4 weeks of intravenous antibiotics, our patient fully recovered without long-term sequelae.

PMID:
26701936
PMCID:
PMC4691878
DOI:
10.1136/bcr-2015-212240
[Indexed for MEDLINE]
Free PMC Article

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