51. Rat-bite fever: An uncommon cause of fever and rash in a 9-year-old patient
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Faramarz H. Samie, Julianne A. Mann, Francine B. de Abreu, Alison Volpe Holmes, Ladan Davallow Ghajar, Mari Paz Castanedo-Tardan, Sathyaseelan Subramaniam, Gregory J. Tsongalis, Shaofeng Yan, and Allen P. Miraflor
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bp, base pair ,medicine.medical_specialty ,relapsing fever ,Rat-bite fever ,Case Report ,Dermatology ,Disease ,Streptobacillus moniliformis ,PCR, polymerase chain reaction ,medicine ,Maculopapular rash ,Ingestion ,Close contact ,reproductive and urinary physiology ,biology ,urogenital system ,business.industry ,maculopapular rash ,biology.organism_classification ,medicine.disease ,Rash ,Surgery ,rat-bite fever ,RBF, rat-bite fever ,medicine.symptom ,business ,circulatory and respiratory physiology - Abstract
Rat-bite fever (RBF) is most commonly caused by Streptobacillus moniliformis and is usually transmitted by a bite or close contact from a colonized rat. Less often, RBF may be transmitted by ingestion of contaminated food or water.1, 2 The disease is characterized by relapsing fever, migratory polyarthritis, and a rash that often involves the extremities, including the palms and soles.3, 4 The diagnosis of RBF is challenging, as clinical and laboratory findings are nonspecific. We report a case of a 9-year-old girl presenting with intermittent fever and nonspecific symptoms who was ultimately diagnosed with RBF via a novel method.
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