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Rat bite fever without fever.

P Stehle1, O Dubuis, A So

  • 1Department of Rheumatology, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland.

Annals of the Rheumatic Diseases
|August 19, 2003
PubMed
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Rat bite fever, a bacterial illness from rat bites, typically presents with fever and rash. Early diagnosis is crucial for effective treatment, even when classic symptoms are absent.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Clinical Medicine

Background:

  • Rat bite fever (RBF) is an acute febrile bacterial illness caused by Streptobacillus moniliformis or Spirillum minus.
  • It is typically transmitted through the bite of an infected rat.

Observation:

  • Classic RBF symptoms include abrupt fever, rigors, myalgias, headache, and a generalized maculopapular petechial rash.
  • Polyarthritis affects up to 50% of patients.
  • Diagnosis can be challenging when fever or rash are absent.

Findings:

  • This case highlights diagnostic difficulties in atypical RBF presentations.
  • High clinical awareness is essential for accurate diagnosis.

Implications:

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  • Prompt diagnosis of RBF is critical due to its potentially lethal nature.
  • RBF is treatable with appropriate antimicrobial therapy.