[Pet-rat bite fever and septic arthritis: molecular identification of Streptobacillus moniliformis]

S Mignard1, B Aubry-Rozier, M de Montclos

  • 1Laboratoire de bactériologie, centre hospitalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France. sophie.mignard@chu-lyon.fr

Insights

Pet rat bites can cause a rare illness called rat bite fever. A case of septic arthritis caused by Streptobacillus moniliformis was successfully treated with amoxicillin.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Rheumatology

Background:

  • Pet rat ownership is common, but rat bite fever remains a rare zoonotic disease.
  • Septic arthritis is a serious joint infection that requires prompt diagnosis and treatment.

Observation:

  • A case of septic arthritis following a pet rat bite is presented.
  • Streptobacillus moniliformis was identified in the patient's knee synovial fluid.

Findings:

  • 16S rRNA sequencing proved to be a rapid and efficient method for identifying the fastidious bacterium.
  • The patient achieved a full recovery following amoxicillin treatment.

Implications:

  • This case highlights the importance of considering rat bite fever in patients with septic arthritis after rat exposure.
  • 16S rRNA sequencing is a valuable diagnostic tool for identifying unusual bacterial pathogens.
  • Amoxicillin is an effective treatment for Streptobacillus moniliformis infections.

Related Concept Videos

Bacterial Phylum Spirochaetes01:30

Bacterial Phylum Spirochaetes

Spirochetes, unique bacteria in the phylum Spirochaetes, are gram-negative, motile, tightly coiled, slender, and flexible. They inhabit aquatic sediments and animals, with some causing diseases like syphilis. Spirochetes are classified into eight genera based on habitat, pathogenicity, phylogeny, and characteristics.Their distinctive motility arises from endoflagella, located within the cell’s periplasm. These endoflagella anchor at the cell poles and extend along the cell length, encased by a...
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Rapid Identification of Pathogens01:25

Rapid Identification of Pathogens

MALDI-TOF MS has transformed clinical microbiology by offering a rapid and reliable method for pathogen identification. The traditional approach to microbial identification typically involves time-consuming culture techniques and biochemical tests, which can delay the initiation of appropriate antimicrobial therapy. MALDI-TOF MS avoids these delays by using characteristic ribosomal protein mass patterns of microbial cells, enabling accurate species-level identification within minutes.Principle...