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Published on: June 4, 2012

Septic arthritis and concern for osteomyelitis in a child with rat bite fever

Dustin D Flannery1, Ibukunoluwa Akinboyo, Jennifer M Ty

  • 1Alfred I duPont Hospital for Children, Wilmington, Delaware, USA. vtdus10@gmail.com

Journal of Clinical Microbiology
|April 5, 2013
PubMed

Insights

Rat bite fever, a rare infection from Streptobacillus moniliformis, can lead to serious joint and bone issues. This case highlights septic arthritis and osteomyelitis in a child following a rat bite.

Area of Science:

  • Infectious Diseases
  • Pediatric Orthopedics
  • Microbiology

Background:

  • Rat bite fever is an uncommon zoonotic infection.
  • Streptobacillus moniliformis is the typical causative agent.
  • Sequelae can include systemic complications.

Observation:

  • A pediatric case of rat bite fever is presented.
  • The patient developed septic arthritis.
  • Possible osteomyelitis was also observed.

Findings:

  • The case illustrates a rare presentation of Streptobacillus moniliformis infection.
  • Septic arthritis and osteomyelitis are significant potential complications.
  • Early recognition and treatment are crucial.

Implications:

  • This case underscores the importance of considering rat bite fever in pediatric patients with joint and bone infections.
  • Highlights the need for awareness among healthcare providers regarding zoonotic disease transmission.
  • Informs diagnostic and management strategies for similar pediatric cases.

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