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Streptobacillus moniliformis right hand abscess and monoarthritis following a rat bite
Silvio Wallemacq1, Mony Hing2, Bhavna Mahadeb2
1Infectious Diseases Department, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Abstract:
Streptobacillus moniliformis is a zoonotic agent associated with rat bites. We present a patient with cellulitis, subcutaneous abscess, and septic mono-arthritis after a rat bite of the right hand. The patient had no systemic features of rat bite fever (RBF). S. moniliformis was cultured from purulent drainage of a thumb abscess. This case illustrates an unusual clinical presentation of streptobacillary infection after a rat bite.
Insights
A rat bite led to cellulitis, abscess, and joint infection from Streptobacillus moniliformis. This case highlights an unusual presentation of this zoonotic bacterial infection, commonly known as rat bite fever.
Area of Science:
- Infectious Diseases
- Microbiology
- Dermatology
Background:
- Streptobacillus moniliformis is a zoonotic bacterium primarily transmitted through rat bites.
- Rat bite fever (RBF) is the typical clinical manifestation, often presenting with fever, rash, and arthralgia.
- Unusual presentations of S. moniliformis infections can occur, posing diagnostic challenges.
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