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Rat Bite Fever: It's Still a Threat.

Alexander J Bergeson¹, Kyler A Hardie², Robert E Van Demark¹

¹Sanford School of Medicine (SSOM), University of South Dakota, Vermillion, SD.

Journal of Hand Surgery Global Online

|January 19, 2026

Summary

This summary is machine-generated.

Streptobacillus moniliformis, a common rodent bacterium, can cause rat bite fever. This case highlights a rare instance of septic arthritis in a finger joint, confirmed by joint fluid cultures after initial antibiotic treatment failed.

Area of Science:

Infectious Diseases
Bacteriology
Rheumatology

Background:

Streptobacillus moniliformis is a normal inhabitant of rodent respiratory tracts.

Keywords:

Haverhill fever Rat bite Sodoku Spirillum minus Streptobacillus moniliformis

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It is the primary cause of rat bite fever in North America.

Joint involvement in rat bite fever typically presents as migratory polyarthralgia, often with negative joint cultures.