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Rat-bite fever as a cause of septic arthritis: a diagnostic dilemma.
  1. R L Rumley,
  2. N A Patrone,
  3. L White
  1. Section of Infectious Diseases, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354.


    Rat-bite fever results from an infection with the organism Streptobacillus moniliformis. Symptomatic patients often present with fever, malaise, cough, maculopapular rash, and occasional arthritis, and usually have a history of rodent exposure. This report describes a patient with rat-bite fever resulting in suppurative arthritis. The patient's diagnosis was made by culture of S moniliformis from his left wrist. The diagnosis was delayed, however, owing to the lack of an exposure history, atypical clinical presentation, and the unusual microbiologic characteristics shown by this organism.

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