Streptobacillus moniliformis bacteremia in a rheumatoid arthritis patient without a rat bite: a case report.

ABSTRACT:

Background

Rat bite fever is a relatively rare infectious disease due to infection with Streptobacillus moniliformis or Spirillum minus mainly via directs bite by rats, mice, or other rodents. If there is no clear bite history, the diagnosis is difficult or may not be made.

Case presentation

A 72-year-old Asian female with rheumatoid arthritis was admitted for high grade fever and walking difficulty with severe lumbago. Initially, we suspected lumber compression fracture with deterioration of rheumatoid arthritis, but Gram-negative bacilli were isolated from blood culture during hospitalization. The isolated organism was identified as S. moniliformis by 16S ribosomal ribonucleic acid (rRNA) sequencing. S. moniliformis is well known to be a primary causative organism of rat b

SUBMITTER: Nei T 

PROVIDER: S-EPMC4653872 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature