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Colegio de Medicina Interna de México.

2023, Number 5

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Med Int Mex 2023; 39 (5)

Severe sepsis secondary to infection due to Streptobacillus moniliformis

Martínez CHA, Cruz SJB, Morfin HL, Brito MA

Language: Spanish
References: 11
Page: 835-839
PDF size: 241.88 Kb.


ABSTRACT

Background: Rat bite fever is a rare zoonotic disease that can present with a multisystem condition.
Clinical case: A 35-year-old male patient with a history of a rat bite was admitted with signs of frank arthritis and maculopapular rash of the upper and lower limbs with multisystem involvement. Gram staining was performed with gram-negative bacillus and specific culture with growth of Streptobacillus moniliformis, for which treatment with penicillin was initiated, to which the patient responded favorably.
Conclusions: Rat bite fever is a rare disease that clinically presents with joint involvement and various types of rash, which makes clinical suspicion low. The history of a rat bite makes the diagnosis feasible, with a favorable response to the administration of penicillin.


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