Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report

Introduction: Fever and rash is a common pediatric presentation to the emergency department but can present a diagnostic challenge to the clinician. Here we report the successful identification and treatment of a rare zoonotic exanthem that was facilitated by a thorough history and physical exam. Ca...

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Autores principales:	Anthony Edholm, Marissa Heyer, Sondra M. Nemetski
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/d0250239a7e54c77aa7036bc205cc196
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spelling	oai:doaj.org-article:d0250239a7e54c77aa7036bc205cc1962021-11-23T20:02:52ZRat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report2474-252X10.5811/cpcem.2021.5.51412https://doaj.org/article/d0250239a7e54c77aa7036bc205cc1962021-11-01T00:00:00Zhttps://escholarship.org/uc/item/7fb870drhttps://doaj.org/toc/2474-252XIntroduction: Fever and rash is a common pediatric presentation to the emergency department but can present a diagnostic challenge to the clinician. Here we report the successful identification and treatment of a rare zoonotic exanthem that was facilitated by a thorough history and physical exam. Case Report: Rat-bite fever is a potentially fatal systemic illness characterized by relapsing fever, rash, and migratory polyarthralgias. Treatment includes antibiotics for Streptobacillus moniliformis, the most common pathogen, as well as appropriate hygiene education and prevention strategies. We report a case of S. moniliformis in the absence of an actual rodent bite. Conclusion: Due to the generally non-specific presentation of the illness, as well as the growing trend of caring for domestic rodents, it is crucial that clinicians ask details related to zoonotic and other exposures while obtaining medical histories.Anthony EdholmMarissa HeyerSondra M. NemetskieScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Anthony Edholm Marissa Heyer Sondra M. Nemetski Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report
description	Introduction: Fever and rash is a common pediatric presentation to the emergency department but can present a diagnostic challenge to the clinician. Here we report the successful identification and treatment of a rare zoonotic exanthem that was facilitated by a thorough history and physical exam. Case Report: Rat-bite fever is a potentially fatal systemic illness characterized by relapsing fever, rash, and migratory polyarthralgias. Treatment includes antibiotics for Streptobacillus moniliformis, the most common pathogen, as well as appropriate hygiene education and prevention strategies. We report a case of S. moniliformis in the absence of an actual rodent bite. Conclusion: Due to the generally non-specific presentation of the illness, as well as the growing trend of caring for domestic rodents, it is crucial that clinicians ask details related to zoonotic and other exposures while obtaining medical histories.
format	article
author	Anthony Edholm Marissa Heyer Sondra M. Nemetski
author_facet	Anthony Edholm Marissa Heyer Sondra M. Nemetski
author_sort	Anthony Edholm
title	Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report
title_short	Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report
title_full	Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report
title_fullStr	Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report
title_full_unstemmed	Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report
title_sort	rat-bite fever: a rare diagnosis for a common pediatric presentation: case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/d0250239a7e54c77aa7036bc205cc196
work_keys_str_mv	AT anthonyedholm ratbitefeverararediagnosisforacommonpediatricpresentationcasereport AT marissaheyer ratbitefeverararediagnosisforacommonpediatricpresentationcasereport AT sondramnemetski ratbitefeverararediagnosisforacommonpediatricpresentationcasereport
_version_	1718416122228768768

Rat-bite Fever: A Rare Diagnosis for a Common Pediatric Presentation: Case Report

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