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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eScholarship Publishing, University of California
2021
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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) |
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Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 |
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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 |