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Case Reports
. 2023 Oct 31:34:e01923.
doi: 10.1016/j.idcr.2023.e01923. eCollection 2023.

Rat bite fever caused by Streptobacillus notomytis mimicking pyogenic polyarthritis: A case report

Nantaporn Pirogard  1 , Emvalee Arromdee  2 , Sorranart Muangsomboon  3 , Pinyo Rattanaumpawan  1
Affiliations
Case Reports

Rat bite fever caused by Streptobacillus notomytis mimicking pyogenic polyarthritis: A case report

Nantaporn Pirogard et al. IDCases. .

Abstract

We report the world's sixth case of rat bite fever caused by Streptobacillus notomytis that mimicked pyogenic polyarthritis and required surgical debridement in combination with prolonged antibiotic therapy. This case report highlights the higher severity of rat bite fever caused by S. notomytis compared to S. moniliformis.

Keywords: Arthritis; Rat bite fever; Streptobacillus notomytis; Zoonosis.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
(A) Non-pruritic maculopapular rashes in the right ankle; (B) Ultrasound of the right knee on day 19 of fever showing bursal effusion along the lateral aspect of the suprapatellar bursa, measured approximately 7.1 × 3.1 × 6.5 cm, with some internal septation, heterogeneous echoic content and surrounding synovial thickening; (C, D) H&E staining revealing acute synovitis with presence of fibrinopurulent exudate, absence of crystal deposition or granuloma.
See this image and copyright information in PMC

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