ArticleInternal medicine (Tokyo, Japan)2018
Rat Bite Fever Caused by Streptobacillus moniliformis in a Cirrhotic Patient Initially Presenting with Various Systemic Features Resembling Henoch-Schönlein Purpura.
Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 7 citations in OpenAlex.
- [New awareness for zoonoses using the example of rat bite fever : Case report and literature review].Innere Medizin (Heidelberg, Germany) · 2024Review
- Rat-Bite Fever due to the genusAIMS microbiology · 2024Review
- Rat bite fever mimicking ANCA-associated vasculitis.Rheumatology international · 2023Review
- Rat-Bite Fever in a 34-Year-Old Female.Cureus · 2023Article
- Rat bite fever caused by Streptobacillus moniliformis infection in a Chinese patient.BMC infectious diseases · 2019Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
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Abstract
We herein report the case of a 61-year-old Japanese cirrhotic patient who developed rat bite fever (RBF) and whose first presentation was serious clinical features mimicking those of Henoch-Schönlein purpura (HSP). In addition to the critical clinical conditions, since the histopathology from purpuric skin eruptions was not inconsistent with that of HSP, therapy with prednisolone was promptly started in order to prevent his death. However, initial blood culture on admission yielded a small and slow-growing bacterial growth, which was gradually revealed by further subculture to be a peculiar bacterium, Streptobacillus moniliformis, leading to a definitive diagnosis of RBF. After the immediate cessation of prednisolone, the patient was treated with a more appropriate antibiotic and consequently made a full recovery. An immunocompromised condition with seriously decompensated liver cirrhosis together with moderately severe chronic kidney disease (CKD) in this patient probably exacerbated the severity of the disease.
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