<i>Streptobacillus moniliformis</i> Bacteremia in a Patient with Reactive Arthritis Without a Bite: A Case Report
| Author | Junwei Huang | en |
| Author | Xiaoyun Shan | en |
| Author | Liuqing Wang | en |
| Author | Xuelian Hong | en |
| Author | Yijun Zhu | en |
| Author | Yongjun Ma | en |
| Orcid | Junwei Huang [0000-0003-2005-0630] | en |
| Orcid | Xiaoyun Shan [0000-0001-6239-4664] | en |
| Orcid | Liuqing Wang [0000-0002-1201-7905] | en |
| Orcid | Xuelian Hong [0000-0002-5208-9882] | en |
| Orcid | Yijun Zhu [0000-0001-9585-1235] | en |
| Orcid | Yongjun Ma [0000-0001-9165-7371] | en |
| Issued Date | 2022-05-31 | en |
| Abstract | Introduction: Clinically, rat bite fever (RBF) is a condition caused by Spirillum minus or Streptobacillus moniliformis infections, following rat or any rodent bite. In the absence of a rat bite, this condition cannot be accurately diagnosed. Here, we report the first case of RBF due to S. moniliformis but without a rat bite in China. Case Presentation: A 77-year-old woman with reactive arthritis was admitted to the hospital due to high fever. Initially, we suspected reactive arthritis with liver function deterioration. However, we isolated a bacterium which was confirmed to be S. moniliformis using Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Subsequently, the patient was given targeted anti-infective treatment, which completely resolved the symptoms. The patient was discharged upon fully recovery. Conclusions: Rat bite fever infection caused by S. moniliformis may occur without actual rodent bite. MALDI-TOF MS may be applied to determine the diagnosis of RBF. Difficulties in pathogen and clinical diagnosis highlight the need for discovering the complete exposure history and a greater understanding of this rare zoonotic infections. | en |
| DOI | https://doi.org/10.5812/jjm-126419 | en |
| Keyword | <i>Streptobacillus moniliformis</i> | en |
| Keyword | Reactive Arthritis | en |
| Keyword | Bacteremia | en |
| Keyword | Rat Bite Fever | en |
| Publisher | Brieflands | en |
| Title | <i>Streptobacillus moniliformis</i> Bacteremia in a Patient with Reactive Arthritis Without a Bite: A Case Report | en |
| Type | Case Report | en |