• Infect Dis Rep · Sep 2018

    Streptobacillus moniliformis mitral valve endocarditis and septic arthritis: the challenges of diagnosing rat-bite fever endocarditis.

    • Daisy Torres-Miranda, Mahdi Moshgriz, and Marc Siegel.
    • Department of Medicine, George Washington University, Medical Faculty Associates, Washington, DC.
    • Infect Dis Rep. 2018 Sep 5; 10 (2): 7731.

    AbstractStreptobacillus moniliformis, the cause of rat-bite fever (RBF) in the United States, has rarely been reported as a cause of infectious endocarditis. In the majority of previously reported cases, the diagnosis was clinically- based in patients with underlying valvular abnormalities in the setting of positive blood culture for Streptobacillus moniliformis. We report a case of native valve endocarditis secondary to Streptobacillus moniliformis in a woman with a mitral valve vegetation but negative blood cultures where the diagnosis was established using molecular diagnostics on the valvular tissue.

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