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Ned Tijdschr Geneeskd · Jan 2010
Case Reports[Unexplained fever after exposure to rats: rat bite fever or Haverhill fever].
- Kim P G M Hurkens, Evelien Pijpers, and Coen D A Stehouwer.
- Maastricht University Medical Centre, afd. Algemene Interne Geneeskunde, Maastricht, the Netherlands. k.hurkens@mumc.nl
- Ned Tijdschr Geneeskd. 2010 Jan 1; 154: A1365.
AbstractA 24-year old man presented himself to the emergency ward with complaints of fever, nausea, headache, muscle ache and chest pain. Two weeks before presentation he had been bitten by a pet rat. We determined that he had bacteraemia caused by a Streptobacillus moniliformis infection, which led to the development of an illness called rat bite fever. S. moniliformis is a pleomorphic gram-negative rod-shaped bacterium that is considered part of the normal nasopharyngeal flora in rats. It is the cause of two similar illnesses: rat bite fever and Haverhill fever. Clinicians should consider these infections in the work-up of unexplained fever or sepsis, certainly in the presence of known exposure to rats. Treatment consists of antibiotics.
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