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Rat-bite fever in a child without a bite

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A previously well, fully immunised 8-year-old boy was admitted to a tertiary paediatric hospital with a 5-day history of fever, papular rash and migratory arthralgia affecting his left wrist, right… Click to show full abstract

A previously well, fully immunised 8-year-old boy was admitted to a tertiary paediatric hospital with a 5-day history of fever, papular rash and migratory arthralgia affecting his left wrist, right shoulder and both ankles. By day 6 of the illness, a petechial rash with scattered flat grey vesicles was apparent on the hands and feet, including palms and soles, without mucosal involvement (figure 1). On initial blood tests, he had a …

Keywords: fever child; fever; bite; child without; rat bite; bite fever

Journal Title: Archives of Disease in Childhood
Year Published: 2020

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