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A rare cause of vertebral osteomyelitis: the first case report of rat-bite fever in Portugal

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Abstract Rat-bite fever is a rarely diagnosed illness caused by Streptobacillus moniliformis. Although this disease is distributed worldwide, there have been few cases reported in Europe. Here, we report a… Click to show full abstract

Abstract Rat-bite fever is a rarely diagnosed illness caused by Streptobacillus moniliformis. Although this disease is distributed worldwide, there have been few cases reported in Europe. Here, we report a case of vertebral osteomyelitis and sternoclavicular septic arthritis caused by S. moniliformis in a Portuguese patient previously bitten by a rat. Laboratory diagnosis was performed using molecular identification. This is the first case report of rat-bite fever in Portugal. The case described here serves as a reminder for physicians to consider this diagnosis in patients who have developed fever syndromes after being in contact with rodents.

Keywords: vertebral osteomyelitis; case; first case; report; rat bite; bite fever

Journal Title: Revista da Sociedade Brasileira de Medicina Tropical
Year Published: 2019

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