Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study

In the United States, rat-bite fever is a rare systemic illness principally caused by Streptobacillus moniliformis, an organism found in the nasopharyngeal flora of rodents. Infection through direct exposure to rat excreta such as saliva, urine, or feces can lead to fever, rash, and an asymmetric mi...

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Main Authors: Adam M. Wegner, Nicole Look, Brian M. Haus
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/2183941
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author Adam M. Wegner
Nicole Look
Brian M. Haus
author_facet Adam M. Wegner
Nicole Look
Brian M. Haus
author_sort Adam M. Wegner
collection DOAJ
description In the United States, rat-bite fever is a rare systemic illness principally caused by Streptobacillus moniliformis, an organism found in the nasopharyngeal flora of rodents. Infection through direct exposure to rat excreta such as saliva, urine, or feces can lead to fever, rash, and an asymmetric migratory polyarthritis. As rodents are becoming more popular as pets, more pediatric cases are being documented. We report a pediatric case of delayed onset septic arthritis in the left wrist and right knee due to S. moniliformis from a rat bite. Previously reported pediatric case studies of suppurative arthritis due to S. moniliformis have only involved the hip. This case study demonstrates the importance of a thorough exposure history and consideration of zoonotic infections as a cause of septic arthritis in a pediatric patient that requires antibiotics and surgical intervention.
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series Case Reports in Orthopedics
spelling doaj-art-2df4f0d2c4644f33a607c461293ab8492025-02-03T05:46:54ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/21839412183941Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case StudyAdam M. Wegner0Nicole Look1Brian M. Haus2University of California Davis Medical Center, Sacramento, CA, USAUniversity of Colorado School of Medicine, Aurora, CO, USAUniversity of California Davis Medical Center, Sacramento, CA, USAIn the United States, rat-bite fever is a rare systemic illness principally caused by Streptobacillus moniliformis, an organism found in the nasopharyngeal flora of rodents. Infection through direct exposure to rat excreta such as saliva, urine, or feces can lead to fever, rash, and an asymmetric migratory polyarthritis. As rodents are becoming more popular as pets, more pediatric cases are being documented. We report a pediatric case of delayed onset septic arthritis in the left wrist and right knee due to S. moniliformis from a rat bite. Previously reported pediatric case studies of suppurative arthritis due to S. moniliformis have only involved the hip. This case study demonstrates the importance of a thorough exposure history and consideration of zoonotic infections as a cause of septic arthritis in a pediatric patient that requires antibiotics and surgical intervention.http://dx.doi.org/10.1155/2017/2183941
spellingShingle Adam M. Wegner
Nicole Look
Brian M. Haus
Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study
Case Reports in Orthopedics
title Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study
title_full Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study
title_fullStr Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study
title_full_unstemmed Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study
title_short Surgical Management of Multijoint Septic Arthritis due to Rat-Bite Fever in a Pediatric Patient: A Case Study
title_sort surgical management of multijoint septic arthritis due to rat bite fever in a pediatric patient a case study
url http://dx.doi.org/10.1155/2017/2183941
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