Open AccessRethinking dogma: an Asian case report of streptobacillary rat-bite fever
Author(s) -
D. Chia,
Rama Narayana Deepak,
Gabrielle Isabelle Slapak
Publication year - 2014
Publication title -
asian pacific journal of tropical disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.208
H-Index - 33
ISSN - 2222-1808
DOI - 10.1016/s2222-1808(14)60747-7
Subject(s) - antibiotics , disease , medicine , intensive care medicine , pathology , biology , microbiology and biotechnology
Rat-bite fever (RBF) is a rare but potentially fatal zoonotic disease that has resurfaced in literature\udfrom time to time. RBF has conventionally been attributed to Streptobacillus moniliformis in the\udWestern World and Spirillum minus in Asia. However, numerous case reports of Streptobacillus\udmoniliformis in Asia highlight the need to rethink this assertion. We encountered a patient with\udstreptobacillary RBF and a history of recent travel to Bangladesh. We present the salient clinical\udfeatures and processes in arriving at this diagnosis. The patient was successfully treated with\udno major sequelae, likely due to the early institution of appropriate antibiotics. We present\udour learning points on RBF including recognition, early and appropriate antibiotics and the\udchallenges in diagnosing RBF