Streptobacillosis (Haverhill fever): clinical case analysis

Author:

Tavlueva E.1,Markarov A.1,Martynova E.1,Melkumyan A.1,Shapovalov K.1,Kolobukhina L.2,Kruzhkova I.2,Garbuzova E.3,Burns S.3,Drapkina O.3

Affiliation:

1. F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health

2. National Research Center for Epidemiology and Microbiology named after the honorary academician N. F. Gamaleya, Ministry of Health of Russia, Moscow

3. National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia, Moscow

Abstract

The article presents a case of infection caused by Streptobacillus moniliformis, demonstrating the features of the clinical picture of the disease from the group of zoonoses, which are extremely rarely diagnosed in the Russian Federation. The source of the infectious agent was a gray rat purchased at a pet store. The disease was characterized by fever, symptoms of intoxication, rash with characteristic localization, and the development of arthritis. The described clinical case demonstrates the importance of epidemiological history, the complexity of clinical and laboratory diagnosis of systemic zoonotic infection with the risk of disability due to the development of bacterial arthritis. Timely diagnosis is hampered by difficulties in cultivating the pathogen and the lack of widely available diagnostic test systems.

Publisher

Russian Vrach, Publishing House Ltd.

Reference13 articles.

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2. Centers for Disease Control and Prevention. Fatal rat-bite fever – Florida and Washington. Morb Mortal Wkly Rep. 2005; 53 (SS): 1198–202.

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