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Rat bite fever misdiagnosed as Rocky Mountain spotted fever.

Abstract
A patient who had been exposed to ticks and who had also been bitten by a laboratory rat developed fever, headache, and a rash. He was treated with chloramphenicol for Rocky Mountain spotted fever, and recovered. Blood cultures, however, grew Streptobacillus moniliformis, a causative agent of rat bite fever. The case report illustrates the clinical similarities between rat bite fever and Rocky Mountain spotted fever.
AuthorsB L Portnoy, T K Satterwhite, J D Dyckman
JournalSouthern medical journal (South Med J) Vol. 72 Issue 5 Pg. 607-9 (May 1979) ISSN: 0038-4348 [Print] United States
PMID441774 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Diagnosis, Differential
  • Humans
  • Male
  • Rat-Bite Fever (diagnosis, microbiology)
  • Rocky Mountain Spotted Fever (diagnosis)
  • Streptobacillus (isolation & purification)

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