RESUMEN
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.
Asunto(s)
Humanos , Animales , Masculino , Femenino , Anciano , Ratas , Osteomielitis/etiología , Fiebre por Mordedura de Rata/complicaciones , Articulación Esternoclavicular/diagnóstico por imagen , Mordeduras y Picaduras/complicaciones , Artritis Infecciosa/etiología , Vértebras Lumbares/diagnóstico por imagen , Osteomielitis/diagnóstico por imagen , Fiebre por Mordedura de Rata/diagnóstico , Imagen por Resonancia Magnética , Artritis Infecciosa/diagnóstico por imagenRESUMEN
A rare case of tuberculosis of the stemoclavicular joint in a 13-year-old girl is presented. The occurrence of tubercular infection in the sternoclavicular joint is extremely rare.