RESUMO
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.
Assuntos
Humanos , Animais , Masculino , Feminino , Idoso , Ratos , Osteomielite/etiologia , Febre por Mordedura de Rato/complicações , Articulação Esternoclavicular/diagnóstico por imagem , Mordeduras e Picadas/complicações , Artrite Infecciosa/etiologia , Vértebras Lombares/diagnóstico por imagem , Osteomielite/diagnóstico por imagem , Febre por Mordedura de Rato/diagnóstico , Imageamento por Ressonância Magnética , Artrite Infecciosa/diagnóstico por imagemRESUMO
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.