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.