-bite fever, streptobacillosis, Haverhillfever, epidemic arthritic erythema, spirillary fever, sodokuRat-bite fever is a zoonosis usually caused by infection with the bacterium Streptobacillus moniliformis. Another form of rat-bite fever (more common in Asia where it is known as sodoku[1]) is caused by infection with the Gram-negative bacterium Spirillum minus.[2]Rats are the usual hosts of rat-bite fever is known as Haverhillfever (so called after the town in the USA in which there was an outbreak in 1926).[1]It is thought to be caused by ingestion of milk or water contaminated with the bacteria via rat urine.[2]Signs and symptoms are identical to those of rat-bite fever caused by S. moniliformis but there is no history of rat bite or exposure. Large groups of people may be affected
associated with ingestion of unpasteurized milk contaminated by S. moniliformis (Haverhillfever), but infection is usually a consequence of a bite by a wild rat or mouse. Other rodents and weasels have also been implicated.The primary wound usually heals promptly, but after an incubation period of 1 to 22 (usually < 10) days, a viral-like syndrome develops abruptly, causing chills, fever, vomiting
Haverhillfever with spine involvement. Haverhillfever and rat-bite fever are closely-related syndromes caused by Streptobacillus moniliformis. This infection is characterized by the abrupt onset of fever with rigors, myalgias, headache, polyarthritis, and rash. We report a case of infection with S. moniliformis that manifested as acute polyarthritis with involvement of the spine. To our
, fusospirochetosis (severe infections of the oropharynx, lower respiratory tract and genital area), Listeria infections, meningitis, endocarditis, Pasteurella infections including bacteraemia and meningitis, Haverhillfever; rat-bite fever and disseminated gonococcal infections, meningococcal meningitis and/or septicaemia caused by penicillin-susceptible organisms and syphilis.[36]Penicillin VPenicillin V can