IDCases (Jan 2022)

Rat bite fever in a patient with human immunodeficiency virus

  • Lauren Bougioukas,
  • Emily Vicks,
  • Andrew J. Hale,
  • Jean Dejace,
  • Sean Bullis

Journal volume & issue
Vol. 29
p. e01526

Abstract

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The authors report the case of a 45-year-old male with history of human immunodeficiency virus who presented unresponsive and with injuries to his hands after spending a night on a lakeside beach. During his hospitalization, he developed a fever with arthralgias and was initially thought to have calcium pyrophosphate dihydrate crystal deposition disease before a diagnosis of Rat Bite Fever was ultimately discovered. He was successfully treated with six-weeks of ceftriaxone. The authors discuss the epidemiology, diagnosis, treatment, and prognosis of Rat Bite Fever.

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