Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Ahead of Print
    • Past Issues
    • Supplements
    • Article Type
  • Specialty
    • Articles by Specialty
  • CME/MOC
    • Articles
    • Calendar
  • Info For
    • Manuscript Submission
    • Authors & Reviewers
    • Subscriptions
    • About CCJM
    • Contact Us
    • Media Kit
  • Conversations with Leaders
  • Conference Coverage
    • Kidney Week 2024
    • CHEST 2024
    • ACR Convergence 2023
    • Kidney Week 2023
    • ObesityWeek 2023
    • IDWeek 2023
    • CHEST 2023
    • MDS 2023
    • IAS 2023
    • ACP 2023
    • AAN 2023
    • ACC / WCC 2023
    • AAAAI Meeting 2023
    • ACR Convergence 2022
    • Kidney Week 2022
    • AIDS 2022
  • Other Publications
    • www.clevelandclinic.org

User menu

  • Register
  • Log in

Search

  • Advanced search
Cleveland Clinic Journal of Medicine
  • Other Publications
    • www.clevelandclinic.org
  • Register
  • Log in
Cleveland Clinic Journal of Medicine

Advanced Search

  • Home
  • Content
    • Current Issue
    • Ahead of Print
    • Past Issues
    • Supplements
    • Article Type
  • Specialty
    • Articles by Specialty
  • CME/MOC
    • Articles
    • Calendar
  • Info For
    • Manuscript Submission
    • Authors & Reviewers
    • Subscriptions
    • About CCJM
    • Contact Us
    • Media Kit
  • Conversations with Leaders
  • Conference Coverage
    • Kidney Week 2024
    • CHEST 2024
    • ACR Convergence 2023
    • Kidney Week 2023
    • ObesityWeek 2023
    • IDWeek 2023
    • CHEST 2023
    • MDS 2023
    • IAS 2023
    • ACP 2023
    • AAN 2023
    • ACC / WCC 2023
    • AAAAI Meeting 2023
    • ACR Convergence 2022
    • Kidney Week 2022
    • AIDS 2022
I. Rheumatic and Immunologic Disease: Selected Papers

Streptobacillary fever

An unusual cause of infectious arthritis1

David R. Mandel, M.D.
Cleveland Clinic Journal of Medicine June 1985, 52 (2) 203-205;
David R. Mandel
Department of Rheumatic and Immunologic Disease, The Cleveland Clinic Foundation
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

ABSTRACT

A 77-year-old farmer presented with a two-week history of fever, chills, nausea, and generalized symmetric polyarthritis. One week before his illness, the patient was bitten on the right wrist by a rat. His temperature was 38.3 °C. There was a 3-cm raised tender papule at the inoculation site. The left sternoclavicular joint, several proximal interphalangeal and metacarpal joints, and both wrists and ankles were painful and swollen. Synovial fluid white blood cell count was 104,000/mm3, with 90% neutrophils and 8% band forms. Gram’s stain demonstrated many gram-negative coccobacillary organisms. The patient was initially treated with oxacillin and ampicillin (8 g/day of each antibiotic) for two days and then with procaine penicillin (600,000 units administered intramuscularly twice a day) for a total of 14 days. The arthritis symptoms gradually resolved. Streptobacillus moniliformis grew from a synovial fluid culture from the left ankle and the lesion of the right wrist. This case report demonstrates the rare occurrence of rat-bite fever manifested by septic arthritis successfully treated with penicillin.

Index terms
  • Arthritis
  • infectious
  • drug therapy
  • Case reports
  • Rat-bite fever
  • Received November 1984.
  • Accepted February 1985.
  • Copyright © 1985 The Cleveland Clinic Foundation. All Rights Reserved.
PreviousNext
Back to top

In this issue

Cleveland Clinic Journal of Medicine: 52 (2)
Cleveland Clinic Journal of Medicine
Vol. 52, Issue 2
20 Jun 1985
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Cleveland Clinic Journal of Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Streptobacillary fever
(Your Name) has sent you a message from Cleveland Clinic Journal of Medicine
(Your Name) thought you would like to see the Cleveland Clinic Journal of Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Streptobacillary fever
David R. Mandel
Cleveland Clinic Journal of Medicine Jun 1985, 52 (2) 203-205;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Streptobacillary fever
David R. Mandel
Cleveland Clinic Journal of Medicine Jun 1985, 52 (2) 203-205;
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Linkedin Share Button

Jump to section

  • Article
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

I. Rheumatic and Immunologic Disease: Selected Papers

  • Pregnancy and progressive systemic sclerosis
  • Fulminating vasculitis in a homozygous C2-deficient patient
  • Cryoimmunoglobulins
Show more I. Rheumatic and Immunologic Disease: Selected Papers

Case Report

  • Negative-pressure pulmonary edema: a cautionary tale
  • Idiopathic hypoparathyroidism in a blind, deaf, elderly woman with dementia
  • Severe perioperative lactic acidosis: How clinically significant is it?
Show more Case Report

Similar Articles

Keywords

  • Arthritis
  • Infectious
  • Drug Therapy
  • Case reports
  • Rat-bite fever

Navigate

  • Current Issue
  • Past Issues
  • Supplements
  • Article Type
  • Specialty
  • CME/MOC Articles
  • CME/MOC Calendar
  • Media Kit

Authors & Reviewers

  • Manuscript Submission
  • Authors & Reviewers
  • Subscriptions
  • About CCJM
  • Contact Us
  • Cleveland Clinic Center for Continuing Education
  • Consult QD

Share your suggestions!

Copyright © 2025 The Cleveland Clinic Foundation. All rights reserved. The information provided is for educational purposes only. Use of this website is subject to the website terms of use and privacy policy. 

Powered by HighWire