title: Septic arthritis of the hip secondary to rat bite fever: a case report.
abstract: Rat bite fever is a rare infection typically caused by Streptobacillus moniliformis. The mode of transmission is most commonly through a bite or scratch from an infected rat. This disease is characterized by polyarthritis, fever, and a delayed onset erythematous maculopapular rash of the extremities. The authors report a case of rat bite fever, which led to septic arthritis of the hip. To the authors' knowledge, the complication of hip sepsis requiring an arthrotomy has not been reported in the literature. The orthopaedist should be aware of not only Streptobacillus moniliformis, but also of other zoonotic organisms, which potentially can cause septic arthritis and warrant treatment with specific antibiotics.
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine, Wichita, USA.
authors.forename: D E
authors.initials: DE
authors.lastname: Hockman
authors.forename: C D
authors.initials: CD
authors.lastname: Pence
authors.forename: R R
authors.initials: RR
authors.lastname: Whittler
authors.forename: L E
authors.initials: LE
authors.lastname: Smith
mesh_terms: D001170:Arthritis, Infectious / Q000209:etiology* / Q000601:surgery; D002443:Ceftriaxone / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D002648:Child; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D008297:Male; D011906:Rat-Bite Fever / Q000150:complications* / Q000188:drug therapy; D013288:Streptobacillus
chemical_list: D002511:Cephalosporins; D002443:Ceftriaxone; D002444:Cefuroxime