Rat bite fever mimicking rheumatoid arthritis.
We report a case of Streptobacillus moniliformis polyarthritis mimicking a rheumatoid arthritis, in a pet shop employee. In culture of fluid joint growth a curious Gram-negative bacillus was identified by polymerase chain reaction as Streptobacillus moniliformis. The outcome was good after surgical debridment and rifampin-clindamycin combination during 4 weeks.
Legout
L
L
Department of Orthopaedic Surgery, Geneva University Hospital, Geneva, Switzerland. laurence.legout@hcuge.ch
Senneville
E
E
Mulleman
D
D
Solau-Gervais
E
E
Flipo
R M
RM
Mouton
Y
Y
D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D011906:Rat-Bite Fever / Q000175:diagnosis*; D013288:Streptobacillus / Q000302:isolation & purification