title: An unusual tale of rat-bite fever endocarditis.
abstract: A 49-year-old man presented to our department with an acute history of right leg tenderness, rash, swelling and fever. CT of the chest, abdomen and pelvis and a transoesophageal echocardiogram confirmed the diagnosis of mitral valve infective endocarditis with distal splenic emboli. Positive blood cultures revealed the causative organism to be Streptobacillus moniliformis. The patient was treated with high-dose antibiotics and had mitral valve replacement surgery.
authors.affiliation: Homerton Hospital, London, UK.
authors.forename: Dominic William
authors.initials: DW
authors.lastname: Fenn
authors.affiliation: Department of Cardiology, Homerton Hospital, London, UK.
authors.forename: Anil
authors.initials: A
authors.lastname: Ramoutar
authors.affiliation: Department of Microbiology, Homerton Hospital, London, UK.
authors.forename: George
authors.initials: G
authors.lastname: Jacob
authors.affiliation: Department of Cardiology, Homerton Hospital, London, UK.
authors.forename: Han
authors.initials: H
authors.lastname: Bin Xiao
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D011906:Rat-Bite Fever / Q000188:drug therapy / Q000382:microbiology*; D051381:Rats; D013288:Streptobacillus
chemical_list: D000900:Anti-Bacterial Agents