Streptobacillus moniliformis bacteremia in an afebrile patient: A rare case report
Zirong Wu, Lin Zhang, Li Shi, Chunhua Wang, Weiliang Cao · 2026
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Description
Zirong Wu and colleagues present a 2026 case report of rat-bite fever that arrived without its namesake fever. The infection, caused by the bacterium Streptobacillus moniliformis, usually brings fever, rash, and joint pain together. Their patient, a thirty-six-year-old woman, had severe joint pain and a purple rash but no raised temperature.
Blood tests showed high white cell counts and strong inflammation markers, along with early kidney injury. Blood cultures from two sets grew the bacterium, confirmed by mass spectrometry identification at the hospital laboratory. The strain proved sensitive to penicillin, and fourteen days of intravenous penicillin led to steady improvement before discharge. The authors warn that the missing fever can mislead clinicians. They advise culturing blood whenever the rash and joint pattern fits, especially with any rodent contact.
Catalog record
| CREATOR | Zirong Wu, Lin Zhang, Li Shi, Chunhua Wang, Weiliang Cao |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 12 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |