Anglada A, Comas L, Euras J M, Sanmartí R, Vilaró J, Brugués J
Servicio de Medicina Interna, Hospital General de Vic, Barcelona.
Med Clin (Barc). 1990 Apr 14;94(14):535-7.
A 54-year-old female had fever with chills, polyarthritis and diffuse rash. Anamnesis led to the suspicion of rat-bite fever. The etiology was confirmed when and organism which was identified as Streptobacillus moniliformis was isolated from articular fluid by means of gas chromatography of tissue fatty acids. In our opinion, this is the first case of that condition reported in this country. We review the literature, and we insist on the need to inform the microbiologist of the clinical suspicion to achieve the etiological diagnosis.
一名54岁女性出现发热伴寒战、多关节炎和弥漫性皮疹。既往史引发了对鼠咬热的怀疑。通过组织脂肪酸气相色谱法从关节液中分离出一种被鉴定为念珠状链杆菌的微生物,从而确诊了病因。我们认为,这是该国报道的首例该病症病例。我们查阅了文献,并坚持认为有必要将临床怀疑告知微生物学家以实现病因诊断。