Khatib Mohamad Y, Elshafei Moustafa S, Mutkule Dnyaneshwar P, Shabana Amr M, Chengamaraju Dinesh, Nashwan Abdulqadir J
Department of Critical Care, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar.
University of Calgary in Qatar (UCQ), Doha, Qatar.
Am J Case Rep. 2020 Oct 10;21:e925647. doi: 10.12659/AJCR.925647.
BACKGROUND Rat bite fever (RBF) is a rare but fatal zoonotic disease caused by infections with various bacteria, which are transmitted from rats or other rodents. Only a few patients worldwide are diagnosed with RBF annually. RBF can be fatal if left untreated, with a mortality rate of about 10% in patients with severe RBF. CASE REPORT A case 37-year-old previously healthy man presented to the emergency department with acute gastroenteritis, sepsis and multi-organ failure requiring ventilatory support. He was later diagnosed with RBF due to Streptobacillus moniliformis. He recovered rapidly after administration of intravenous penicillin G and was discharged from the hospital 10 days later. CONCLUSIONS This report describes a patient with RBF and multi-organ involvement requiring ventilatory support. He was successfully treated with intravenous penicillin G. To our knowledge, this is the first report of a patient from Qatar with RBF.
鼠咬热(RBF)是一种罕见但致命的人畜共患病,由感染各种细菌引起,这些细菌通过大鼠或其他啮齿动物传播。全球每年仅有少数患者被诊断为鼠咬热。若不治疗,鼠咬热可能致命,重症鼠咬热患者的死亡率约为10%。病例报告:一名37岁既往健康的男性因急性肠胃炎、败血症和多器官衰竭需呼吸机支持而就诊于急诊科。他后来被诊断为念珠状链杆菌所致的鼠咬热。静脉注射青霉素G后他迅速康复,并于10天后出院。结论:本报告描述了一名患有鼠咬热且多器官受累需呼吸机支持的患者。他通过静脉注射青霉素G成功治愈。据我们所知,这是卡塔尔首例鼠咬热患者的报告。