Bougioukas Lauren, Vicks Emily, Hale Andrew J, Dejace Jean, Bullis Sean
Medical student at the Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
Medical student at the University of Massachusetts Medical School, Worcester, MA, USA.
IDCases. 2022 Jun 6;29:e01526. doi: 10.1016/j.idcr.2022.e01526. eCollection 2022.
The authors report the case of a 45-year-old male with history of human immunodeficiency virus who presented unresponsive and with injuries to his hands after spending a night on a lakeside beach. During his hospitalization, he developed a fever with arthralgias and was initially thought to have calcium pyrophosphate dihydrate crystal deposition disease before a diagnosis of Rat Bite Fever was ultimately discovered. He was successfully treated with six-weeks of ceftriaxone. The authors discuss the epidemiology, diagnosis, treatment, and prognosis of Rat Bite Fever.
作者报告了一例45岁男性病例,该患者有人类免疫缺陷病毒感染史,在湖边海滩过夜后出现无反应状态且手部受伤。住院期间,他出现发热伴关节痛,最初被认为患有二水焦磷酸钙晶体沉积病,最终确诊为鼠咬热。他接受了六周的头孢曲松治疗并成功康复。作者讨论了鼠咬热的流行病学、诊断、治疗及预后。