被误诊为落基山斑疹热的鼠咬热

Rat bite fever misdiagnosed as Rocky Mountain spotted fever.

作者信息

Portnoy B L, Satterwhite T K, Dyckman J D

出版信息

South Med J. 1979 May;72(5):607-9. doi: 10.1097/00007611-197905000-00028.

DOI:10.1097/00007611-197905000-00028

Abstract

A patient who had been exposed to ticks and who had also been bitten by a laboratory rat developed fever, headache, and a rash. He was treated with chloramphenicol for Rocky Mountain spotted fever, and recovered. Blood cultures, however, grew Streptobacillus moniliformis, a causative agent of rat bite fever. The case report illustrates the clinical similarities between rat bite fever and Rocky Mountain spotted fever.

摘要

一名曾接触过蜱虫且被实验室大鼠咬伤的患者出现发热、头痛和皮疹。他因落基山斑疹热接受了氯霉素治疗并康复。然而，血培养结果显示生长出念珠状链杆菌，这是鼠咬热的病原体。该病例报告说明了鼠咬热和落基山斑疹热在临床上的相似之处。