一位宠物爱好者的鼠咬热

Rat bite fever in a pet lover.

作者信息

Cunningham B B, Paller A S, Katz B Z

机构信息

Department of Pediatrics, Northwestern University Medical School, Chicago, Illinois, USA.

出版信息

J Am Acad Dermatol. 1998 Feb;38(2 Pt 2):330-2. doi: 10.1016/s0190-9622(98)70576-6.

DOI:10.1016/s0190-9622(98)70576-6

PMID:9486709

Abstract

Rat-bite fever is an uncommon bacterial illness resulting from infection with Streptobacillus moniliformis that is often transmitted by the bite of a rat. The cutaneous findings in rat-bite fever are nonspecific but have been described as maculopapular or petechial. We describe a 9-year-old girl with acrally distributed hemorrhagic pustules, fever, and arthralgias. Diagnosis was delayed because of difficulty in identifying the pathologic organism. She was successfully treated with 10 days of ceftriaxone.

摘要

鼠咬热是一种由念珠状链杆菌感染引起的罕见细菌性疾病，通常由鼠咬传播。鼠咬热的皮肤表现不具有特异性，但曾被描述为斑丘疹或瘀点。我们报告一名9岁女孩，有肢端分布的出血性脓疱、发热和关节痛。由于难以鉴定致病微生物，诊断被延误。她接受了10天的头孢曲松治疗，治疗成功。