{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:55:22Z","timestamp":1762005322620},"reference-count":16,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T00:00:00Z","timestamp":1627516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Rats can transmit <jats:italic>Streptobacillus moniliformis<\/jats:italic>, which may cause rat\u2010bite fever (RBF), a rare and potentially lethal zoonosis. Fastidious <jats:italic>in vitro<\/jats:italic> growth and unspecific symptoms, including fever, arthralgia, and polymorphous skin lesions, complicate the diagnosis. Rat\u2010bite fever follows exposure to contaminated bodily fluids of infected rodents; however, reports on <jats:italic>Streptobacillus moniliformis<\/jats:italic>\u2010related infections are few so far. A female patient presented with painful hemorrhagic pustules and purpuric lesions on hands and feet. She developed fever and migratory polyarthralgia. Blood culture yielded growth with <jats:italic>Streptobacillus moniliformis<\/jats:italic>. The patient owned rats and handled contaminated rat feces and urine, making this the most likely etiology of infection. We report a case of RBF due to <jats:italic>Streptobacillus moniliformis<\/jats:italic> in a rat handling\u2010patient. Difficulties in clinical and microbiological diagnosis highlight the need for a thorough and complete history\u2010taking and a greater understanding of this rare infectious disease.<\/jats:p>","DOI":"10.1111\/ddg.14526","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T10:41:09Z","timestamp":1627555269000},"page":"1283-1287","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Rat bite fever, a diagnostic challenge: case report and review of 29 cases"],"prefix":"10.1111","volume":"19","author":[{"given":"Till","family":"K\u00e4mmerer","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital Ludwig Maximilian University (LMU) of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Lesmeister","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital Ludwig Maximilian University (LMU) of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Wollenberg","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital Ludwig Maximilian University (LMU) of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars Einar","family":"French","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital Ludwig Maximilian University (LMU) of Munich  Munich Germany"},{"name":"Dr. Phillip Frost Department of Dermatology &amp; Cutaneous Surgery University of Miami Leonard M. 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