{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:03:26Z","timestamp":1789286606157,"version":"build-2803163510"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>We report a case of rat bite fever (<jats:italic>Streptobacillus moniliformis)<\/jats:italic>in a young man who presented generally unwell with pyrexia, vomiting, arthralgia and deranged liver function. Two weeks before his illness he had disposed of a dead rat but was not bitten by it. This zoonotic infection was treated with broad spectrum antibiotics and he made a complete recovery. It is a rarely diagnosed but likely common infection given the frequent contact between humans and rodents. In the past, confirmation of the organism has been difficult due its dislike of culture mediums, but the advent of polymerase chain reaction (PCR) testing has allowed reliable isolation. Appropriate treatment is important because there is an associated mortality from secondary endocarditis.<\/jats:p>","DOI":"10.1136\/bcr.04.2009.1795","type":"journal-article","created":{"date-parts":[[2009,12,18]],"date-time":"2009-12-18T11:25:21Z","timestamp":1261135521000},"page":"bcr0420091795","source":"Crossref","is-referenced-by-count":9,"title":["Rat bite fever: a misnomer?"],"prefix":"10.1136","volume":"2009","author":[{"given":"Peter James","family":"Glasman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Thuraisingam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2009,12,17]]},"reference":[{"key":"2025042508232235000_2009.dec17_1.bcr0420091795.1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.9.805"},{"key":"2025042508232235000_2009.dec17_1.bcr0420091795.2","unstructured":"Washburn RG . Streptobacillus moniliformis (rat-bite fever). In: Mandell GL Bennett JE Dolin R , eds. Mandell, Douglas and Bennett\u00e2\u0080\u0099s principles and practice of infectious disease, 4th ed. Philadelphia: Churchill-Livingstone; 2000: 2422\u00e2\u0080\u00934."},{"key":"2025042508232235000_2009.dec17_1.bcr0420091795.3","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.060309"},{"key":"2025042508232235000_2009.dec17_1.bcr0420091795.4","first-page":"1198","article-title":"Fatal rat-bite fever\u00e2\u0080\u0094Florida and Washington","volume":"53","author":"Centers for Disease Control and Prevention","year":"2005","journal-title":"Morb Mortal Wkly Rep"},{"key":"2025042508232235000_2009.dec17_1.bcr0420091795.5","doi-asserted-by":"publisher","DOI":"10.1016\/S1201-9712(01)90090-6"},{"key":"2025042508232235000_2009.dec17_1.bcr0420091795.6","unstructured":"Parker RH . Rat-bite fever. In: Hoeprich PD Jordan MC , eds. Infectious diseases, 4th ed. 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