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PubMed · 1575596

Rat bite fever without the bite.

J N Fordham·E McKay-Ferguson·A Davies·T Blyth
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Abstract

The case is reported of a patient who developed an acute arthropathy, which was initially diagnosed as acute septic arthritis. The true diagnosis of rat bite fever due to Streptobacillus moniliformis was delayed because of difficulty in growing the organism, which has fastidious growth requirements. The patient had no history of rat bite, which is the usual form of transmission of this disease.

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Arthritis, InfectiousDiagnosis, DifferentialHumansMaleMiddle AgedRat-Bite FeverStreptobacillusCase ReportsJournal Article

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BibTeXRIS

J N Fordham, E McKay-Ferguson, A Davies, T Blyth. 1992. Rat bite fever without the bite.. https://doi.org/10.1136/ard.51.3.411

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PubMed1992

[Does arthritis due to varicella zoster virus exist?].

Occurrence of monoarthritis or oligoarthritis during the course of zoster is exceedingly rare (three previously reported cases). In the additional case reported herein, an immunocompetent female exhibited oligoarthritis (right shoulder followed by two metacarpophalangeal joints in her right hand) a few days before developing a typical zoster eruption in the ipsilateral upper limb. Pathogenesis of zoster-related arthritis is discussed. The most likely hypothesis is infection of the joint via the nerve supply rather than via the bloodstream. Evidence in support of this mechanism includes recovery of the virus from synovial fluid specimens in a previously published case.

Arthritis, Infectious↗