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A rare cause of vertebral osteomyelitis: the first case report of rat-bite fever in Portugal

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Rat-bite fever is a rarely diagnosed illness caused by Streptobacillus moniliformis . Although this disease is distributed worldwide, there have been few cases reported in Europe. Here, we report a case of vertebral osteomyelitis and sternoclavicular septic arthritis caused by S. moniliformis in a Portuguese patient previously bitten by a rat. Laboratory diagnosis was performed using molecular identification. This is the first case report of rat-bite fever in Portugal. The case described here serves as a reminder for physicians to consider this diagnosis in patients who have developed fever syndromes after being in contact with rodents.

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Aged Animals Arthritis, Infectious Bites and Stings Female Humans Lumbar Vertebrae Magnetic Resonance Imaging Male Osteomyelitis Rat-Bite Fever Rats Sternoclavicular Joint Infecções Gastrointestinais

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Rev Soc Bras Med Trop. 2019 Dec 20;53:e20190328. doi: 10.1590/0037-8682-0328-2019. eCollection 2019

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Sociedade Brasileira de Medicina Tropical

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