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Article: Streptobacillus moniliformis septic arthritis: A clinical entity distinct from rat-bite fever?

TitleStreptobacillus moniliformis septic arthritis: A clinical entity distinct from rat-bite fever?
Authors
Issue Date2007
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcinfectdis/
Citation
Bmc Infectious Diseases, 2007, v. 7 How to Cite?
AbstractBackground: Streptobacillus moniliformis is a zoonotic agent associated with rodent contacts. Although it is more commonly reported to cause rat-bite fever with reactive arthritides, it can also lead to pyogenic infection of the joints. Case presentation: We present a lady with past history of osteoarthritis developing streptobacillary septic arthritides of the right knee and left wrist, and required antibiotic and arthrotomy for treatment. We also review 11 previously reported cases of streptobacillary septic arthritis to discuss the characteristics, treatment, prognosis of the infection, and illustrates the differences between streptobacillary rat-bite fever and septic arthritis. Among this patient population, most patients had potential contact with rats (91.6%). The knee is the most commonly affected joint (58.3%), and 83.3% patients having polyarticular involvement. As opposed to rat-bite fever, fever and rash was only present in 58.3% and 16.7% of patients respectively. S. moniliformis bacteremia is uncommon (8.4%) and the prognosis is good. Conclusion: Arthrocentesis is useful in distinguishing streptobacillary septic arthritis from reactive arthritis of rat-bite fever. The sole use of commercial media containing sodium polyanethol sulfonate may render the bacterial culture negative. A detailed history of possible exposure to rodents should be elicited from patients with arthritis in order to facilitate microbiologic diagnosis. © 2007 Wang and Wong; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/78904
ISSN
2015 Impact Factor: 2.69
2015 SCImago Journal Rankings: 1.510
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWang, TKFen_HK
dc.contributor.authorWong, SSYen_HK
dc.date.accessioned2010-09-06T07:48:13Z-
dc.date.available2010-09-06T07:48:13Z-
dc.date.issued2007en_HK
dc.identifier.citationBmc Infectious Diseases, 2007, v. 7en_HK
dc.identifier.issn1471-2334en_HK
dc.identifier.urihttp://hdl.handle.net/10722/78904-
dc.description.abstractBackground: Streptobacillus moniliformis is a zoonotic agent associated with rodent contacts. Although it is more commonly reported to cause rat-bite fever with reactive arthritides, it can also lead to pyogenic infection of the joints. Case presentation: We present a lady with past history of osteoarthritis developing streptobacillary septic arthritides of the right knee and left wrist, and required antibiotic and arthrotomy for treatment. We also review 11 previously reported cases of streptobacillary septic arthritis to discuss the characteristics, treatment, prognosis of the infection, and illustrates the differences between streptobacillary rat-bite fever and septic arthritis. Among this patient population, most patients had potential contact with rats (91.6%). The knee is the most commonly affected joint (58.3%), and 83.3% patients having polyarticular involvement. As opposed to rat-bite fever, fever and rash was only present in 58.3% and 16.7% of patients respectively. S. moniliformis bacteremia is uncommon (8.4%) and the prognosis is good. Conclusion: Arthrocentesis is useful in distinguishing streptobacillary septic arthritis from reactive arthritis of rat-bite fever. The sole use of commercial media containing sodium polyanethol sulfonate may render the bacterial culture negative. A detailed history of possible exposure to rodents should be elicited from patients with arthritis in order to facilitate microbiologic diagnosis. © 2007 Wang and Wong; licensee BioMed Central Ltd.en_HK
dc.languageengen_HK
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcinfectdis/en_HK
dc.relation.ispartofBMC Infectious Diseasesen_HK
dc.rightsB M C Infectious Diseases. Copyright © BioMed Central Ltd.en_HK
dc.titleStreptobacillus moniliformis septic arthritis: A clinical entity distinct from rat-bite fever?en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1471-2334&volume=7&spage=56&epage=62&date=2007&atitle=Streptobacillus+moniliformis+septic+arthritis:+a+clinical+entity+distinct+from+rat-bite+fever?en_HK
dc.identifier.emailWong, SSY:samsonsy@hkucc.hku.hken_HK
dc.identifier.authorityWong, SSY=rp00395en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1186/1471-2334-7-56en_HK
dc.identifier.scopuseid_2-s2.0-34447129409en_HK
dc.identifier.hkuros135258en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34447129409&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume7en_HK
dc.identifier.isiWOS:000247618100001-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridWang, TKF=7405566621en_HK
dc.identifier.scopusauthoridWong, SSY=13310021400en_HK
dc.identifier.citeulike1380956-

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