Culture Negative Disseminated Septic Polyarthritis Complicating Rat-Bite Fever in an Immunocompetent Adult

作     者：Mohammed Reda Sewilam Nasser Alhadhood Mohammed Reda Sewilam;Nasser Alhadhood

作者机构：Internal Medicine department Farwanyia Hospital Farwanyia Kuwait Rheumatology Department Internal Medicine Department Farwanyia Hospital Farwanyia Kuwait 

出 版 物：《Open Journal of Rheumatology and Autoimmune Diseases》 (风湿病与自身免疫疾病期刊（英文）)

年 卷 期：2022年第12卷第3期

页      面：71-82页

学科分类：0502[文学-外国语言文学] 050201[文学-英语语言文学] 05[文学] 

主　　题：Rat-Bite Fever Rat-Bite Fever Polyarthritis Culture-Negative Rheumatoid Arthritis Mimickers 

摘      要：Rat-bite is uncommon worldwide, excluding developing countries. The history of a bite is usually missed if not meticulously asked for in history, proper exposure and examination. Today we report a case of culture-negative rat-bite fever with poly septic arthritis resembling a rheumatoid arthritis-like picture in a 64-year-old gentleman. The presentation at first imitated an arthritis-like picture which was polyarthritis affecting the right ankle, right knee, right wrist, right proximal interphalangeal, left metacarpophalangeal and proximal interphalangeal joints.