Streptobacillosis (Haverhill fever): clinical case analysis

DOI: https://doi.org/10.29296/25877305-2023-11-05
Issue: 
11
Year: 
2023

E. Tavlueva(1, 2), MD; A. Markarov(1), Candidate of Medical Sciences; E. Martynova(1); A. Melkumyan(1), Candidate of Medical Sciences; K. Shapovalov(1, 3); Professor
L. Kolobukhina(3), MD; I. Kruzhkova(3); E. Garbuzova(2); S. Burns(2), MD; Professor
O. Drapkina(2), Academician of the Russian Academy of Sciences, MD
1-F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health
2-National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia, Moscow
3-National Research Center for Epidemiology and Microbiology named after
the honorary academician N. F. Gamaleya, Ministry of Health of Russia, Moscow

The article presents a case of infection caused by Streptobacillus moniliformis, demonstrating the features of the clinical picture of the disease from the group of zoonoses, which are extremely rarely diagnosed in the Russian Federation. The source of the infectious agent was a gray rat purchased at a pet store. The disease was characterized by fever, symptoms of intoxication, rash with characteristic localization, and the development of arthritis. The described clinical case demonstrates the importance of epidemiological history, the complexity of clinical and laboratory diagnosis of systemic zoonotic infection with the risk of disability due to the development of bacterial arthritis. Timely diagnosis is hampered by difficulties in cultivating the pathogen and the lack of widely available diagnostic test systems.
Keywords: 
infectious diseases
Streptobacillus moniliformis
disease
patient
symptoms
diagnosis
treatment.

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