Abstract
Rat-bite Fever, Canada
Highlights
To the Editor: Rat-bite fever was once considered an infection exclusive to children living in poverty; dense urban housing and changing pet-keeping practices may be altering this profile [1,2]
Physical examination showed a maculopapular rash over the lower extremities, an effusion of the left knee, and a warm, erythematous left ankle
Growth occurred on the blood culture after 28 hours of aerobic incubation at 35°C in 10% horse serum
Summary
To the Editor: Rat-bite fever was once considered an infection exclusive to children living in poverty; dense urban housing and changing pet-keeping practices may be altering this profile [1,2]. The first case occurred in a previously healthy 29-year-old man who was bitten on the finger by a pet rat. After 24 hours, fever and emesis developed; 4 days later, diffuse maculopapular rash and migratory arthritis of the knees, ankles, and finger joints ensued. Physical examination showed a maculopapular rash over the lower extremities, an effusion of the left knee, and a warm, erythematous left ankle.
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