Discover and read the best of Twitter Threads about #streptobacillus
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#idboardreview 30 M chef, 2 š4 š pets w/close contact, no bites/scratches present w/ diffuse maculopapular, non-blanching slightly palpable rash some petechiae involves palms/soles. Tender swollen R knee, L Ankle/wrist. #IdMedEd #IDTwitter #medEd 
Rat-bite fever is a bacterial infection caused by #Streptobacillus moniliformis, which is more common in North America, and Spirillum minus, which is more common in Asia journals.asm.org/doi/10.1128/CMā¦
Exposure to #Streptobacillus #moniliformis may involve contact with ratās saliva or excreta; bite is not necessary to transmit infection. Groups at higher risk: exposure to rats/rodents, snake owners, pet store workers, lab tech, inhabitants of crowded urban dwellings.Ā IP 10d
#idboardreview 50 M unstable housing presents w/ fever, hip & knee pain and swelling. Knee aspirate shows gram negative rod in chains w/ lateral bulbar swelling. Diagnosis? #medEd #idmedEd #IDTwitter
#Streptobacillus moniliformis, the etiologic agent of rat-bite fever
#Streptobacillus moniliformis highly pleomorphic, filamentous GNR nonmotile, nonāacid-fast; may be fusiform & develop lateral bulbar swellings. 2 variants: L form: cell wall deficient nonpathogenic. Spontaneous conversion between 2 forms may be responsible for clinical relapses
