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{
    "pk": 1086,
    "title": "Rat-bite Fever–A Rare Diagnosis for a Common Pediatric Presentation: Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Fever and rash is a common pediatric presentation to the emergency department but can present a diagnostic challenge to the clinician. Here we report the successful identification and treatment of a rare zoonotic exanthem that was facilitated by a thorough history and physical exam.\nCase Report:\n Rat-bite fever is a potentially fatal systemic illness characterized by relapsing fever, rash, and migratory polyarthralgias. Treatment includes antibiotics for Streptobacillus moniliformis, the most common pathogen, as well as appropriate hygiene education and prevention strategies. We report a case of S. moniliformis in the absence of an actual rodent bite.\nConclusion:\n Due to the generally non-specific presentation of the illness, as well as the growing trend of caring for domestic rodents, it is crucial that clinicians ask details related to zoonotic and other exposures while obtaining medical histories.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "rat bite fever"
        },
        {
            "word": "rash"
        },
        {
            "word": "pediatric"
        },
        {
            "word": "zoonotic"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7fb870dr",
    "frozenauthors": [
        {
            "first_name": "Anthony",
            "middle_name": "",
            "last_name": "Edholm",
            "name_suffix": "",
            "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey",
            "department": "None"
        },
        {
            "first_name": "Marissa",
            "middle_name": "",
            "last_name": "Heyer",
            "name_suffix": "",
            "institution": "Hackensack Meridian School of Medicine, Nutley, New Jersey",
            "department": "None"
        },
        {
            "first_name": "Sondra",
            "middle_name": "M.",
            "last_name": "Nemetski",
            "name_suffix": "",
            "institution": "Joseph M. Sanzari Children’s Hospital, Hackensack Meridian Health, Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Hackensack, New Jersey; Hackensack Meridian School of Medicine, Department of Pediatrics, Nutley, New Jersey",
            "department": "None"
        }
    ],
    "date_submitted": "2021-10-05T19:05:48-07:00",
    "date_accepted": "2021-10-05T19:05:48-07:00",
    "date_published": "2021-10-05T19:06:32-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1086/galley/828/download/"
        }
    ]
}