Streptobacillosis (haverhill fever): clinical case analysis

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Abstract

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.

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About the authors

E. V. Tavlueva

F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health; National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia

Email: tavlev1@mail.ru
ORCID iD: 0000-0002-6796-212X

MD

Russian Federation, Moscow; Moscow

A. E. Markarov

F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health

Email: tavlev1@mail.ru
ORCID iD: 0000-0002-0392-8280

Candidate of Medical Sciences

Russian Federation, Moscow

E. N. Martynova

F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health

Email: tavlev1@mail.ru
ORCID iD: 0000-0002-3296-2226
Russian Federation, Moscow

A. G. Melkumyan

F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health

Email: tavlev1@mail.ru
ORCID iD: 0000-0002-5494-415X

Candidate of Medical Sciences

Russian Federation, Moscow

K. A. Shapovalov

F.I. Inozemtsev City Clinical Hospital, Moscow Department of Public Health; National Research Center for Epidemiology and Microbiology named after the honorary academician N. F. Gamaleya, Ministry of Health of Russia

Email: tavlev1@mail.ru
ORCID iD: 0009-0001-7695-9467
Russian Federation, Moscow; Moscow

L. V. Kolobukhina

National Research Center for Epidemiology and Microbiology named after the honorary academician N. F. Gamaleya, Ministry of Health of Russia

Email: tavlev1@mail.ru
ORCID iD: 0000-0001-5775-3343

Professor, MD

Russian Federation, Moscow

I. S. Kruzhkova

National Research Center for Epidemiology and Microbiology named after the honorary academician N. F. Gamaleya, Ministry of Health of Russia

Email: tavlev1@mail.ru
ORCID iD: 0000-0002-1983-481X
Russian Federation, Moscow

E. V. Garbuzova

National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia

Email: tavlev1@mail.ru
ORCID iD: 0009-0002-3184-7573
Russian Federation, Moscow

S. A. Berns

National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia

Email: tavlev1@mail.ru
ORCID iD: 0000-0003-1002-1895

MD

Russian Federation, Moscow

O. M. Drapkina

National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of Russia

Author for correspondence.
Email: tavlev1@mail.ru
ORCID iD: 0000-0002-4453-8430

Professor, Academician of the Russian Academy of Sciences, MD

Russian Federation, Moscow

References

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Supplementary files

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2. Radiography of the ankle and wrist joints

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