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Infectious Disease Reports
Volume 10
Issue 2
10.4081/idr.2018.7731
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Infectious Disease Reports is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Streptobacillus moniliformis Mitral Valve Endocarditis and Septic Arthritis: The Challenges of Diagnosing Rat-Bite Fever Endocarditis

by
Daisy Torres-Miranda
1,*,
Madhi Moshgriz
2 and
Marc Siegel
1
1
Department of Medicine, George Washington University, Medical Faculty Associates, Washington, DC 20037, USA
2
Department of Pathology, George Washington University Medical Center, Washington, DC, USA
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2018, 10(2), 7731; https://doi.org/10.4081/idr.2018.7731
Submission received: 23 April 2018 / Revised: 19 June 2018 / Accepted: 27 June 2018 / Published: 24 September 2018

Abstract

Streptobacillus moniliformis, the cause of rat-bite fever (RBF) in the United States, has rarely been reported as a cause of infectious endocarditis. In the majority of previously reported cases, the diagnosis was clinically based in patients with underlying valvular abnormalities in the setting of positive blood culture for Streptobacillus moniliformis. We report a case of native valve endocarditis secondary to Streptobacillus moniliformis in a woman with a mitral valve vegetation but negative blood cultures where the diagnosis was established using molecular diagnostics on the valvular tissue.
Keywords: Endocarditis; rat bite fever; Streptobacillus moniliformis Endocarditis; rat bite fever; Streptobacillus moniliformis

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MDPI and ACS Style

Torres-Miranda, D.; Moshgriz, M.; Siegel, M. Streptobacillus moniliformis Mitral Valve Endocarditis and Septic Arthritis: The Challenges of Diagnosing Rat-Bite Fever Endocarditis. Infect. Dis. Rep. 2018, 10, 7731. https://doi.org/10.4081/idr.2018.7731

AMA Style

Torres-Miranda D, Moshgriz M, Siegel M. Streptobacillus moniliformis Mitral Valve Endocarditis and Septic Arthritis: The Challenges of Diagnosing Rat-Bite Fever Endocarditis. Infectious Disease Reports. 2018; 10(2):7731. https://doi.org/10.4081/idr.2018.7731

Chicago/Turabian Style

Torres-Miranda, Daisy, Madhi Moshgriz, and Marc Siegel. 2018. "Streptobacillus moniliformis Mitral Valve Endocarditis and Septic Arthritis: The Challenges of Diagnosing Rat-Bite Fever Endocarditis" Infectious Disease Reports 10, no. 2: 7731. https://doi.org/10.4081/idr.2018.7731

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