NEUROINFECTION
Online ISSN : 2435-2225
Print ISSN : 1348-2718
A case of meningitis caused by Rat-bite fever : Streptobacillus notomytis specific gene detected from cerebrospinal fluid
Tatsuya YazakiShunichi SatohMaho UsudaSyun NomuraKeisuke HaraRie WatanabeWataru IshiiKenichi HoshiKoichi ImaokaHiroyuki Yahikozawa
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2020 Volume 25 Issue 1 Pages 150-

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Abstract

We experienced a case of meningitis caused by Rat-bite fever, Streptobacillus notomytis. Because of the S. notomytis specific gene detected from cerebrospinal fluid and the polymorphism-negative bacilli found in equine blood medium carbon dioxide culture, we could diagnose the meningitis caused by S. notomytis. We administered ampicillin which was reported to be effective against rat-bite fever in addition to meropenem for the 1st hospital day. As a result, the patient recovered from Rat-bite fever. Compared with the Rat-bite fever caused by S moniliformis, this case is characterized by the absence of preceding septicemia, no rash, and a long incubation period. It was difficult to diagnose without taking detailed medical history.

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© 2020 Japanese Society for Neuroinfectious Diseases
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