Rat Bite Fever in an Elderly Patient With Dementia
Rat bite fever (RBF) is a zoonotic infection with nonspecific symptoms such as fever, myalgia, and arthralgia that mimic other systemic infections or noninfectious rheumatologic disorders. Obtaining a history of rat exposure is the key to diagnosis. Since a diagnosis may not be possible without some...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-11-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0344 |
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| _version_ | 1850197925399887872 |
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| author | Yohei Nakamoto Tetsuro Aita Koichi Imaoka Sugihiro Hamaguchi |
| author_facet | Yohei Nakamoto Tetsuro Aita Koichi Imaoka Sugihiro Hamaguchi |
| author_sort | Yohei Nakamoto |
| collection | DOAJ |
| description | Rat bite fever (RBF) is a zoonotic infection with nonspecific symptoms such as fever, myalgia, and arthralgia that mimic other systemic infections or noninfectious rheumatologic disorders. Obtaining a history of rat exposure is the key to diagnosis. Since a diagnosis may not be possible without some degree of suspicion, routine exposure history-taking is useful. We present the case of a woman with dementia and RBF whose history of a rat bite was obtained incidentally during routine history-taking from her spouse. Routine history about exposures should be taken for the diagnosis of RBF in patients with communication difficulties such as dementia. |
| format | Article |
| id | doaj-art-d34a7e489b83497bac1e3efa6779d3f4 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-d34a7e489b83497bac1e3efa6779d3f42025-08-20T02:13:01ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-11-0121110.7326/aimcc.2023.0344Rat Bite Fever in an Elderly Patient With DementiaYohei Nakamoto0Tetsuro Aita1Koichi Imaoka2Sugihiro Hamaguchi31Department of General Internal Medicine, Fukushima Medical University, Fukushima, Japan1Department of General Internal Medicine, Fukushima Medical University, Fukushima, Japan2Department of Veterinary Science, National Institute of Infectious Diseases, Tokyo, Japan1Department of General Internal Medicine, Fukushima Medical University, Fukushima, JapanRat bite fever (RBF) is a zoonotic infection with nonspecific symptoms such as fever, myalgia, and arthralgia that mimic other systemic infections or noninfectious rheumatologic disorders. Obtaining a history of rat exposure is the key to diagnosis. Since a diagnosis may not be possible without some degree of suspicion, routine exposure history-taking is useful. We present the case of a woman with dementia and RBF whose history of a rat bite was obtained incidentally during routine history-taking from her spouse. Routine history about exposures should be taken for the diagnosis of RBF in patients with communication difficulties such as dementia.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0344 |
| spellingShingle | Yohei Nakamoto Tetsuro Aita Koichi Imaoka Sugihiro Hamaguchi Rat Bite Fever in an Elderly Patient With Dementia Annals of Internal Medicine: Clinical Cases |
| title | Rat Bite Fever in an Elderly Patient With Dementia |
| title_full | Rat Bite Fever in an Elderly Patient With Dementia |
| title_fullStr | Rat Bite Fever in an Elderly Patient With Dementia |
| title_full_unstemmed | Rat Bite Fever in an Elderly Patient With Dementia |
| title_short | Rat Bite Fever in an Elderly Patient With Dementia |
| title_sort | rat bite fever in an elderly patient with dementia |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0344 |
| work_keys_str_mv | AT yoheinakamoto ratbitefeverinanelderlypatientwithdementia AT tetsuroaita ratbitefeverinanelderlypatientwithdementia AT koichiimaoka ratbitefeverinanelderlypatientwithdementia AT sugihirohamaguchi ratbitefeverinanelderlypatientwithdementia |