Rat-bite Fever

rat-bite fever, also called spirillary rat-bite fever or sodoku, relapsing type of infection in which the causative bacteria are transmitted to humans by the bite of an infected rat. The disease occurs primarily in Asia and is caused by the bacterium Spirillum minus.

Symptoms of spirillary rat-bite fever include infection at the site of inoculation, inflammation of the regional lymph nodes, relapsing fever, chills, and skin rash. The rat-bite wound usually first heals promptly, but later, after an incubation period of roughly 7 to 21 days, there is a sudden flare-up of the characteristic symptoms, and the wound becomes swollen, hard, and painful and may ulcerate. Both local and generalized symptoms subside, only to reappear again in a few days; periods of fever may then alternate with afebrile periods.

False-positive serological tests for syphilis occur in a large proportion of rat-bite fever cases. Confirmation of the diagnosis is made by demonstration of S. minus in the lesion or regional lymph node. Treatment consists of the use of antibiotics, such as penicillin and streptomycin; chlorotetracycline and oxytetracycline have also proved effective.

The condition was first described in Japan (Japanese sodoku, “rat poisoning”). See also streptobacillary rat-bite fever.