0
July 1947, Vol 80, No. 1 >
ARTICLE | July 1947

STREPTOBACILLUS MONILIFORMIS BACTEREMIA WITH MINOR CLINICAL MANIFESTATIONS

BURTON LEVINE, M.D.; W. HAROLD CIVIN, M.D.
Arch Intern Med (Chic). 1947;80(1):53-60. doi:10.1001/archinte.1947.00220130061004.
Text Size: A A A
Published online
Article
References
Comments

TWO ETIOLOGIC agents for rat bite fever have been described1— Spirillum minus and Streptobacillus moniliformis.

The clinical picture can be caused not only by the bites of rats and other animals2 but by the ingestion of infectious material. The Haverhill outbreak of 1926 illustrates the latter mode of infection. In 86 cases reported by Place, Sutton and Willner3 the disease was traced to the ingestion of unpasteurized milk and ice cream from a single source Parker and Hudson4 isolated Str. moniliformis from the blood in 11 of these cases. In their review, Brown and Nunemaker1d further stressed the frequency of Str. moniliformis as the etiologic agent in rat bite fever.

Treatment of this disease, until recent years, was limited to the use of arsenicals, gold salts and sulfonamide compounds. The last two have been of no value. The use of neoarsphenamine and oxophenarsine hydrochloride has given apparently

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs

More Listings at
JAMACareerCenter.com >

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems