Rat-Bite Fever

Abstract

The clinical entity known as rat-bite fever, and first described in this country by Wilcox 1 in 1840, presents an interesting group of symptoms, and, while it cannot be classed as a rarity, is, however, of comparatively infrequent occurrence in America. Most of the cases described have occurred in adults, with very little, if any, variability in symptoms. The case reported here, in an infant, aged 7 months, is, therefore, of further interest, particularly from the standpoint of the pediatrician.REPORT OF CASE M. De R., a girl, aged 7 months, was brought to the outpatient dispensary, Aug. 4, 1924, suffering from severe diarrhea and vomiting. She refused all food and seemed quite ill, the symptoms having persisted for four days previous to admission. Five days previously she had been bitten on the left hand by a rat. When admitted to hospital, the stools were green and watery, and the child vomited everything taken by mouth.The family and past histories were not remarkable. Physical Examination.\p=m-\The child appeared acutely ill and was badly dehydrated. The skin was pale and of an icteric tint. The head presented no abnormalities. Both fontanels were open and there was no pulsation or bulging. The eyes were normal. The mouth showed nothing abnormal; there