PEDIATRICS Vol. 64 No. 2 August 1979, pp. 214-217
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Streptobacillary Rat-Bite Fever: A Pediatric Problem

Betty J. Raffin MD1 and Michael Freemark MD1

1 Department of Pediatrics, Duke University Medical Center, Durham, North Carolina

A case of streptobacillary rat-bite fever in an 11-year-old boy from rural North Carolina is described. The child's clinical course was unique in that he developed a subglottic mass and bilateral parotid swelling. He responded initially to tetracycline but relapsed after therapy. Cure was ultimately achieved with a three-week course of penicillin. A review of the literature concerning this unusual clinical entity is presented.

Submitted on October 11, 1978
Accepted on December 27, 1978




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