NAME: Streptobacillus moniliformis
SYNONYM OR CROSS REFERENCE: Streptobacilliosis, Streptobacillary fever, Haverhill fever, Epidemic arthritic erythema, Rat-bite fever due to Streptobacillus moniliformis
CHARACTERISTICS: Non-encapsulated, non-motile, gram-negative bacillus, 0.3-0.7 µm by 1-5 µm in length, morphologically variable; organism frequently occurs in chains and filaments; often pleomorphic; facultative anaerobe
PATHOGENICITY: Abrupt onset of fever, chills, vomiting, headache and severe pains in the joints; a maculopapular, petichial, or purulent rash develops within the first 48 hours and involves the palms, soles and extremities; acute arthritis is a characteristic and persistent symptom occurring in 50% of cases, relapses may occur; endocarditis, pericarditis, tenosynovitis and focal abscesses are typical in the severe form of the disease
EPIDEMIOLOGY: Worldwide; uncommon in North and South America and most European countries; cases in USA were mostly due to exposure to laboratory rats
HOST RANGE: Humans, rats, other animals squirrels, weasels, gerbils
INFECTIOUS DOSE: Not known
MODE OF TRANSMISSION: By direct contact with secretions of the mouth, nose, eye of an infected animal; animal bite; consumption of contaminated food or water
INCUBATION PERIOD: Usually 3-10 days
COMMUNICABILITY: Not directly transmitted from person-to-person
RESERVOIR: Rats
ZOONOSIS: Yes - disease acquired from rats
VECTORS: None
DRUG SUSCEPTIBILITY: Sensitive to penicillin, tetracycline
SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to 70% ethanol, 1% sodium hypochlorite, 2% glutaraldehyde
PHYSICAL INACTIVATION: Heating at 121° C for 15 minutes
SURVIVAL OUTSIDE HOST: Survives up to 10 days at 4° C
SURVEILLANCE: Monitor for symptoms; confirm by bacterial culture and biochemical tests
FIRST AID/TREATMENT: Administer appropriate drug therapy
IMMUNIZATION: None available
PROPHYLAXIS: Rat bites should be properly cleaned and tetanus shot should be administered
LABORATORY-ACQUIRED INFECTIONS: Twenty one cases were reported up to 1987; most were acquired by rat bites
SOURCES/SPECIMENS: Blood, joint fluid, or pus
PRIMARY HAZARDS: Accidental parenteral inoculation; droplet exposure of the mucous membranes
SPECIAL HAZARDS: Droplet generation by secretions of mouth, nose or conjunctival sac when working with infected animals
CONTAINMENT REQUIREMENTS: Biosafety level 2 practices and containment equipment for all activities involving bacterial cultures and potentially infectious body tissues or fluids
PROTECTIVE CLOTHING: Laboratory coat; gloves when skin contact with infectious material is unavoidable
OTHER PRECAUTIONS: None
SPILLS: Allow aerosols to settle; wearing protective clothing, cover the spill with absorbent paper and apply 1% sodium hypochlorite, starting at the perimeter and working towards the center; allow sufficient contact time (30 minutes) before clean up
DISPOSAL: Decontaminate all wastes before disposal; steam sterilization, chemical disinfection, incineration
STORAGE: In sealed containers that are appropriately labelled
Date prepared: April, 2001
Prepared by: Office of Laboratory Security, PHAC
Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date.
Copyright ©
Health Canada, 2001
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