TY - JOUR T1 - Rat-bite fever in a child without a bite JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 652 LP - 652 DO - 10.1136/archdischild-2020-320327 VL - 106 IS - 7 AU - Nelson Yu Wang AU - Joshua Osowicki Y1 - 2021/07/01 UR - http://adc.bmj.com/content/106/7/652.abstract N2 - A previously well, fully immunised 8-year-old boy was admitted to a tertiary paediatric hospital with a 5-day history of fever, papular rash and migratory arthralgia affecting his left wrist, right shoulder and both ankles. By day 6 of the illness, a petechial rash with scattered flat grey vesicles was apparent on the hands and feet, including palms and soles, without mucosal involvement (figure 1). On initial blood tests, he had … ER -