Infection by bacteria: Streptobacillus moniliformis (Haverhill fever) or Spirillum minus (sodoku)
Rat bite followed by fever, lymphadenopathy, migrating arthralgia, skin rash and muscle pain
If transmitted via infected drink: episodic fever, throat pain, rash, muscle and joint pain
Systemic complications possible: myocarditis, pneumonia, abscesses, meningitis
Treatment with antibiotics