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Complications of rat-bite fever include destructive joint disease, pericarditis, endocarditis, abscesses, pneumonia, parotitis, pancreatitis, and, rarely, meningitis and amnionitis. Needle embolus causing cardiac puncture and chronic constrictive pericarditis. Pericarditis is another cardiovascular complication of ESRD and is characterized by jugular venous distension, Kussmaul sign (pulse increases during exhalation and decreases during inhalation), and a decrease in systolic blood pressure and in pulse pressure. |
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