Tularaemia
ICD-10 A21.2 is a billable code used to indicate a diagnosis of tularaemia.
Tularaemia is an infectious disease caused by the bacterium Francisella tularensis, which is primarily a zoonotic pathogen. It is transmitted to humans through direct contact with infected animals, bites from infected insects, or inhalation of contaminated aerosols. Common reservoirs include rabbits, hares, and rodents, with ticks and deer flies serving as primary vectors. The disease can manifest in various forms, including ulceroglandular, glandular, oculoglandular, or pneumonic, depending on the route of infection. Symptoms may include fever, chills, headache, muscle aches, and swollen lymph nodes, with the potential for severe complications if not treated promptly. Public health considerations are critical, as tularaemia is classified as a potential bioterrorism agent due to its infectious nature and ability to be aerosolized. Surveillance and control measures are essential to prevent outbreaks, particularly in areas where the disease is endemic. Vaccination is not widely available, making awareness and preventive measures vital for at-risk populations.
Detailed patient history, including exposure to animals or vectors, and laboratory confirmation of diagnosis.
Patients presenting with fever and lymphadenopathy after potential exposure to wildlife.
Ensure all clinical manifestations are documented to support the specific coding.
Reports of cases for epidemiological tracking and outbreak management.
Surveillance of tularaemia cases in endemic regions.
Collaboration with local health departments for accurate reporting and tracking.
Used when confirming a diagnosis of tularaemia through culture.
Document the source of the culture and the clinical suspicion of tularaemia.
Infectious disease specialists should ensure proper specimen handling.
Common symptoms include fever, chills, headache, muscle aches, and swollen lymph nodes. The specific symptoms may vary based on the route of infection.
