Erysipeloid
ICD-10 A36.1 is a billable code used to indicate a diagnosis of erysipeloid.
Erysipeloid is an infection caused by the bacterium Erysipelothrix rhusiopathiae, primarily affecting the skin. It is often associated with handling fish or meat, particularly in occupations such as butchering or fishing. The condition typically presents as a localized erythematous and edematous lesion, often resembling erysipelas, hence the name. Patients may experience pain, swelling, and warmth in the affected area, which can progress to systemic symptoms such as fever and malaise in more severe cases. Diagnosis is primarily clinical, supported by a history of exposure to the bacterium, and can be confirmed through culture or serological tests. Treatment usually involves antibiotics, with penicillin being the drug of choice. In cases of resistance or allergy, alternatives such as cephalosporins or tetracyclines may be used. While erysipeloid is generally self-limiting, prompt treatment is essential to prevent complications, especially in immunocompromised individuals.
Detailed patient history, including occupational exposure and symptom progression.
Patients presenting with skin lesions after handling fish or meat.
Consideration of co-morbid conditions that may complicate the infection.
Photographic evidence of lesions and detailed descriptions of skin findings.
Patients with atypical skin infections that require differentiation from other dermatological conditions.
Need for thorough differential diagnosis to rule out other skin infections.
Used when a culture is taken to confirm the diagnosis of erysipeloid.
Document the site of culture and clinical indications.
Infectious disease specialists may require additional lab results.
The primary treatment for erysipeloid is penicillin. Alternatives may include cephalosporins or tetracyclines in cases of allergy or resistance.
