Diphtheritic conjunctivitis
ICD-10 A36.86 is a billable code used to indicate a diagnosis of diphtheritic conjunctivitis.
Diphtheritic conjunctivitis is an ocular manifestation of diphtheria, a serious bacterial infection caused by Corynebacterium diphtheriae. This condition is characterized by inflammation of the conjunctiva, often accompanied by a grayish membrane that can obstruct vision and lead to complications if untreated. The infection typically arises from direct contact with respiratory secretions or contaminated surfaces. Symptoms may include redness, swelling, discharge, and pain in the affected eye. In severe cases, systemic symptoms such as fever and malaise may also be present. Prompt diagnosis and treatment are crucial to prevent complications such as corneal ulceration or systemic spread of the infection. Treatment usually involves the administration of diphtheria antitoxin and antibiotics, such as penicillin or erythromycin, to eradicate the bacteria. Resistance patterns to antibiotics can vary, making susceptibility testing important in managing the infection effectively. Given the potential for serious complications, healthcare providers must maintain a high index of suspicion for diphtheritic conjunctivitis, especially in unvaccinated populations or during outbreaks.
Detailed clinical notes on symptoms, examination findings, and treatment plans.
Patients presenting with conjunctival redness, discharge, and systemic symptoms.
Ensure documentation reflects the infectious nature of the conjunctivitis and any systemic involvement.
Comprehensive history of exposure, vaccination status, and laboratory results.
Outbreak investigations or cases in unvaccinated populations.
Focus on the identification of the pathogen and antibiotic susceptibility.
Used when a patient presents with symptoms of diphtheritic conjunctivitis for evaluation.
Document the examination findings, including visual acuity and conjunctival assessment.
Ophthalmologists should note any systemic symptoms that may indicate a more severe infection.
Common symptoms include redness, swelling of the conjunctiva, discharge, and the presence of a grayish membrane. Systemic symptoms such as fever and malaise may also occur.
