Whooping cough due to Bordetella parapertussis without pneumonia
ICD-10 A37.10 is a billable code used to indicate a diagnosis of whooping cough due to bordetella parapertussis without pneumonia.
Whooping cough, or pertussis, is primarily caused by the bacterium Bordetella pertussis; however, Bordetella parapertussis can also cause a similar clinical syndrome. This condition is characterized by severe coughing fits that can lead to a 'whooping' sound during inhalation. Unlike B. pertussis, infections caused by B. parapertussis are generally less severe and are less likely to result in pneumonia. The clinical presentation includes paroxysmal cough, post-tussive vomiting, and apnea, particularly in infants. Diagnosis is typically confirmed through PCR testing or culture of nasopharyngeal secretions. Treatment usually involves antibiotics such as azithromycin or clarithromycin, which can help reduce the duration of symptoms and prevent transmission. However, the effectiveness of antibiotics is less pronounced in cases caused by B. parapertussis compared to B. pertussis. Vaccination against pertussis does not provide complete protection against B. parapertussis, making it essential for healthcare providers to recognize and manage this infection appropriately.
Detailed history of cough, vaccination status, and any respiratory distress.
Infants presenting with severe cough and apnea, children with prolonged cough after a viral illness.
Consideration of age and vaccination history is critical for accurate coding.
Laboratory confirmation of Bordetella species, detailed clinical presentation.
Patients with atypical presentations of cough, adults with persistent cough.
Need for thorough differential diagnosis to rule out other infections.
Used when laboratory testing confirms Bordetella parapertussis.
Document the specific test performed and results.
Ensure alignment with clinical findings and diagnosis.
Bordetella pertussis is the primary causative agent of whooping cough, while Bordetella parapertussis can cause a similar but generally milder form of the disease. Diagnosis and treatment protocols may differ slightly.
