Whooping cough due to other Bordetella species
ICD-10 A37.8 is a billable code used to indicate a diagnosis of whooping cough due to other bordetella species.
Whooping cough, or pertussis, is primarily caused by Bordetella pertussis, but can also be attributed to other species within the Bordetella genus, such as Bordetella parapertussis and Bordetella holmesii. These infections are characterized by severe coughing fits that can lead to a 'whooping' sound during inhalation. The disease is highly contagious and primarily spreads through respiratory droplets. Symptoms typically begin with mild respiratory symptoms, which can progress to paroxysmal coughing, vomiting, and exhaustion. Diagnosis is often confirmed through PCR testing or culture of nasopharyngeal secretions. Treatment usually involves antibiotics such as azithromycin or clarithromycin, which are most effective when administered early in the course of the illness. Vaccination remains the most effective preventive measure, although it may not provide complete immunity against infections caused by non-pertussis Bordetella species. Understanding the nuances of whooping cough due to other Bordetella species is crucial for accurate diagnosis and treatment, as well as for public health reporting and epidemiological tracking.
Detailed history of cough, vaccination status, and exposure history.
Infants presenting with severe cough, older children with atypical presentations.
Consideration of age-specific vaccination schedules and potential complications.
Comprehensive lab results, including PCR and culture findings.
Patients with recurrent respiratory infections or atypical presentations.
Need for thorough epidemiological tracking and reporting.
Used when PCR testing is performed to confirm Bordetella infection.
Document the reason for testing and the specific Bordetella species suspected.
Infectious disease specialists should ensure comprehensive lab results are included.
A37.0 refers specifically to whooping cough caused by Bordetella pertussis, while A37.8 is used for cases caused by other Bordetella species, which may present differently and require specific laboratory confirmation.
