Whooping cough due to other Bordetella species with pneumonia
ICD-10 A37.81 is a billable code used to indicate a diagnosis of whooping cough due to other bordetella species with pneumonia.
Whooping cough, or pertussis, is primarily caused by Bordetella pertussis, but can also be caused by other Bordetella species, such as Bordetella parapertussis and Bordetella holmesii. This condition is characterized by severe coughing fits that can lead to difficulty breathing, particularly in infants and young children. When pneumonia is present, it indicates a more severe manifestation of the infection, often requiring hospitalization. The clinical presentation includes paroxysmal coughing, inspiratory whoop, and post-tussive vomiting. Diagnosis is typically confirmed through PCR testing or culture of respiratory secretions. Treatment involves antibiotics such as azithromycin or clarithromycin, which are most effective when administered early in the course of the disease. Supportive care, including hydration and oxygen therapy, may be necessary for patients with pneumonia. The emergence of antibiotic resistance among Bordetella species is a growing concern, necessitating careful selection of treatment protocols and monitoring of resistance patterns.
Detailed history of cough, vaccination status, and clinical findings.
Infants presenting with severe cough and respiratory distress.
Documentation of vaccination history and exposure to infected individuals is crucial.
Laboratory confirmation of Bordetella species and clinical assessment of pneumonia.
Adults with atypical presentations of whooping cough and pneumonia.
Consideration of antibiotic resistance patterns and alternative treatment options.
Used for follow-up visits after diagnosis of whooping cough.
Document clinical findings, treatment response, and any changes in symptoms.
Pediatricians should ensure vaccination history is included.
The primary treatment includes antibiotics such as azithromycin or clarithromycin, especially if administered early in the course of the disease.
