Actinomycotic sepsis
ICD-10 A42.1 is a billable code used to indicate a diagnosis of actinomycotic sepsis.
Actinomycotic sepsis is a severe systemic infection caused by Actinomyces species, which are anaerobic bacteria commonly found in the oral cavity, gastrointestinal tract, and female genital tract. This condition is particularly concerning in immunocompromised patients, such as those with HIV/AIDS, cancer, or those undergoing immunosuppressive therapy. The clinical presentation may include fever, chills, malaise, and localized abscess formation, often leading to septic shock if not promptly treated. Diagnosis can be challenging due to the nonspecific nature of symptoms and the difficulty in culturing Actinomyces, which may require specialized media and conditions. Imaging studies may reveal abscesses or other complications, but definitive diagnosis often relies on histopathological examination or culture from infected tissues. Given the opportunistic nature of this infection, timely recognition and treatment are crucial to prevent severe morbidity and mortality.
Detailed clinical history, laboratory results, and treatment plans must be documented.
Patients presenting with fever and abscesses, particularly in immunocompromised individuals.
Ensure that the underlying immunocompromised condition is clearly documented to support the diagnosis.
Documentation of cancer treatment history and current immunosuppressive therapies is essential.
Cancer patients developing infections during chemotherapy or after surgical procedures.
Document the relationship between cancer treatment and the development of actinomycotic sepsis.
Used when culturing for Actinomyces from abscess fluid.
Document the source of the culture and the clinical indication.
Infectious disease specialists should ensure that cultures are sent to appropriate labs for anaerobic bacteria.
Common symptoms include fever, chills, malaise, and localized pain, often associated with abscess formation.
Diagnosis typically involves clinical evaluation, imaging studies, and culture of the organism from infected tissues or fluids.
