Actinomycotic sepsis
ICD-10 A42.7 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 human oral cavity and gastrointestinal tract. This condition typically arises in immunocompromised patients, such as those with HIV/AIDS, diabetes, or those undergoing immunosuppressive therapy. The clinical presentation may include fever, chills, malaise, and localized abscess formation, often in the cervicofacial region, thorax, or abdomen. Diagnosis can be challenging due to the nonspecific nature of symptoms and the difficulty in culturing Actinomyces, which may require specialized media. Imaging studies and histopathological examination are often necessary to confirm the diagnosis. Prompt recognition and treatment are crucial, as actinomycotic sepsis can lead to significant morbidity and mortality if not addressed swiftly. Treatment typically involves prolonged antibiotic therapy, often with penicillin, and may require surgical intervention to drain abscesses or remove necrotic tissue.
Detailed clinical notes on patient history, symptoms, and diagnostic tests performed.
Patients presenting with fever and abscesses, particularly in immunocompromised individuals.
Need for thorough documentation of antibiotic therapy and response to treatment.
Comprehensive documentation of comorbidities and treatment plans.
Management of sepsis in patients with multiple underlying health issues.
Coordination with infectious disease specialists for complex cases.
Used when culturing for Actinomyces in suspected cases of sepsis.
Document the reason for culture and any prior treatments.
Infectious disease specialists may require additional details on patient history.
Common symptoms include fever, chills, malaise, and localized abscess formation, often in the cervicofacial region, thorax, or abdomen.
Diagnosis typically involves clinical evaluation, imaging studies, and cultures that may require specialized media to identify Actinomyces.
Treatment usually involves prolonged antibiotic therapy, often with penicillin, and may require surgical intervention for abscess drainage.
