Other forms of actinomycosis
ICD-10 A42.8 is a billable code used to indicate a diagnosis of other forms of actinomycosis.
Actinomycosis is a chronic bacterial infection caused by Actinomyces species, which are anaerobic, gram-positive bacteria. While the most common form is cervicofacial actinomycosis, other forms can affect various body systems, including the thoracic, abdominal, and pelvic regions. In immunocompromised patients, such as those with HIV/AIDS, diabetes, or those undergoing chemotherapy, the risk of developing actinomycosis increases significantly. These patients may present with atypical symptoms, making diagnosis challenging. The clinical manifestations can range from abscess formation to systemic infections, often mimicking other conditions such as malignancies or tuberculosis. Diagnostic challenges arise due to the slow-growing nature of the bacteria and the need for specific culture techniques, as standard laboratory tests may not detect Actinomyces. Imaging studies, such as CT scans or MRIs, may be necessary to identify abscesses or other complications. Treatment typically involves prolonged antibiotic therapy, and in some cases, surgical intervention may be required to drain abscesses or remove necrotic tissue.
Detailed clinical notes on symptoms, laboratory results, and treatment plans.
Patients presenting with chronic abscesses or systemic infections, particularly in immunocompromised individuals.
Ensure that all relevant risk factors and comorbidities are documented to support the diagnosis.
Radiology reports, pulmonary function tests, and detailed patient history.
Patients with respiratory symptoms and imaging findings suggestive of thoracic actinomycosis.
Document any differential diagnoses considered, as thoracic actinomycosis can mimic other pulmonary conditions.
Used when culturing for Actinomyces species.
Document the source of the culture and any relevant clinical findings.
Infectious disease specialists should ensure comprehensive documentation of the patient's history.
Common symptoms include chronic abscess formation, pain at the site of infection, fever, and systemic symptoms such as weight loss and malaise. Symptoms can vary significantly based on the site of infection.