Toxic shock syndrome
ICD-10 A48.3 is a billable code used to indicate a diagnosis of toxic shock syndrome.
Toxic shock syndrome (TSS) is a severe and potentially life-threatening condition characterized by sudden onset of high fever, rash, hypotension, and multi-organ dysfunction. It is often associated with the presence of certain strains of Staphylococcus aureus or Streptococcus pyogenes, which produce toxins that can lead to systemic inflammatory response syndrome (SIRS). TSS can occur in both immunocompetent and immunocompromised individuals, but those with weakened immune systems are at a higher risk for opportunistic infections. Diagnostic challenges arise due to the nonspecific nature of symptoms, which can mimic other conditions such as sepsis or severe allergic reactions. Clinicians must rely on a combination of clinical presentation, laboratory findings, and patient history to confirm a diagnosis of TSS. Early recognition and treatment are critical, as the condition can progress rapidly, leading to severe complications such as renal failure, shock, and death if not addressed promptly.
Detailed clinical notes on patient history, presenting symptoms, and laboratory findings.
Patients presenting with fever, rash, and hypotension, particularly those with recent surgical procedures or infections.
Documentation must clearly establish the link between symptoms and the diagnosis of TSS, especially in immunocompromised patients.
Immediate documentation of vital signs, clinical presentation, and initial treatment provided.
Acute presentations of fever and shock in patients with a history of recent infections or surgeries.
Rapid assessment and documentation are crucial for accurate coding and treatment planning.
Used when a patient presents with TSS symptoms requiring immediate intervention.
Detailed notes on presenting symptoms, vital signs, and initial treatment.
Emergency medicine specialists must document the urgency and severity of the condition.
Key symptoms include sudden high fever, rash, hypotension, and signs of multi-organ dysfunction. Patients may also experience confusion, vomiting, and diarrhea.
