Bartonellosis
ICD-10 A48.4 is a billable code used to indicate a diagnosis of bartonellosis.
Bartonellosis is an infectious disease caused by bacteria of the genus Bartonella, which includes several species that can infect humans. The most notable species associated with human disease are Bartonella henselae, which causes cat scratch fever, and Bartonella bacilliformis, which is responsible for Carrion's disease. In immunocompromised patients, such as those with HIV/AIDS or those undergoing immunosuppressive therapy, Bartonellosis can manifest as opportunistic infections, leading to severe complications. Symptoms may include fever, lymphadenopathy, and in some cases, more severe manifestations like endocarditis or bacillary angiomatosis. The diagnosis of Bartonellosis can be challenging due to its nonspecific symptoms and the need for serological or molecular testing to confirm the presence of the bacteria. Clinicians must maintain a high index of suspicion, especially in patients with risk factors for opportunistic infections, to ensure timely diagnosis and treatment.
Detailed clinical history, laboratory test results, and treatment plans.
Patients presenting with fever and lymphadenopathy, especially those with a history of cat exposure.
Ensure documentation reflects the immunocompromised status and any opportunistic infections.
Comprehensive patient history, including exposure history and symptomatology.
Patients with unexplained fever or lymphadenopathy, particularly in endemic areas.
Consider referral to infectious disease specialists for complex cases.
Used when Bartonellosis is suspected based on clinical presentation.
Document the reason for testing and clinical findings.
Infectious disease specialists may require additional tests for confirmation.
Common symptoms include fever, lymphadenopathy, and in some cases, skin lesions or endocarditis, particularly in immunocompromised patients.
