Measles with pneumonia
ICD-10 B05.0 is a billable code used to indicate a diagnosis of measles with pneumonia.
Measles, also known as rubeola, is a highly contagious viral infection characterized by a prodromal phase of fever, cough, coryza, and conjunctivitis, followed by a characteristic rash. When measles is complicated by pneumonia, it can lead to significant morbidity and mortality, especially in young children and immunocompromised individuals. Pneumonia associated with measles can be viral or secondary bacterial infections, often manifesting as a severe respiratory illness. The pathophysiology involves the measles virus impairing the immune response, leading to increased susceptibility to secondary infections. Diagnosis is typically confirmed through clinical presentation and serological testing for measles-specific IgM antibodies. Vaccination with the measles, mumps, and rubella (MMR) vaccine is crucial for prevention, and it is recommended that children receive their first dose at 12-15 months of age, with a second dose at 4-6 years. Complications from measles, including pneumonia, can be severe, necessitating prompt medical attention and appropriate coding to reflect the complexity of the patient's condition.
Detailed history of vaccination status, clinical symptoms, and laboratory results.
Children presenting with fever, rash, and respiratory distress.
Ensure vaccination history is documented to support diagnosis.
Comprehensive clinical notes detailing the progression of illness and any secondary infections.
Patients with measles presenting with pneumonia and requiring hospitalization.
Document any immunocompromised status that may affect treatment and coding.
Administering MMR vaccine to prevent measles.
Document vaccine type, date, and patient consent.
Pediatricians should ensure vaccination records are up to date.
Common complications include pneumonia, encephalitis, and otitis media. Pneumonia is the most serious complication and can be caused by the measles virus itself or secondary bacterial infections.
