Candidal endocarditis
ICD-10 B46.5 is a billable code used to indicate a diagnosis of candidal endocarditis.
Candidal endocarditis is a rare but serious fungal infection of the heart valves, primarily caused by Candida species, particularly Candida albicans. This condition typically occurs in immunocompromised patients, such as those with HIV/AIDS, cancer, or those undergoing immunosuppressive therapy. The infection can lead to severe complications, including heart failure, embolic events, and systemic infections. Symptoms may include fever, chills, fatigue, and signs of heart failure. Diagnosis is often confirmed through blood cultures, echocardiography, and clinical evaluation. Treatment usually involves antifungal therapy, with agents such as fluconazole or amphotericin B, and may require surgical intervention for valve replacement in severe cases. Early recognition and management are crucial to improve outcomes in affected patients.
Detailed history of immunocompromised conditions, laboratory results, and treatment plans.
Patients with a history of cancer or HIV presenting with fever and heart murmur.
Ensure clear documentation of the fungal nature of the infection and any prior antifungal treatments.
Echocardiographic findings, clinical symptoms, and treatment interventions.
Patients with known heart disease presenting with signs of infection.
Document the need for surgical intervention if applicable, and the patient's overall cardiac status.
Used to assess for vegetations in suspected endocarditis cases.
Document the indication for the echocardiogram and findings.
Cardiology specialists should ensure comprehensive reporting of echocardiographic findings.
Common symptoms include fever, chills, fatigue, and signs of heart failure such as shortness of breath and edema.
Diagnosis is typically made through blood cultures, echocardiography, and clinical evaluation of symptoms.
Common antifungal treatments include fluconazole and amphotericin B, depending on the severity of the infection and the patient's overall health.
