Mycetoma
ICD-10 B47.0 is a billable code used to indicate a diagnosis of mycetoma.
Mycetoma, also known as 'Madura foot', is a chronic granulomatous disease caused by fungal infections, primarily affecting the skin, subcutaneous tissue, and bone. It is characterized by the formation of painless, swollen nodules that can eventually lead to tissue destruction and deformity. The condition is typically caused by a variety of fungi, including those from the genera Acremonium, Aspergillus, and Madurella. Mycetoma is endemic in tropical and subtropical regions, often associated with agricultural activities. Patients may present with symptoms such as swelling, discharge of pus, and the presence of grains (colored particles) in the exudate. Diagnosis is confirmed through culture and histopathological examination. Treatment often involves antifungal medications, such as itraconazole or voriconazole, and in some cases, surgical intervention may be necessary. Immunocompromised patients are at a higher risk for severe manifestations of mycetoma, necessitating careful management and monitoring.
Detailed history of exposure, laboratory results, and treatment response.
Patients presenting with chronic skin lesions and history of travel to endemic areas.
Need for comprehensive fungal cultures and sensitivity testing.
Photographic evidence of lesions, biopsy results, and treatment history.
Patients with chronic nodular lesions on extremities.
Differentiation from other skin conditions such as sarcoidosis or leprosy.
Used when a biopsy is performed to confirm mycetoma.
Pathology report and clinical notes detailing the lesion.
Ensure the biopsy is documented as related to suspected mycetoma.
Mycetoma is primarily caused by fungal infections, with Madurella mycetomatis being the most common organism identified.
Diagnosis is made through clinical examination, imaging studies, and microbiological culture of the organism.
Treatment typically involves antifungal medications such as itraconazole or voriconazole, and surgical intervention may be necessary in severe cases.
