Echinococcus multilocularis infection
ICD-10 B67.1 is a billable code used to indicate a diagnosis of echinococcus multilocularis infection.
Echinococcus multilocularis infection is a parasitic disease caused by the larval stage of the Echinococcus multilocularis tapeworm. This helminthic infection primarily affects the liver, leading to the formation of cyst-like lesions that can mimic malignancy. The infection is endemic in certain regions, particularly in the Northern Hemisphere, where it is transmitted through contact with infected canids, such as foxes and domestic dogs, or through ingestion of contaminated food or water. Symptoms may include abdominal pain, jaundice, and weight loss, but many patients remain asymptomatic for years. Diagnosis is typically made through imaging studies, such as ultrasound or CT scans, and serological tests. Treatment often involves surgical intervention to remove cysts, along with antiparasitic medications such as albendazole or mebendazole to prevent recurrence. Early detection and treatment are crucial to prevent severe complications, including liver failure or metastasis to other organs.
Detailed patient history, exposure risk assessment, and diagnostic imaging results.
Patients presenting with abdominal pain and jaundice, or incidental findings on imaging.
Consideration of co-infections and the need for multidisciplinary management.
Operative reports detailing cyst removal and any complications encountered.
Surgical intervention for large cysts or complications such as abscess formation.
Documentation of pre-operative imaging and post-operative follow-up.
Used when surgical intervention is required for cyst removal.
Operative report detailing the procedure and findings.
Surgeons must document the rationale for surgery and any complications.
Common symptoms include abdominal pain, jaundice, weight loss, and in some cases, asymptomatic presentations. Symptoms may develop slowly over years.