Tuberculosis of larynx, trachea and bronchus
Chapter 1:Certain infectious and parasitic diseases
ICD-10 A15.5 is a billable code used to indicate a diagnosis of tuberculosis of larynx, trachea and bronchus.
Tuberculosis (TB) of the larynx, trachea, and bronchus is a rare but serious manifestation of pulmonary tuberculosis. It occurs when Mycobacterium tuberculosis infects the upper respiratory tract, leading to inflammation and potential obstruction of the airway. Symptoms may include hoarseness, cough, difficulty breathing, and stridor. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as chest X-rays, and microbiological tests including sputum smear and culture for acid-fast bacilli. In some cases, laryngoscopy may be performed to visualize the larynx directly. Treatment usually involves a multi-drug regimen over an extended period, often including isoniazid, rifampin, ethambutol, and pyrazinamide. Monitoring for drug resistance is crucial, as TB can develop resistance to standard treatments, complicating management. Public health measures, including contact tracing and isolation of infectious patients, are essential to prevent the spread of TB, particularly in high-risk populations. Effective management requires a multidisciplinary approach, including pulmonologists, infectious disease specialists, and public health officials.
Detailed clinical notes on respiratory symptoms, diagnostic imaging results, and treatment plans.
Patients presenting with chronic cough, hoarseness, or stridor; patients with known TB history requiring airway evaluation.
Consideration of airway management and potential need for surgical intervention in severe cases.
Comprehensive documentation of TB treatment regimens, drug resistance testing, and follow-up care.
Patients with confirmed TB requiring long-term management and monitoring for drug resistance.
Coordination with public health for contact tracing and reporting.
Used to visualize the larynx in patients suspected of having laryngeal TB.
Document indications for laryngoscopy and findings.
Pulmonologists and ENT specialists should collaborate on cases.
Common symptoms include hoarseness, cough, difficulty breathing, and stridor. Patients may also experience throat pain and difficulty swallowing.
