Leptospirosis icterohemorrhagica
ICD-10 A67.3 is a billable code used to indicate a diagnosis of leptospirosis icterohemorrhagica.
Leptospirosis icterohemorrhagica is a severe form of leptospirosis, a bacterial infection caused by spirochetes of the genus Leptospira. This condition is characterized by jaundice, hemorrhagic manifestations, and renal impairment. The disease is typically transmitted through contact with water contaminated by the urine of infected animals, particularly rodents. Clinically, patients may present with fever, chills, myalgia, and conjunctival suffusion, progressing to more severe symptoms such as liver failure, renal failure, and pulmonary hemorrhage. The diagnosis is confirmed through serological testing or PCR for Leptospira DNA. Geographic distribution of leptospirosis is widespread, with endemic areas primarily in tropical and subtropical regions, including parts of Southeast Asia, Central and South America, and the Caribbean. Outbreaks are often associated with heavy rainfall and flooding, which increase exposure to contaminated water. Prompt recognition and treatment are crucial to reduce morbidity and mortality associated with this condition.
Detailed clinical notes on symptoms, exposure history, and laboratory results.
Patients presenting with fever and jaundice after exposure to contaminated water.
Ensure all laboratory tests are documented to support diagnosis.
Immediate assessment notes, including vital signs and initial lab results.
Patients with acute febrile illness and potential exposure history.
Rapid diagnosis is critical; ensure all presenting symptoms are recorded.
Used when leptospirosis is suspected and culture confirmation is needed.
Document the reason for the culture and any relevant clinical findings.
Infectious disease specialists should ensure cultures are sent promptly.
Common symptoms include high fever, jaundice, bleeding, renal failure, and conjunctival suffusion. Severe cases may lead to liver and kidney failure.
