Leptospirosis icterohemorrhagica
Chapter 1:Certain infectious and parasitic diseases
ICD-10 A75.3 is a billable code used to indicate a diagnosis of leptospirosis icterohemorrhagica.
Leptospirosis icterohemorrhagica is a severe form of leptospirosis, a zoonotic disease caused by the spirochete bacteria of the genus Leptospira. This condition is characterized by a combination of liver dysfunction, jaundice, and hemorrhagic manifestations. The disease is transmitted through contact with water contaminated by the urine of infected animals, particularly rodents, and can also occur through direct contact with infected tissues or fluids. Clinical symptoms typically include high fever, chills, myalgia, headache, and conjunctival suffusion, followed by more severe complications such as liver failure, renal impairment, and pulmonary hemorrhage. Diagnosis is often confirmed through serological testing or PCR methods. Given its potential for severe outcomes, early recognition and treatment with appropriate antibiotics are critical. The epidemiology of leptospirosis shows a higher incidence in tropical and subtropical regions, particularly following heavy rainfall or flooding, making it a significant concern for travelers to these areas.
Detailed travel history, exposure risks, and laboratory results.
Patients presenting with fever and jaundice after travel to endemic areas.
Ensure all relevant symptoms and laboratory findings are documented to support the diagnosis.
Comprehensive assessment of symptoms, including vital signs and initial lab results.
Patients with acute febrile illness and potential exposure to contaminated water.
Rapid identification and documentation of potential exposure sources are crucial.
Used when leptospirosis is suspected based on clinical presentation.
Document the clinical rationale for the culture and any relevant symptoms.
Infectious disease specialists should ensure proper specimen handling and transport.
Common symptoms include high fever, chills, myalgia, headache, jaundice, and potential hemorrhagic manifestations. Severe cases may lead to liver failure and renal impairment.
