A23.0
Brucellosis due to Brucella melitensis
Clinical Classification Guidelines
Medical Intelligence & Overview
Brucellosis caused by Brucella melitensis is an infectious disease that primarily affects livestock but can be transmitted to humans. It is sometimes called Malta fever or undulant fever. This condition results from contact with infected animals or consumption of contaminated animal products. Recognizing the symptoms and understanding the causes can help in managing and preventing the disease.
Causes & Symptoms
Clinical Causes: Handling infected animals, especially goats, sheep, and cattle. Consuming unpasteurized dairy products like milk, cheese, or yogurt from infected animals. Inhalation of airborne bacteria in settings like farms or laboratories. Direct contact with animal tissues or bodily fluids during slaughter or veterinary procedures.
Key Symptoms: Fever that fluctuates (undulant fever), often rising in the evening. Sweats, particularly night sweats. Fatigue and weakness. Muscle and joint pain. Loss of appetite and weight loss. Headaches. Sweating, chills, and malaise.
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of medical history, physical examination, and laboratory tests. Blood tests such as serology (e.g., Rose Bengal test, ELISA) can detect antibodies against Brucella melitensis. Blood cultures may identify the bacteria directly. A thorough evaluation by healthcare professionals is essential for accurate diagnosis.
Treatment Protocols: Treatment typically involves a course of antibiotics, often a combination of doxycycline and rifampin, taken over several weeks. This helps eliminate the bacteria from the body and reduce the risk of relapse. Medical management may include supportive care to alleviate symptoms and prevent complications.
Clinical Advice & FAQs
Billing Guidance
Is A23.0 a billable ICD-10 code?
Yes, A23.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A23.0?
Clinical documentation must specify the nature of Brucellosis due to Brucella melitensis and any associated comorbidities for accurate reporting.
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