A26.0
Cutaneous erysipeloid
Clinical Classification Guidelines
Inclusion Terms
- Erythema migrans
Medical Intelligence & Overview
Cutaneous erysipeloid is a skin infection caused by bacteria, primarily Erysipelothrix rhusiopathiae. It commonly results in a skin rash characterized by redness and swelling, and it often appears as a well-defined, raised area of skin. This condition is typically acquired through contact with infected animals or contaminated materials and can affect individuals exposed to farm animals, fish, or environments where the bacteria thrive. Recognized by its distinctive erythema that tends to spread rapidly, erysipeloid usually affects the skin of the hands or fingers but can involve other areas. Prompt diagnosis and treatment are important to prevent the infection from worsening or spreading to other parts of the body.
Causes & Symptoms
Clinical Causes: Contact with infected animals, such as pigs, birds, or fish Handling contaminated animal products or materials Exposure to environments contaminated with Erysipelothrix rhusiopathiae Injuries or cuts on the skin that serve as entry points for bacteria Occupation-related exposure, especially in farmers, fishermen, and slaughterhouse workers
Key Symptoms: Red, swollen areas of skin that may appear as a sharply demarcated, raised patch Pain or tenderness in the affected area Warmth and redness that can spread rapidly Possible formation of blisters or pustules Fever or chills in some cases Lymph node swelling near the site of infection General feelings of discomfort or fatigue
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily clinical, based on the appearance of the skin and recent exposure history. A healthcare provider may perform a physical exam and inquire about contact with animals or contaminated materials. Laboratory tests such as skin cultures or blood tests might be used to identify the bacteria, especially in atypical or severe cases. Imaging is rarely necessary but can be employed if complications are suspected.
Treatment Protocols: Treatment typically involves antibiotics, with penicillin or other suitable agents being effective against Erysipelothrix rhusiopathiae. Early intervention often results in quick resolution of symptoms. Supportive care, including rest and elevation of the affected area, may be recommended. In some cases, analgesics are used to alleviate discomfort. Proper wound care and hygiene are essential to prevent further infection. Severe or persistent cases may require hospitalization and IV antibiotics.
Clinical Advice & FAQs
Billing Guidance
Is A26.0 a billable ICD-10 code?
Yes, A26.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A26.0?
Clinical documentation must specify the nature of Cutaneous erysipeloid and any associated comorbidities for accurate reporting.
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