B66.2
Dicroceliasis
Clinical Classification Guidelines
Inclusion Terms
- Infection due to Dicrocoelium dendriticum
- Lancet fluke infection
Medical Intelligence & Overview
Dicrocoeliasis is a parasitic infection caused by the liver fluke Dicrocoelium dendriticum, also known as the lancet fluke. This condition primarily affects the bile ducts in the liver of humans and animals. Although it is more common in livestock, humans can become accidental hosts through contact with contaminated environments or ingestion of infected intermediate hosts. Recognizing the causes, symptoms, and prevention strategies is important for managing this parasitic disease.
Causes & Symptoms
Clinical Causes: Ingestion of raw or undercooked infected intermediate hosts such as certain snails and ants, which carry the infective metacercariae stage of Dicrocoelium dendriticum. Contaminated food and water sources that harbor the infected snails or ants. Environmental exposure to areas where infected intermediate hosts are prevalent, especially in rural or agricultural settings. Improper handling and hygiene practices when dealing with contaminated soil, plants, or animals that may harbor the parasite.
Key Symptoms: Abdominal discomfort, often in the upper right quadrant where the liver is located. Mild jaundice, resulting in yellowing of the skin and eyes. Digestive issues such as nausea, vomiting, and loss of appetite. Unexplained fatigue or malaise. In some cases, no noticeable symptoms, making diagnosis more challenging.
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of medical history assessment, physical examination, and laboratory tests. Specific diagnostic methods include:
Treatment Protocols: Treatment strategies focus on eliminating the parasite and alleviating symptoms. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is B66.2 a billable ICD-10 code?
Yes, B66.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B66.2?
Clinical documentation must specify the nature of Dicroceliasis and any associated comorbidities for accurate reporting.
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