B81.3
Intestinal angiostrongyliasis
Clinical Classification Guidelines
Inclusion Terms
- Angiostrongyliasis due to:
- Angiostrongylus costaricensis
- Parastrongylus costaricensis
Medical Intelligence & Overview
Intestinal angiostrongyliasis is a rare parasitic infection caused by the nematode Angiostrongylus costaricensis, which affects the intestines and nearby tissues. This condition is part of a broader group of diseases known as angiostrongyliasis, distinguished by the specific parasite involved. People usually acquire this infection through contaminated food or water sources. While it is uncommon, understanding the causes, symptoms, diagnosis, and treatments can help in managing and preventing this illness.
Causes & Symptoms
Clinical Causes: Consuming undercooked or raw infected intermediate hosts, such as snails or slugs Eating contaminated fruits or vegetables that have come into contact with infected snails or slugs Contaminated water sources containing larvae from infected mollusks Ingesting food or water that has been contaminated with feces from animals or persons carrying the parasite
Key Symptoms: Abdominal pain, often severe and localized Diarrhea, which may be bloody Fever and general malaise Nausea and vomiting Tenderness in the abdomen, especially in the right lower quadrant Possible development of a mass or swelling in the intestinal region In some cases, other signs of intestinal inflammation or ulceration
Diagnostic & Treatment
Diagnosis Path: Diagnosing intestinal angiostrongyliasis involves a combination of clinical evaluation, laboratory tests, and sometimes imaging studies. Doctors may perform stool examinations to detect parasite larvae or eggs, though this can be challenging. Blood tests might reveal eosinophilia, which indicates a parasitic infection. Imaging techniques like ultrasound or CT scans can identify inflammation, swelling, or masses in the intestines. In certain cases, a biopsy may be required to confirm the presence of the parasite tissue.
Treatment Protocols: Treatment focuses on relieving symptoms and managing the parasitic infection. Medications such as antiparasitic drugs may be prescribed to target the worms. Supportive care includes hydration, pain management, and nutritional support as needed. In severe cases where there is significant intestinal damage or obstruction, surgical intervention might be necessary. Follow-up is essential to ensure recovery and manage any complications that may arise.
Clinical Advice & FAQs
Billing Guidance
Is B81.3 a billable ICD-10 code?
Yes, B81.3 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B81.3?
Clinical documentation must specify the nature of Intestinal angiostrongyliasis and any associated comorbidities for accurate reporting.
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