A25.1
Streptobacillosis
Clinical Classification Guidelines
Inclusion Terms
- Epidemic arthritic erythema
- Haverhill fever
- Streptobacillary rat-bite fever
Medical Intelligence & Overview
Streptobacillosis is an infectious disease caused by the bacteria Streptobacillus moniliformis. Historically known as rat-bite fever, this condition can lead to various symptoms affecting multiple parts of the body. The disease is typically transmitted through bites or scratches from infected rodents, especially rats, or through contact with contaminated materials. Recognizing the signs and understanding its causes can aid in timely treatment and management.
Causes & Symptoms
Clinical Causes: Bite or scratch from an infected rat or other rodents Handling or contact with surfaces contaminated by rodent droppings or urine Less commonly, ingestion of contaminated food or water
Key Symptoms: Fever and chills Muscle and joint pain, which may mimic arthritis Skin rash or rash-like skin changes Swelling and redness at the site of the bite or scratch Headaches and fatigue In some cases, sore throat and swollen lymph nodes
Diagnostic & Treatment
Diagnosis Path: Diagnosis primarily involves clinical evaluation based on observed symptoms and patient history of rodent exposure. Laboratory tests such as blood cultures can identify Streptobacillus moniliformis, although these may sometimes be challenging. Additional tests may include serology or other microbiological procedures for confirmation.
Treatment Protocols: Effective treatment generally includes antibiotics, with penicillin being commonly prescribed. Alternative antibiotics like doxycycline or chloramphenicol may be used based on specific patient circumstances. Supportive care, such as pain relievers and rest, can help manage symptoms. Early medical intervention often leads to full recovery.
Clinical Advice & FAQs
Billing Guidance
Is A25.1 a billable ICD-10 code?
Yes, A25.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A25.1?
Clinical documentation must specify the nature of Streptobacillosis and any associated comorbidities for accurate reporting.
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