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2025 ICD-10-CM code A03

Shigellosis is an intestinal infection caused by Shigella bacteria.

Use additional code to identify resistance to antimicrobial drugs (Z16.-).Do not use this code for carrier or suspected carrier status (Z22.-), shigellosis complicating pregnancy, childbirth (O98.-), or specific to the perinatal period (P35-P39).

Medical necessity for treatment is based on the severity of symptoms and the presence of complications. Severe dehydration, bloody stools, and systemic symptoms justify the need for aggressive treatment and possibly hospitalization.

Clinicians should evaluate the patient's hydration status, monitor for complications such as HUS, and prescribe antibiotics when necessary. They should also educate patients on preventing transmission through proper hygiene practices.

In simple words: Shigellosis is a bacterial infection in your gut that causes diarrhea, belly pain, fever, and painful bowel movements. It's spread through contaminated food or water. You might get dehydrated or have blood in your stool if it's severe.Treatment usually involves drinking plenty of fluids and sometimes antibiotics.

Shigellosis is an infection of the gastrointestinal system caused by four different species of Shigella bacteria, typically ingested with water and food contaminated by feces. Symptoms include diarrhea, abdominal pain, fever, and rectal pain. Severe cases can lead to dehydration, bloody stools, and rare complications such as seizures (in children), bloodstream infections, post-infectious arthritis, and hemolytic-uremic syndrome (HUS). Diagnosis involves laboratory tests of feces to detect the Shigella bacterium. Treatment typically includes rehydration and, in severe cases, antibiotics.

Example 1: A 5-year-old child presents with watery diarrhea, abdominal cramps, and fever after attending a picnic. Stool culture confirms Shigella sonnei, and the child is treated with oral rehydration solutions., A traveler returning from a developing country experiences bloody diarrhea, severe abdominal pain, and dehydration. Shigella dysenteriae is identified in stool samples, and the patient requires intravenous fluids and antibiotic therapy., An elderly patient in a nursing home develops diarrhea and fever. Shigellosis is diagnosed, and the patient is isolated to prevent an outbreak among other residents.

Documentation should include signs and symptoms, stool culture results, and any complications. The severity of dehydration and treatment provided should also be noted.

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