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2025 ICD-10-CM code A21

Tularemia (also known as rabbit fever or deerfly fever)

Medical necessity for tularemia treatment is established by the confirmed diagnosis through laboratory testing and clinical presentation.Prompt antibiotic treatment is necessary to prevent serious complications.

Physicians diagnose tularemia based on patient history, symptoms, physical examination, and laboratory tests like blood cultures, serologic tests, PCR, and microscopic analysis of specimens. They also assess pulmonary involvement through chest X-rays and prescribe appropriate antibiotic treatment.

In simple words: Tularemia, also called rabbit fever or deerfly fever, is a rare bacterial infection spread by infected animals, often through insect bites. Symptoms include fever, chills, aches, and sores. Severe cases can affect multiple organs. Diagnosis involves blood tests and examination of samples. Treatment involves antibiotics.

Tularemia is a rare bacterial infection caused by Francisella tularensis. It's transmitted from infected rodents and other animals through infected tick or flying insect bites, direct contact with bacteria through cuts or sores, touching the eyes or mouth with contaminated hands, or from bacteria entering the bloodstream from other infected sites. Symptoms can include sudden fever and chills, headache, backache, muscle and joint pains, sweats, skin ulcers, difficulty breathing, extreme exhaustion, sore throat, loss of appetite, vomiting, and weight loss. Various forms of tularemia involve lymph nodes, skin, eyes, lungs, and gastrointestinal tract, sometimes affecting bones, heart, and central nervous system. Diagnosis involves patient history, physical exam, blood culture, serologic tests, PCR, and microscopic analysis of specimens. Treatment typically includes antibiotics such as doxycycline, ciprofloxacin, streptomycin, and tetracycline.

Example 1: A hunter develops a skin ulcer and swollen lymph nodes after handling a wild rabbit.Lab tests confirm tularemia., A landscaper experiences fever, chills, and respiratory distress after being bitten by a tick. Tularemia is diagnosed through blood tests., A farmer develops pneumonia and gastrointestinal symptoms after exposure to contaminated livestock. Diagnostic tests confirm tularemia.

Documentation should include patient history (including potential exposure to infected animals or insects), physical examination findings (e.g., skin ulcers, swollen lymph nodes), and laboratory results confirming the diagnosis of tularemia. Details of treatment with antibiotics should also be documented.

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