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2025 ICD-10-CM code A24

Glanders and melioidosis are bacterial infections caused by Burkholderia species.Glanders is primarily a disease of equines, while melioidosis is found in soil and water and can infect humans and animals.

Use additional code to identify resistance to antimicrobial drugs (Z16.-).Exclude certain localized infections, carrier status (Z22.-), and infections complicating pregnancy, childbirth, or the perinatal period (O98.-, P35-P39).

Medical necessity for treatment of glanders and melioidosis is established by the diagnosis confirmed through laboratory testing. Prolonged antibiotic therapy is crucial to prevent relapse.

Clinicians should suspect glanders or melioidosis in patients with relevant exposure history and symptoms such as fever, respiratory issues, or skin lesions.Diagnosis involves laboratory testing of blood, urine, or tissue samples. Treatment requires prolonged antibiotic therapy.

In simple words: Glanders and melioidosis are infections caused by Burkholderia bacteria. Glanders mainly affects horses, donkeys, and mules, while melioidosis is found in soil and water and can infect people and animals. Symptoms can include fever, lung problems, blood infections, and sores.Treatment requires a long course of antibiotics.

Glanders and melioidosis are infectious diseases with similar clinical presentations, both caused by species of the bacterial genus Burkholderia. B. mallei causes glanders, primarily affecting horses, donkeys, and mules, causing nodules and ulcerations in the respiratory tract and skin. Melioidosis, caused by B. pseudomallei, is found in soil and water, particularly in Southeast Asia and northern Australia, and can infect humans and various animals.Both infections can range from asymptomatic to severe, with symptoms including fever, pneumonia, septicemia, and localized infections forming abscesses in various organs. Diagnosis can be challenging due to nonspecific symptoms. Treatment involves prolonged antibiotic therapy.

Example 1: A farmer in Southeast Asia presents with fever, cough, and skin abscesses.Cultures identify B. pseudomallei, confirming melioidosis., A veterinarian examining a horse with respiratory distress and skin ulcers suspects glanders.Laboratory tests confirm B. mallei infection., A traveler returning from Thailand develops pneumonia and sepsis. Blood cultures reveal B. pseudomallei, indicating melioidosis acquired during travel.

Documentation should include patient history (including travel and animal contact), physical exam findings, laboratory results confirming the presence of Burkholderia species, and details of treatment.

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