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Sepsis due to Escherichia coli [E. coli]

ICD10CM code

Name of the Condition

  • Sepsis due to Escherichia coli [E. coli]
  • Medical Term: E. coli sepsis

Summary

Sepsis due to Escherichia coli is a serious medical condition where the body responds to an infection by the E. coli bacteria in such a way that it leads to widespread inflammation and potentially life-threatening damage to tissues and organs.

Causes

Sepsis occurs when E. coli bacteria enter the bloodstream from infections such as urinary tract infections, intestinal infections, or through wounds. It is commonly acquired in healthcare settings or from contaminated food.

Risk Factors

  • Compromised immune system
  • Existing chronic health conditions like diabetes or kidney disease
  • Recent surgery or hospital stay
  • Age (infants and the elderly are more vulnerable)
  • Use of invasive devices (e.g., catheters or ventilators)

Symptoms

  • Fever or hypothermia
  • Rapid heart rate
  • Rapid breathing
  • Confusion or disorientation
  • Extreme pain or discomfort

Diagnosis

  • Blood cultures to identify the presence of E. coli
  • Complete blood count (CBC)
  • Imaging tests to locate the infection site
  • Urine and other body fluid tests for further evaluation

Treatment Options

  • Antibiotics: Immediate administration to combat the bacterial infection.
  • Intravenous Fluids: To maintain blood pressure and hydration.
  • Oxygen Therapy: To ensure adequate oxygen levels.
  • In severe cases, surgical procedures may be required to remove infection sources.

Prognosis and Follow-Up

Prompt treatment improves the prognosis significantly, but sepsis can be fatal if not addressed quickly. Regular follow-up is vital to monitor recovery and prevent recurrences.

Complications

  • Organ failure (kidneys, lungs, heart)
  • Septic shock
  • Increased risk of secondary infections

Lifestyle & Prevention

  • Practicing good hygiene and food safety
  • Managing chronic illnesses effectively
  • Timely medical attention for infections
  • Staying up-to-date with vaccinations

When to Seek Professional Help

Seek immediate medical attention if symptoms of sepsis or severe infection appear, such as persistent fever, confusion, or rapid breathing.

Additional Resources

Tips for Medical Coders

  • Ensure specificity: code both the sepsis and the E. coli infection.
  • Avoid errors by verifying causative pathogen when assigning A41.51.
  • Review lab results and physician notes for accurate documentation.

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