1F63.0: Capillariasis of the intestine

ICD-11 code 1F63.0 corresponds to capillariasis of the intestine, a parasitic infection caused by Capillaria philippinensis, a nematode worm found in contaminated soil or water in tropical and subtropical regions. The ingestion of raw or undercooked fish harboring the parasite’s larvae is the primary route of transmission for capillariasis.

Symptoms of capillariasis of the intestine may include abdominal pain, diarrhea, weight loss, and malnutrition due to the worm’s presence in the small intestine, where it can cause tissue damage and impair nutrient absorption. Severe cases of capillariasis can lead to dehydration, electrolyte imbalances, and complications such as intestinal perforation and peritonitis.

Diagnosis of capillariasis is typically made through microscopic examination of stool samples for the presence of Capillaria philippinensis eggs. Treatment for capillariasis of the intestine often involves the use of antiparasitic medications, such as albendazole or mebendazole, along with supportive care to address symptoms and prevent complications. Early detection and prompt treatment are crucial for managing capillariasis effectively and minimizing the risk of long-term health consequences.

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#️⃣  Coding Considerations

The equivalent SNOMED CT code for the ICD-11 code 1F63.0, which represents capillariasis of the intestine, is 30448003. SNOMED CT is a comprehensive clinical terminology system used for coding healthcare information in a standardized way. Capillariasis is a parasitic infection caused by worms of the genus Capillaria, which typically affects the small intestine of humans. This condition can result in symptoms such as abdominal pain, diarrhea, and weight loss. By using SNOMED CT codes like 30448003, healthcare professionals can accurately document and share information about conditions like capillariasis in a consistent and interoperable manner across different healthcare settings. This standardized coding system plays a crucial role in improving patient care, research, and healthcare data analytics.

In the United States, ICD-11 is not yet in use. The U.S. is currently using ICD-10-CM (Clinical Modification), which has been adapted from the WHO’s ICD-10 to better suit the American healthcare system’s requirements for billing and clinical purposes. The Centers for Medicare and Medicaid Services (CMS) have not yet set a specific date for the transition to ICD-11.

The situation in Europe varies by country. Some European nations are considering the adoption of ICD-11 or are in various stages of planning and pilot studies. However, as with the U.S., full implementation may take several years due to similar requirements for system updates and training.

🔎  Symptoms

Capillariasis of the intestine, classified as 1F63.0 in the ICD-10 coding system, is a parasitic infection caused by the Capillaria hepatica worm. This condition predominantly affects rodents, but can also occur in humans as a zoonotic infection.

Symptoms of Capillariasis of the intestine may vary depending on the severity of the infection and the host’s immune response. Patients with mild cases may experience no symptoms or only minor gastrointestinal discomfort such as abdominal pain, diarrhea, or dyspepsia.

In more severe cases, individuals infected with Capillaria hepatica may exhibit systemic symptoms such as fever, weight loss, fatigue, and hepatomegaly. In rare instances, the parasite can cause hepatobiliary complications, including acute liver failure. Diagnosis typically involves stool examination and imaging studies to detect the presence of the parasite in the intestinal tract.

🩺  Diagnosis

Diagnosis of 1F63.0 (Capillariasis of the intestine) typically involves a combination of clinical assessment, laboratory testing, and imaging studies. Patients presenting with symptoms such as abdominal pain, diarrhea, and weight loss may prompt further investigation by healthcare providers.

Laboratory testing plays a crucial role in the diagnosis of 1F63.0. Stool samples are often examined for the presence of Capillaria eggs, which can confirm the presence of the parasite in the intestines. Additionally, blood tests may be performed to detect any signs of infection, such as elevated white blood cell count or eosinophilia.

Imaging studies, such as abdominal ultrasound or computed tomography (CT) scans, may also be used to visualize any structural abnormalities in the intestines caused by Capillaria infection. These tests can help healthcare providers assess the extent of damage to the intestinal lining and guide treatment decisions.

In some cases, a biopsy of the intestinal tissue may be performed to definitively diagnose 1F63.0. A small sample of tissue is extracted and examined under a microscope for the presence of Capillaria worms or eggs. This procedure is typically reserved for cases where other diagnostic methods have been inconclusive.

💊  Treatment & Recovery

Treatment options for 1F63.0, Capillariasis of the intestine, typically involve the administration of anthelmintic medication. These medications are designed to target and eliminate the parasitic worms causing the infection. Depending on the severity of the infection, multiple doses of the medication may be required to completely eradicate the parasites from the intestine.

In addition to anthelmintic medication, supportive care may also be needed to manage symptoms and complications of capillariasis. This may include addressing dehydration, malnutrition, and other health issues resulting from the infection. In severe cases, hospitalization may be necessary to provide more intensive treatment and monitoring.

Recovery from capillariasis of the intestine depends on the individual’s overall health, the extent of the infection, and the effectiveness of the treatment provided. In many cases, individuals can make a full recovery with prompt and appropriate treatment. However, in some instances, complications may arise that require ongoing medical care and monitoring to ensure a complete recovery and prevent the recurrence of the infection. Regular follow-up with healthcare providers is often recommended to monitor progress and address any lingering symptoms or concerns.

🌎  Prevalence & Risk

In the United States, Capillariasis of the intestine, classified as 1F63.0 in the ICD-10 coding system, is considered rare and has been mostly reported in individuals who have traveled to or immigrated from endemic regions. The prevalence of this parasitic infection is low compared to other countries, with only sporadic cases reported in the literature.

In Europe, cases of Capillariasis of the intestine are even rarer than in the United States. The parasite responsible for this infection, Capillaria philippinensis, is primarily found in tropical and subtropical regions of Asia. Due to the limited presence of the parasite in Europe, the prevalence of 1F63.0 in this region is extremely low.

In Asia, particularly in countries where Capillaria philippinensis is endemic, the prevalence of Capillariasis of the intestine is significantly higher compared to other regions. This parasitic infection is more common in areas with poor sanitation and inadequate access to clean water. It is estimated that thousands of individuals in Asia are affected by Capillariasis, although precise prevalence data may be limited due to underreporting and lack of comprehensive surveillance systems.

In Africa, cases of Capillariasis of the intestine are very rare, with most reported cases being in individuals who have traveled to endemic regions in Asia. The prevalence of this parasitic infection in Africa is minimal, and Capillaria philippinensis is not commonly found on the continent. The limited presence of the parasite in Africa contributes to the low prevalence of 1F63.0 in this region.

😷  Prevention

To prevent 1F63.0 (Capillariasis of the intestine), it is essential to practice good personal hygiene. This includes washing hands thoroughly with soap and water before eating, after using the restroom, and after handling soil or raw meat. Proper sanitation practices, such as safely disposing of human waste and avoiding consumption of contaminated water, can also help prevent the transmission of Capillariasis.

Avoiding consumption of contaminated or undercooked food is crucial in preventing 1F63.0. Make sure to properly cook all meats, fish, and poultry to kill any potential parasites. When traveling to regions where Capillariasis is endemic, it is important to only drink bottled or boiled water and avoid consuming raw fruits or vegetables that may have been washed in contaminated water.

Reducing the risk of 1F63.0 transmission can also be achieved through proper pest control measures. Rodent infestations should be promptly addressed to prevent the spread of the parasite responsible for Capillariasis. Implementing measures to keep rodents out of living spaces and storing food in sealed containers can help reduce the likelihood of infection. Regularly cleaning and disinfecting living spaces can also help prevent the transmission of Capillariasis.

Other diseases that are similar to 1F63.0 (Capillariasis of the intestine) include 1F63.1 (Capillariasis of the liver) and 1F63.2 (Capillariasis of the lung). Capillariasis of the liver is caused by a parasitic infection of the liver tissue, while capillariasis of the lung is caused by a parasitic infection of the respiratory system. These diseases share similarities with capillariasis of the intestine in terms of their etiology and symptoms.

1F63.1 (Capillariasis of the liver) is characterized by the presence of Capillaria worms in the liver tissue, leading to inflammation and damage to the organ. Symptoms of capillariasis of the liver may include abdominal pain, jaundice, and hepatomegaly. Diagnosis of this condition is typically done through imaging studies and serological tests to detect the presence of the parasite in the liver tissue.

On the other hand, 1F63.2 (Capillariasis of the lung) is a respiratory condition caused by the presence of Capillaria worms in the lungs. This can lead to symptoms such as cough, chest pain, and difficulty breathing. Diagnosis of capillariasis of the lung may involve chest imaging studies and sputum analysis to detect the presence of the parasite in the respiratory system. Treatment for these conditions typically involves anthelmintic medications to eliminate the parasite from the affected organ.

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