Oculoglandular tularemia

This code represents a specific form of tularemia characterized by conjunctivitis, often unilateral, accompanied by regional lymphadenopathy, typically preauricular or cervical. It results from direct inoculation of Francisella tularensis into the eye, often through contaminated fingers or splashes.

Use this code when documentation clearly indicates a diagnosis of tularemia presenting with ocular involvement and swollen lymph nodes. This diagnosis is typically supported by a history of exposure to infected animals or vectors, along with characteristic clinical findings and positive laboratory tests for Francisella tularensis.

• Ensure documentation specifies both ocular involvement and glandular swelling to differentiate from other forms of tularemia.
• Do not confuse with other forms of conjunctivitis or lymphadenitis; the causative agent Francisella tularensis must be confirmed or strongly suspected.
• Consider sequencing this code as the primary diagnosis when oculoglandular tularemia is the reason for the encounter.