Aseptic meningitis in leptospirosis
ICD-10 A27.81 is a billable code used to indicate a diagnosis of aseptic meningitis in leptospirosis.
Aseptic meningitis in leptospirosis is a rare but serious complication of leptospirosis, a zoonotic infection caused by the Leptospira bacteria. This condition is characterized by inflammation of the protective membranes covering the brain and spinal cord, leading to symptoms such as fever, headache, neck stiffness, and altered mental status. Leptospirosis is primarily transmitted through contact with water contaminated by the urine of infected animals, particularly rodents, livestock, and wildlife. The bacteria can enter the body through mucous membranes or broken skin. Public health considerations are critical, as outbreaks can occur in areas with poor sanitation or during flooding, increasing the risk of exposure. Diagnosis typically involves serological testing and lumbar puncture to analyze cerebrospinal fluid (CSF), which may show lymphocytic pleocytosis and elevated protein levels, distinguishing it from bacterial meningitis. Prompt recognition and treatment are essential to prevent severe neurological complications.
Detailed patient history, exposure assessment, and laboratory results.
Patients presenting with fever, headache, and neurological symptoms after exposure to contaminated water.
Ensure thorough documentation of travel history and potential zoonotic exposure.
Neurological examination findings, CSF analysis results, and differential diagnosis considerations.
Patients with aseptic meningitis symptoms and a confirmed or suspected leptospirosis infection.
Document neurological deficits and any imaging studies performed.
Used to confirm leptospirosis in patients with aseptic meningitis symptoms.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common symptoms include fever, headache, neck stiffness, nausea, vomiting, and altered mental status. Symptoms can vary based on the severity of the infection.
