Listerial meningitis
ICD-10 A32.11 is a billable code used to indicate a diagnosis of listerial meningitis.
Listerial meningitis is a severe central nervous system infection caused by the bacterium Listeria monocytogenes. This condition primarily affects individuals with weakened immune systems, including the elderly, pregnant women, and those with underlying health conditions such as diabetes or HIV. The bacteria can enter the bloodstream and cross the blood-brain barrier, leading to inflammation of the protective membranes covering the brain and spinal cord. Symptoms typically include fever, headache, stiff neck, confusion, and in severe cases, seizures. Diagnosis is often confirmed through lumbar puncture, where cerebrospinal fluid (CSF) analysis reveals pleocytosis, elevated protein levels, and low glucose levels, alongside the presence of Listeria monocytogenes in cultures. Treatment usually involves the administration of antibiotics, with ampicillin being the first-line therapy, often combined with gentamicin for synergistic effect. Early diagnosis and treatment are crucial to prevent complications such as neurological damage or death.
Detailed patient history, laboratory results, and treatment plans.
Patients presenting with fever and neurological symptoms, particularly in immunocompromised individuals.
Documentation must clearly indicate the causative organism and any co-morbid conditions.
Neurological examination findings, imaging studies, and CSF analysis results.
Patients with acute onset of neurological symptoms and confirmed meningitis.
Ensure that all neurological deficits are documented to support the diagnosis.
Used to obtain CSF for analysis in suspected meningitis cases.
Document indication for the procedure and findings from CSF analysis.
Neurology specialists should ensure thorough documentation of neurological assessments.
Common symptoms include fever, headache, stiff neck, confusion, and in severe cases, seizures. Prompt recognition and treatment are crucial.
