Diphtheritic radiculomyelitis
ICD-10 A36.82 is a billable code used to indicate a diagnosis of diphtheritic radiculomyelitis.
Diphtheritic radiculomyelitis is a rare but serious complication of diphtheria, primarily caused by the toxin produced by Corynebacterium diphtheriae. This condition manifests as inflammation of the spinal cord and nerve roots, leading to neurological deficits. The diphtheritic toxin can cause demyelination of peripheral nerves, resulting in symptoms such as muscle weakness, sensory loss, and autonomic dysfunction. Patients may present with symptoms ranging from mild weakness to severe paralysis, often following an upper respiratory infection. Diagnosis is typically confirmed through clinical evaluation, history of diphtheria exposure, and laboratory tests that may include throat cultures and serological assays. Treatment involves the administration of diphtheria antitoxin, antibiotics to eradicate the bacteria, and supportive care for neurological symptoms. Early intervention is crucial to prevent long-term complications, including respiratory failure and permanent neurological damage.
Thorough documentation of the patient's history, exposure to diphtheria, and clinical findings.
Patients presenting with respiratory symptoms and subsequent neurological deficits.
Awareness of vaccination history and potential for outbreaks.
Detailed neurological examination findings and correlation with diphtheritic infection.
Patients with acute onset of weakness following a diphtheria infection.
Need for comprehensive neurological assessments and potential referrals for rehabilitation.
Used for follow-up visits after diagnosis and treatment of diphtheritic radiculomyelitis.
Document history, examination findings, and treatment response.
Infectious disease specialists may require additional details on infection management.
Common symptoms include muscle weakness, sensory loss, and autonomic dysfunction, often following an upper respiratory infection.
