Meningococcal pericarditis
ICD-10 A39.53 is a billable code used to indicate a diagnosis of meningococcal pericarditis.
Meningococcal pericarditis is a rare but serious complication of meningococcal infection, primarily caused by the bacterium Neisseria meningitidis. This condition occurs when the bacteria invade the pericardial space, leading to inflammation of the pericardium, the fibrous sac surrounding the heart. Clinically, patients may present with chest pain, fever, and signs of heart failure. The diagnosis is often confirmed through imaging studies such as echocardiography, which can reveal pericardial effusion, and laboratory tests that identify the presence of Neisseria meningitidis in blood or cerebrospinal fluid. Treatment typically involves the administration of appropriate antibiotics, such as penicillin or ceftriaxone, and may require anti-inflammatory medications to manage symptoms. In severe cases, pericardiocentesis may be necessary to relieve pressure on the heart. Early recognition and treatment are crucial to prevent complications such as cardiac tamponade and to improve patient outcomes.
Detailed history of infection, laboratory results, and treatment plans.
Patients presenting with fever, chest pain, and signs of systemic infection.
Documentation must clearly link symptoms to the meningococcal infection.
Echocardiographic findings, clinical assessment of heart function, and treatment interventions.
Patients with chest pain and echocardiographic evidence of pericardial effusion.
Must differentiate between infectious and non-infectious causes of pericarditis.
Used to assess cardiac function in patients with pericarditis.
ECG findings must be documented.
Cardiology specialists should ensure ECG results correlate with clinical symptoms.
Common symptoms include chest pain, fever, and signs of heart failure. Patients may also experience shortness of breath and palpitations.
