Other specified meningococcal infections
ICD-10 A39.8 is a billable code used to indicate a diagnosis of other specified meningococcal infections.
Meningococcal infections are caused by the bacterium Neisseria meningitidis, which can lead to severe illnesses such as meningitis and septicemia. The term 'Other specified meningococcal infections' encompasses various clinical presentations that do not fall under the more commonly recognized categories of meningococcal meningitis or meningococcemia. These infections can manifest in atypical forms, including localized infections or rare syndromes associated with Neisseria meningitidis. Clinical symptoms may vary widely, including fever, headache, neck stiffness, and altered mental status, depending on the site of infection. Diagnosis typically involves lumbar puncture for cerebrospinal fluid analysis, blood cultures, and PCR testing. Treatment protocols generally include the use of broad-spectrum antibiotics, such as ceftriaxone or penicillin, and may require adjunctive therapies for severe cases. Resistance patterns can vary, with some strains showing reduced susceptibility to penicillin, necessitating careful selection of antimicrobial therapy. Early recognition and treatment are crucial to improving outcomes and preventing complications.
Detailed clinical notes on infection type, treatment response, and follow-up care.
Patients presenting with fever and neurological symptoms, requiring differential diagnosis.
Ensure all laboratory results and treatment plans are documented to support coding.
Thorough history and physical examination notes, including vaccination status.
Children with sudden onset of fever and rash, potentially indicating meningococcal disease.
Consider age-specific presentations and vaccination history in documentation.
Used when obtaining cultures to confirm meningococcal infection.
Document the source of the culture and results.
Infectious disease specialists should ensure all relevant cultures are ordered.
Common symptoms include fever, headache, stiff neck, nausea, vomiting, and altered mental status. A rash may also be present in some cases.
Diagnosis typically involves clinical evaluation, lumbar puncture for cerebrospinal fluid analysis, and blood cultures to identify Neisseria meningitidis.
