Actinomycotic brain abscess
ICD-10 A42.2 is a billable code used to indicate a diagnosis of actinomycotic brain abscess.
Actinomycotic brain abscess is a rare but serious condition characterized by the formation of localized pus-filled cavities in the brain due to infection by Actinomyces species, which are anaerobic bacteria. This condition is often seen in immunocompromised patients, such as those with HIV/AIDS, diabetes, or those undergoing immunosuppressive therapy. The clinical presentation may include neurological deficits, seizures, and signs of increased intracranial pressure. Diagnosis can be challenging due to the nonspecific nature of symptoms and the need for advanced imaging techniques, such as MRI or CT scans, to identify the abscess. Culturing the organism can be difficult, as Actinomyces species are slow-growing and may require specific media for isolation. Treatment typically involves prolonged antibiotic therapy, often in conjunction with surgical intervention to drain the abscess. The prognosis can vary significantly based on the patient's immune status and the timeliness of diagnosis and treatment.
Detailed history of immunocompromised conditions, laboratory results, and treatment plans.
Patients presenting with neurological symptoms and a history of immunosuppression.
Need for thorough documentation of organism identification and treatment response.
Neurological examination findings, imaging results, and treatment response.
Patients with seizures or focal neurological deficits and suspected brain abscess.
Documentation of differential diagnoses and rationale for imaging studies.
Used when a brain abscess is drained surgically.
Document the indication for aspiration and findings during the procedure.
Neurosurgery must document the surgical approach and any complications.
Common symptoms include headache, seizures, fever, and focal neurological deficits, which can vary based on the location of the abscess.
Diagnosis typically involves imaging studies like MRI or CT scans, along with microbiological cultures to identify Actinomyces species.
Treatment usually involves prolonged antibiotic therapy and may require surgical drainage of the abscess.
