Gonococcal meningitis
ICD-10 A54.81 is a billable code used to indicate a diagnosis of gonococcal meningitis.
Gonococcal meningitis is a rare but serious complication of gonorrhea, caused by the bacterium Neisseria gonorrhoeae. This condition occurs when the bacteria invade the central nervous system, leading to inflammation of the protective membranes covering the brain and spinal cord (meninges). Symptoms typically include severe headache, fever, neck stiffness, altered mental status, and photophobia. Diagnosis is confirmed through lumbar puncture, where cerebrospinal fluid (CSF) analysis reveals the presence of Neisseria gonorrhoeae. Gonococcal meningitis is often associated with other sexually transmitted infections (STIs), particularly in individuals with high-risk sexual behaviors. Prompt recognition and treatment are crucial, as untreated meningitis can lead to severe neurological complications or death. Treatment typically involves intravenous antibiotics, such as ceftriaxone, and may require hospitalization for monitoring and supportive care. Contact tracing and screening of sexual partners are essential components of managing gonococcal infections to prevent further transmission.
Detailed patient history, including sexual history and previous STIs, laboratory results confirming gonococcal infection.
Patients presenting with symptoms of meningitis and a history of gonorrhea or other STIs.
Need for thorough documentation of all presenting symptoms and laboratory findings to support the diagnosis.
Neurological examination findings, CSF analysis results, and treatment plans.
Patients with neurological symptoms and confirmed gonococcal infection.
Documentation must clearly differentiate between gonococcal meningitis and other types of meningitis.
Used when confirming the presence of Neisseria gonorrhoeae in CSF.
Document the source of the culture and the organism identified.
Infectious disease specialists should ensure cultures are properly labeled and processed.
Common symptoms include severe headache, fever, neck stiffness, altered mental status, and photophobia. Prompt medical attention is crucial.
Diagnosis is typically made through lumbar puncture and analysis of cerebrospinal fluid, which may show the presence of Neisseria gonorrhoeae.
Treatment usually involves intravenous antibiotics, such as ceftriaxone, and may require hospitalization for monitoring.
