Gonococcal brain abscess
ICD-10 A54.82 is a billable code used to indicate a diagnosis of gonococcal brain abscess.
Gonococcal brain abscess is a rare but serious complication of disseminated gonococcal infection (DGI), which is caused by the bacterium Neisseria gonorrhoeae. This condition typically arises when the bacteria spread from the genitourinary tract to the bloodstream, leading to the formation of abscesses in the brain. Clinically, patients may present with neurological symptoms such as headache, fever, altered mental status, seizures, and focal neurological deficits. Diagnosis is often confirmed through imaging studies like MRI or CT scans, which reveal the presence of abscesses. Treatment involves the use of appropriate antibiotics, often in combination with surgical intervention to drain the abscess if necessary. Due to the sexually transmitted nature of gonorrhea, contact tracing and treatment of sexual partners are crucial to prevent reinfection and further spread of the disease. Prompt recognition and management are essential to improve outcomes and reduce morbidity associated with this condition.
Detailed history of sexual activity, laboratory results confirming gonococcal infection, and treatment plans.
Patients presenting with systemic symptoms of gonorrhea, including joint pain or skin lesions.
Documentation must clearly link the infection to neurological symptoms and abscess formation.
Neurological examination findings, imaging results, and treatment interventions.
Patients with sudden onset of neurological deficits or altered mental status.
Must differentiate between gonococcal abscess and other types of brain abscesses.
Used when surgical intervention is required for drainage of the abscess.
Document the indication for aspiration, imaging findings, and post-procedure care.
Neurosurgery or infectious disease specialists should provide detailed operative notes.
Common symptoms include severe headache, fever, altered mental status, seizures, and focal neurological deficits.
Diagnosis is typically made through a combination of clinical evaluation, imaging studies (CT or MRI), and microbiological confirmation of Neisseria gonorrhoeae.
Treatment usually involves intravenous antibiotics targeting Neisseria gonorrhoeae, and surgical drainage may be necessary for abscesses.
