Measles with encephalitis
ICD-10 B05.3 is a billable code used to indicate a diagnosis of measles with encephalitis.
Measles with encephalitis is a severe complication of measles, a highly contagious viral infection caused by the measles virus. Encephalitis, an inflammation of the brain, can occur in approximately 1 in 1,000 cases of measles. The condition typically presents with high fever, seizures, and neurological deficits, which may develop 7 to 10 days after the onset of the measles rash. Patients may exhibit symptoms such as confusion, altered consciousness, and focal neurological signs. The risk of encephalitis is higher in malnourished individuals and those with compromised immune systems. Diagnosis is primarily clinical, supported by serological testing for measles-specific IgM antibodies. Management includes supportive care, and in severe cases, corticosteroids may be indicated to reduce inflammation. Vaccination against measles is crucial in preventing this complication, as the measles, mumps, and rubella (MMR) vaccine is highly effective in providing immunity.
Detailed clinical notes on symptoms, vaccination status, and neurological assessments.
Children presenting with measles and subsequent neurological symptoms.
Consideration of age-related vaccination schedules and potential for complications in immunocompromised children.
Comprehensive neurological evaluations and imaging studies.
Patients with seizures or altered mental status following measles infection.
Need for detailed documentation of neurological findings and differential diagnoses.
Used for follow-up visits for patients diagnosed with measles and encephalitis.
Document history of present illness, examination findings, and treatment plan.
Pediatricians should ensure vaccination history is included.
Common complications include diarrhea, otitis media, pneumonia, and encephalitis. Encephalitis is a serious complication that can lead to long-term neurological issues.
