Infectious mononucleosis
ICD-10 B27 is a billable code used to indicate a diagnosis of infectious mononucleosis.
Infectious mononucleosis, commonly known as mono, is primarily caused by the Epstein-Barr virus (EBV), a member of the herpes virus family. It is characterized by fever, sore throat, swollen lymph nodes, and fatigue. The virus is typically transmitted through saliva, which is why it is often referred to as the 'kissing disease.' Diagnosis is usually made based on clinical presentation and confirmed through laboratory tests, including heterophile antibody tests (such as the Monospot test) and specific EBV serologies. While most cases are self-limiting, some patients may require supportive care, and in rare instances, corticosteroids may be prescribed to manage severe symptoms. Complications can include splenic rupture, hepatitis, and airway obstruction due to lymphadenopathy. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.
Detailed history of symptoms, physical examination findings, and results of diagnostic tests.
Patients presenting with fatigue, sore throat, and lymphadenopathy.
Ensure thorough documentation of symptom duration and severity to support the diagnosis.
Comprehensive lab results, including EBV serology and any complications.
Patients with atypical presentations or severe complications requiring specialized management.
Document any differential diagnoses considered and the rationale for the final diagnosis.
Used to confirm the diagnosis of infectious mononucleosis.
Document the reason for the test and the results.
Infectious disease specialists may require additional serological tests.
Common symptoms include fever, sore throat, swollen lymph nodes, and extreme fatigue. Some patients may also experience headaches, rash, and liver enlargement.
