Other infectious mononucleosis with polyneuropathy
ICD-10 B27.81 is a billable code used to indicate a diagnosis of other infectious mononucleosis with polyneuropathy.
Infectious mononucleosis is primarily caused by the Epstein-Barr virus (EBV), but other viral agents such as cytomegalovirus (CMV) and human immunodeficiency virus (HIV) can also lead to similar presentations. The condition is characterized by fever, sore throat, lymphadenopathy, and fatigue. In some cases, patients may develop polyneuropathy, which is a disorder affecting multiple peripheral nerves, leading to symptoms such as weakness, numbness, and pain. The pathophysiology of polyneuropathy in infectious mononucleosis may involve immune-mediated mechanisms or direct viral effects on nerve tissues. Diagnosis typically involves serological tests for specific antibodies (e.g., heterophile antibodies, EBV-specific antibodies) and may include nerve conduction studies to assess the extent of neuropathy. Treatment is generally supportive, focusing on symptom relief, but antiviral medications may be considered in severe cases or when caused by specific viral infections. The prognosis is generally good, with most patients recovering fully, although some may experience lingering symptoms.
Detailed history of symptoms, laboratory results, and treatment plans.
Patients presenting with fever, fatigue, and lymphadenopathy, especially in young adults.
Need to document the specific viral etiology and any neurological symptoms.
Neurological examination findings, nerve conduction study results, and treatment response.
Patients with unexplained neuropathy following a viral infection.
Documentation of the relationship between infectious mononucleosis and neurological symptoms is crucial.
Used to confirm EBV infection in suspected cases of mononucleosis.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing is performed.
Common symptoms include fever, sore throat, swollen lymph nodes, fatigue, and in some cases, neurological symptoms such as weakness or numbness.
Polyneuropathy is diagnosed through clinical evaluation, nerve conduction studies, and by ruling out other potential causes of neuropathy.
