Infectious mononucleosis, unspecified with polyneuropathy
ICD-10 B27.91 is a billable code used to indicate a diagnosis of infectious mononucleosis, unspecified with polyneuropathy.
Infectious mononucleosis, commonly caused by the Epstein-Barr virus (EBV), is characterized by fever, sore throat, lymphadenopathy, and fatigue. In some cases, patients may develop polyneuropathy, which is a condition that affects multiple peripheral nerves, leading to symptoms such as weakness, numbness, and pain. The pathophysiology of infectious mononucleosis involves the proliferation of B-lymphocytes and the immune response to the EBV infection. Diagnosis typically involves clinical evaluation and laboratory tests, including heterophile antibody tests (e.g., Monospot test) and specific EBV serologies. While most cases resolve spontaneously, antiviral treatments such as acyclovir may be considered in severe cases or when complications arise. The presence of polyneuropathy complicates the clinical picture, as it may require additional diagnostic workup and management strategies, including physical therapy and pain management.
Detailed history of symptoms, laboratory test results, and treatment plans.
Patients presenting with classic symptoms of mononucleosis and neurological complaints.
Consideration of differential diagnoses and potential complications.
Neurological examination findings, diagnostic imaging results, and treatment protocols.
Patients with neurological symptoms following a recent viral infection.
Assessment of nerve conduction studies and potential need for multidisciplinary management.
Used to confirm EBV infection in suspected cases of mononucleosis.
Document the reason for testing and results.
Infectious disease specialists may require additional serological tests.
Common symptoms include fever, sore throat, swollen lymph nodes, and fatigue. Some patients may also experience headaches, rash, and splenomegaly.
Diagnosis of polyneuropathy involves clinical evaluation, neurological examination, and may include nerve conduction studies to assess nerve function.
