Infectious mononucleosis, unspecified with meningitis
ICD-10 B27.92 is a billable code used to indicate a diagnosis of infectious mononucleosis, unspecified with meningitis.
Infectious mononucleosis 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. When this condition is complicated by meningitis, it indicates inflammation of the protective membranes covering the brain and spinal cord, which can lead to serious neurological complications. The diagnosis of infectious mononucleosis is typically made through clinical evaluation and serological tests, including heterophile antibody tests (e.g., Monospot test) and specific EBV antibody tests. In cases where meningitis is suspected, lumbar puncture may be performed to analyze cerebrospinal fluid (CSF) for signs of infection and inflammation. Antiviral treatments, such as acyclovir, may be considered in severe cases, although supportive care remains the mainstay of treatment. The presence of meningitis necessitates careful monitoring and management to prevent complications such as seizures or long-term neurological deficits.
Detailed history of symptoms, laboratory test results, and treatment plans.
Patients presenting with fever, lymphadenopathy, and neurological symptoms.
Ensure clarity in distinguishing between viral and bacterial causes of meningitis.
Neurological examination findings, imaging studies, and CSF analysis results.
Patients with altered mental status or neurological deficits associated with infectious mononucleosis.
Document any neurological assessments and interventions performed.
Used to confirm the diagnosis of infectious mononucleosis.
Document the reason for the test and the clinical findings leading to the suspicion of mononucleosis.
Infectious disease specialists should ensure comprehensive testing for differential diagnoses.
Common symptoms include fever, sore throat, swollen lymph nodes, fatigue, and sometimes rash. In cases with meningitis, additional symptoms may include headache, neck stiffness, and altered mental status.
