Cytomegaloviral mononucleosis with polyneuropathy
ICD-10 B27.11 is a billable code used to indicate a diagnosis of cytomegaloviral mononucleosis with polyneuropathy.
Cytomegaloviral (CMV) mononucleosis is a viral infection caused by the cytomegalovirus, which is a member of the herpesvirus family. It often presents with symptoms similar to those of infectious mononucleosis, including fever, fatigue, sore throat, and lymphadenopathy. In cases where polyneuropathy is present, patients may experience weakness, numbness, or pain due to nerve damage. CMV is particularly concerning in immunocompromised individuals, such as those with HIV/AIDS or organ transplant recipients. Diagnosis typically involves serological testing for CMV-specific IgM and IgG antibodies, as well as PCR testing to detect viral DNA. Treatment primarily focuses on supportive care, but antiviral medications such as ganciclovir or foscarnet may be indicated in severe cases or for immunocompromised patients. The presence of polyneuropathy complicates the clinical picture, necessitating a multidisciplinary approach for management and rehabilitation.
Detailed history of symptoms, laboratory test results, and treatment plans.
Patients presenting with mononucleosis-like symptoms and confirmed CMV infection.
Consideration of immunocompromised status and potential complications.
Neurological examination findings, diagnostic imaging, and treatment response.
Patients with polyneuropathy symptoms following CMV infection.
Assessment of nerve conduction studies and potential need for rehabilitation.
Used to confirm CMV infection in patients with mononucleosis symptoms.
Document the reason for testing and results.
Infectious disease specialists may order this test more frequently.
Common symptoms include fever, fatigue, sore throat, swollen lymph nodes, and in some cases, neurological symptoms such as weakness or numbness.
