Candidal meningitis
ICD-10 B37.5 is a billable code used to indicate a diagnosis of candidal meningitis.
Candidal meningitis is a rare but serious fungal infection of the central nervous system caused by Candida species, most commonly Candida albicans. This condition typically occurs in immunocompromised patients, such as those with HIV/AIDS, cancer, or those undergoing immunosuppressive therapy. The infection can manifest as a result of hematogenous spread from a primary site, often in the bloodstream, or through direct extension from adjacent structures. Symptoms may include fever, headache, neck stiffness, altered mental status, and other neurological deficits. Diagnosis is confirmed through lumbar puncture and analysis of cerebrospinal fluid (CSF), which may show elevated white blood cell counts, particularly lymphocytes, and the presence of Candida organisms. Treatment usually involves antifungal therapy, with agents such as amphotericin B or fluconazole, and may require prolonged courses depending on the severity of the infection and the patient's immune status. Early recognition and treatment are crucial to improve outcomes in affected patients.
Detailed history of immunocompromised conditions, laboratory results, and treatment plans.
Patients with HIV/AIDS presenting with neurological symptoms, or those undergoing chemotherapy.
Need for thorough documentation of antifungal therapy and monitoring of treatment response.
Neurological examination findings, imaging results, and CSF analysis.
Patients presenting with altered mental status and signs of meningitis.
Documentation must clearly differentiate between types of meningitis and include all relevant neurological assessments.
Used to obtain CSF for analysis in suspected meningitis cases.
Document indication for lumbar puncture and findings from CSF analysis.
Neurology and Infectious Disease specialists should ensure thorough documentation of the procedure and results.
Common symptoms include fever, headache, neck stiffness, altered mental status, and neurological deficits. Patients may also present with signs of systemic candidiasis.
