2025 ICD-10-CM code A01.01
(Active) Effective Date: N/A Infectious Diseases - Intestinal infectious diseases Certain infectious and parasitic diseases Feed
Typhoid meningitis, a complication of typhoid fever, is a bacterial infection of the meninges, the membranes protecting the brain and spinal cord.
Medical necessity for treatment of typhoid meningitis is established by the presence of clinical symptoms and positive laboratory findings confirming the infection. The severity of the condition, potential complications, and need for hospitalization justify the medical necessity of interventions such as antibiotic therapy and supportive care.
Clinicians should diagnose typhoid meningitis based on patient symptoms, medical history, and laboratory tests like blood and CSF cultures. Treatment involves administering antibiotics, possibly ceftriaxone in resistant cases, and providing supportive care during hospitalization.
In simple words: Typhoid meningitis is a serious brain infection caused by the same bacteria that cause typhoid fever. It happens when the infection spreads to the lining of the brain and spinal cord. It can cause severe headaches, high fever, and other serious problems.
Typhoid meningitis is caused by the bacterium Salmonella typhi, typically spread through contaminated food or water.It is a severe complication of typhoid fever, affecting the meninges, the protective membranes surrounding the brain and spinal cord. Symptoms include meningeal irritation, severe headache, high fever, and potentially seizures, hydrocephalus, subdural empyema, mental retardation, or even death. Diagnosis involves culturing blood and cerebrospinal fluid (CSF) for Salmonella typhi. Treatment requires hospitalization, antibiotics (potentially ceftriaxone for resistant cases), and supportive care.
Example 1: A patient presents with severe headache, high fever, stiff neck, and altered mental status after returning from a trip to a region with poor sanitation. Blood and CSF cultures confirm Salmonella typhi, leading to a diagnosis of typhoid meningitis., A child with a confirmed case of typhoid fever develops seizures and worsening neurological symptoms. Imaging and CSF analysis reveal the presence of typhoid meningitis., An individual experiences persistent headaches and fever following a course of antibiotic treatment for typhoid fever. Further investigation, including CSF analysis, reveals typhoid meningitis as a persistent complication.
Documentation should include signs and symptoms such as headache, fever, stiff neck, and neurological deficits. Lab results, especially blood and CSF cultures, are crucial for confirming Salmonella typhi. Imaging findings, if applicable, and treatment details should also be documented.
- Payment Status: Active
- Specialties:Infectious Disease, Internal Medicine, Neurology
- Place of Service:Inpatient Hospital