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2025 ICD-10-CM code A32.12

Listerial meningoencephalitis.

Use additional code to identify resistance to antimicrobial drugs (Z16.-).

Medical necessity for treatment of listerial meningoencephalitis is established by the confirmed presence of infection posing a threat to the patient's health.Treatment is necessary to prevent serious complications such as sepsis, permanent neurological damage, or death.

Physicians diagnose listerial meningoencephalitis based on symptoms (fever, headache, vomiting, neck stiffness, confusion, loss of balance, convulsions, altered mental status), exposure history, and physical exam.Lab tests of blood and spinal fluid are used to confirm the presence of Listeria monocytogenes.Imaging studies like CT scans or MRIs of the brain may also be performed.Treatment typically involves antibiotics such as ampicillin and penicillin.

In simple words: Listerial meningoencephalitis is a brain infection caused by bacteria usually found in contaminated food. It mainly affects people with weak immune systems, like those with cancer, pregnant women, newborns, people taking steroids, and older adults.

Listerial meningoencephalitis is an inflammation of the protective membranes around the brain caused by the bacterium Listeria monocytogenes.It's typically contracted through contaminated food and commonly affects individuals with weakened immune systems, such as those with neoplastic disease, pregnant women, newborns, patients taking high doses of steroids, and the elderly.

Example 1: A 70-year-old individual with a history of lymphoma presents with fever, headache, and confusion.Testing reveals Listeria monocytogenes in their spinal fluid, confirming a diagnosis of listerial meningoencephalitis., A pregnant woman in her third trimester experiences fever, neck stiffness, and vomiting.Listerial meningoencephalitis is suspected, and antibiotic treatment is initiated after laboratory confirmation., A newborn infant develops fever, lethargy, and poor feeding.After a thorough evaluation, including blood and spinal fluid analysis, the infant is diagnosed with listerial meningoencephalitis.

Documentation should include signs and symptoms, patient history (including any underlying conditions or risk factors), laboratory results confirming the presence of Listeria monocytogenes, imaging findings (if applicable), and treatment plan.

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