2025 ICD-10-CM code A39.52
Meningococcal myocarditis is the inflammation of the heart muscle caused by Neisseria meningitidis bacteria.
Medical necessity is established by the presence of meningococcal infection and associated myocarditis, impacting heart function. Treatment aims to combat the infection and manage cardiac complications, preventing further deterioration.
Diagnosis involves evaluating patient history, symptoms, physical examination, blood tests (CBC, blood chemistries, C-reactive protein, cardiac markers, coagulation studies), electrocardiograms (ECGs), and echocardiograms. Treatment includes antibiotics for the infection, diuretics to reduce fluid retention, anticoagulants (if needed), and medications to manage blood pressure, heart rate, and rhythm.
In simple words: Meningococcal myocarditis is a heart muscle inflammation caused by the same bacteria that cause meningitis.It's a serious complication of a blood infection and can cause various heart-related problems like irregular heartbeat, fluid buildup, and chest pain. Other symptoms can include fever, headache, stiff neck, and sensitivity to light.
Meningococcal myocarditis is a rare complication of meningococcemia (meningococcal septicemia), a severe blood infection caused by Neisseria meningitidis. This bacterium spreads through close contact like coughing, kissing, or extended interaction with infected individuals.Symptoms may include changes in heart rate and rhythm, low or high blood pressure, difficulty breathing, fluid retention (leading to swelling), chest pain, muscle and joint pain, cold extremities due to poor circulation, changes in cardiac output, and potentially heart failure or cardiac arrest. Other meningococcemia signs include severe headache, fever, stiff neck, nausea, vomiting, sensitivity to light, and shock.
Example 1: A college student presents with fever, stiff neck, rapid heart rate, and chest pain. Blood cultures confirm N. meningitidis, leading to a diagnosis of meningococcal myocarditis., A patient with known meningococcemia develops shortness of breath and swelling in their legs. An echocardiogram reveals inflammation of the heart muscle, indicating meningococcal myocarditis. , An individual experiencing a severe headache, fever, and altered mental status is found to have N. meningitidis in their blood. Subsequent cardiac tests reveal myocarditis, adding to the diagnosis.
Documentation should include evidence of meningococcal infection (positive blood culture), clinical findings related to myocarditis (e.g., abnormal ECG or echocardiogram, chest pain, shortness of breath), and other relevant symptoms such as fever, headache, and stiff neck.
- Payment Status: Active
- Specialties:Infectious Disease, Cardiology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital