A87.0
Enteroviral meningitis
Clinical Classification Guidelines
Inclusion Terms
- Coxsackievirus meningitis
- Echovirus meningitis
Medical Intelligence & Overview
Enteroviral meningitis, also known as viral or aseptic meningitis, is an infection of the membranes surrounding the brain and spinal cord caused by enteroviruses, such as coxsackieviruses and echoviruses. It primarily affects children and young adults but can occur in people of all ages. The condition results from the body's immune response to the virus, leading to inflammation of the meninges, the protective layers covering the brain and spinal cord. While it can cause serious symptoms, most individuals recover fully with appropriate care.
Causes & Symptoms
Clinical Causes: Infection with enteroviruses, particularly coxsackieviruses and echoviruses Transmission through contact with an infected person's secretions, such as saliva, mucus, or feces Ingestion of contaminated water or food Close contact with someone infected, especially in crowded environments Poor hygiene practices facilitating viral spread
Key Symptoms: Sudden high fever Severe headache Stiff neck Sensitivity to light (photophobia) Nausea and vomiting Fatigue and weakness Malaise and general discomfort Sometimes skin rashes or body aches
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and laboratory tests. Medical professionals may perform a lumbar puncture (spinal tap) to collect cerebrospinal fluid (CSF) for analysis. Results may show increased white blood cells and protein in the CSF. Laboratory tests, such as PCR (polymerase chain reaction), can identify specific enteroviruses responsible for the infection. Additional blood tests and imaging studies might be used to rule out other causes of meningitis.
Treatment Protocols: There is no specific antiviral therapy for enteroviral meningitis. Management primarily focuses on supportive care, including rest, hydration, and pain relief. Over-the-counter medications may be recommended to reduce headache and fever. Hospitalization can be necessary for severe cases to monitor neurological status and provide intravenous fluids. Most patients recover fully within one to two weeks, although some may experience lingering fatigue or mild symptoms.
Clinical Advice & FAQs
Billing Guidance
Is A87.0 a billable ICD-10 code?
Yes, A87.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report A87.0?
Clinical documentation must specify the nature of Enteroviral meningitis and any associated comorbidities for accurate reporting.
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