B58.2
Toxoplasma meningoencephalitis
Clinical Classification Guidelines
Medical Intelligence & Overview
Toxoplasma meningoencephalitis is a rare but serious brain infection caused by the parasite Toxoplasma gondii. It primarily affects individuals with weakened immune systems, such as those with HIV/AIDS, organ transplant recipients, or patients undergoing immunosuppressive therapy. This condition involves inflammation of both the meninges—the membranes surrounding the brain and spinal cord—and the brain tissue itself, leading to a range of neurological symptoms.
Causes & Symptoms
Clinical Causes: Toxoplasma gondii infection, usually transmitted through ingestion of undercooked contaminated meat or exposure to infected cat feces. Reactivation of latent infection in immunocompromised individuals. Transmission via contaminated water or unpasteurized dairy products.
Key Symptoms: Headache that can be severe and persistent. Altered mental status, confusion, or decreased alertness. Fever and chills. Neurological deficits, such as weakness or paralysis on one side. Seizures. Eyes may be affected, leading to vision problems. Nausea and vomiting. Sensitivity to light (photophobia). Neck stiffness which may resemble meningitis.
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and laboratory tests. Medical professionals may order:
Treatment Protocols: Treating toxoplasma meningoencephalitis generally involves the use of antiparasitic medications and supportive care. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is B58.2 a billable ICD-10 code?
Yes, B58.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B58.2?
Clinical documentation must specify the nature of Toxoplasma meningoencephalitis and any associated comorbidities for accurate reporting.
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