Meningoencephalitis: Difference between revisions

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{{PreICD10 dx | NewDxArticle = Mosquito-borne viruses (causes of encephalitis)}}
{{PreICD10 dx | NewDxArticle = Subacute sclerosing panencephalitis (SSPE) (caused by Measles virus)}}
{{PreICD10 dx | NewDxArticle = Tick-borne viruses (causes of encephalitis)}}
{{PreICD10 dx | NewDxArticle = Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, bacterial}}
{{PreICD10 dx | NewDxArticle = Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral }}
{{PreICD10 dx | NewDxArticle = Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, infectious NOS}}
{{DX tag | Infection |  | Meningoencephalitis |
{{DX tag | Infection |  | Meningoencephalitis |


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*  West Nile | 7700 | No | 0 |  |  |  | }}  
*  West Nile | 7700 | No | 0 |  |  |  | }}  


*http://www.encephalitis.info/information/types-of-encephalitis/types-of-infectious-encephalitis/
 
''Meningoencephalitis is always viral or other atypical pathogen..but it is NOT bacterial or fungal.''
 
This DX is not the same as [[Meningitis]]
*https://en.wikipedia.org/wiki/Encephalitis
*https://en.wikipedia.org/wiki/Encephalitis


== bacterial encephalitis - not applicable ==
== bacterial encephalitis - not applicable ==
{{discussion}}
In ICD10 it will be possible to code the following as [[Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, bacterial]], so this info does not need to be copied to the ICd10 page.  
**How do we code "NMDA" encephalitis? :  "Anti-NMDA receptor encephalitis is a disease occurring when antibodies produced by the body's own immune system attack NMDA receptors in the brain. NMDA receptors are proteins that control electrical impulses in the brain." 
 
*It is not an infection, it is an autoimmune disease.  We only have infections or toxicity for encephalitis.  I can put immunological problems-other but it fails to capture that the brain is affected then.  --[[User:LKolesar|LKolesar]] 14:29, 2016 March 8 (CST)
**How about using "other-metabolic encephalitis" as well as your immunological code?[[User:Mlagadi|Mlagadi]]
**The code you mean is "[[Other Metabolic Encephalopathy]]"  That is one option, I think I will discuss this with Dr. Garland.  Thanks for your thoughts on this. --[[User:LKolesar|LKolesar]] 18:06, 2016 March 8 (CST)
* in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare).  Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis.  I put two websites above if anyone is interested.  Should we allow a pathogen option for meningoencephalitis in light of this?--[[User:LKolesar|LKolesar]] 14:23, 2015 September 23 (CDT)
* in researching encephalitis, it does appear that bacterial meningitis like pneumococcal meningitis can lead to encephalitis (although it is very rare).  Our codes presently do not allow a bacterial pathogen for meningoencephalitis and we do not have a code for only encephalitis.  I put two websites above if anyone is interested.  Should we allow a pathogen option for meningoencephalitis in light of this?--[[User:LKolesar|LKolesar]] 14:23, 2015 September 23 (CDT)
**encephalitis is a DX code with the proper term being '''meningoencephalitis'''. But it is not meningitis.
**encephalitis is a DX code with the proper term being '''meningoencephalitis'''. But it is not meningitis.
**Encephalitis/meningoencephalitis is '''always viral''' or '''other atypical pathogen'''..but it is '''NOT bacterial or fungal.''' So the  pathogens we have listed are adequate.  
**Encephalitis/meningoencephalitis is '''always viral''' or '''other atypical pathogen'''..but it is '''NOT bacterial or fungal.''' So the  pathogens we have listed are adequate.  
**Meningitis however, can be bacterial, fungal or occasionally viral.  
**[[Meningitis]] however, can be bacterial, fungal or occasionally viral.  
**'''gram pos/neg does NOT apply''' to meningoenchphalitis. If you think that this is the organism causing the problem, then the underlying condition is probably meningitis, not encephalitis. (ie:  the “meningo” part of “meningoencephalitis” is confusing).  Meningoencephalitis is not the same as “[[Meningitis]]”…that is a separate diagnosis.--Dr. Anand Kumar, 1330, 2016, February 29.
**'''gram pos/neg does NOT apply''' to meningoenchphalitis. If you think that this is the organism causing the problem, then the underlying condition is probably [[Meningitis]], not encephalitis. (ie:  the “meningo” part of “meningoencephalitis” is confusing).  Meningoencephalitis is not the same as “[[Meningitis]]”…that is a separate diagnosis.--Dr. Anand Kumar, 1330, 2016, February 29.




[[Category:Unusually coded infections]]
[[Category:Unusually coded infections]]