Tuberculosis of other bones
ICD-10 A18.03 is a billable code used to indicate a diagnosis of tuberculosis of other bones.
Tuberculosis of other bones refers to the infection of bones by Mycobacterium tuberculosis, which can lead to osteitis or osteomyelitis. This condition is less common than pulmonary tuberculosis but can occur in any bone, particularly in the spine, pelvis, and long bones. The infection typically arises from hematogenous spread from a primary site, often the lungs, or from direct extension from adjacent infected tissues. Symptoms may include localized pain, swelling, and sometimes systemic signs like fever and weight loss. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which may reveal bone lesions, and microbiological tests including sputum culture or biopsy of the affected bone. Treatment usually involves a prolonged course of antituberculous medications, and in some cases, surgical intervention may be necessary to remove necrotic bone or abscesses. Monitoring for drug resistance is critical, as multidrug-resistant tuberculosis (MDR-TB) can complicate treatment. Public health implications include the need for contact tracing and isolation procedures to prevent transmission, especially in cases of active disease.
Detailed history of exposure, diagnostic test results, and treatment plans.
Patients presenting with bone pain and a history of tuberculosis exposure.
Consideration of drug resistance and the need for specialized treatment regimens.
Imaging results, surgical notes if applicable, and follow-up care details.
Patients with bone lesions requiring surgical intervention or orthopedic management.
Coordination with infectious disease specialists for comprehensive care.
Used when imaging is required to assess bone involvement.
Document the reason for imaging and findings.
Orthopedic specialists may require specific imaging protocols.
Common symptoms include localized bone pain, swelling, fever, and systemic signs such as weight loss. Symptoms may vary depending on the specific bone affected.
