Tuberculosis of genitourinary system, unspecified
ICD-10 A18.10 is a billable code used to indicate a diagnosis of tuberculosis of genitourinary system, unspecified.
Tuberculosis of the genitourinary system is a rare but serious form of extrapulmonary tuberculosis that primarily affects the kidneys, ureters, bladder, and reproductive organs. It can occur as a result of hematogenous spread from a primary pulmonary infection or through direct extension from adjacent structures. Symptoms may include hematuria, flank pain, dysuria, and in severe cases, renal failure. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as ultrasound or CT scans, and microbiological tests including urine cultures and PCR for Mycobacterium tuberculosis. Treatment usually consists of a multi-drug regimen over a prolonged period, often involving isoniazid, rifampicin, pyrazinamide, and ethambutol. Monitoring for drug resistance is crucial, as resistance can complicate treatment and lead to poorer outcomes. Public health implications are significant, as tuberculosis is a communicable disease, necessitating contact tracing and isolation procedures for active cases to prevent transmission. The unspecified nature of this code indicates that the specific site of infection within the genitourinary system is not documented, which can complicate treatment and management.
Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.
Patients presenting with renal symptoms and a history of tuberculosis exposure.
Consideration of drug resistance patterns and public health reporting requirements.
Urological evaluations, imaging studies, and any surgical interventions performed.
Patients with hematuria and renal masses requiring further investigation.
Need for collaboration with infectious disease specialists for comprehensive management.
Used to confirm the presence of Mycobacterium tuberculosis in urine samples.
Document the reason for the culture and any relevant patient history.
Infectious disease specialists may require additional documentation on treatment response.
Document all relevant symptoms, diagnostic tests, and treatment plans. Ensure that the unspecified nature of the code is justified by the clinical scenario.
