Tuberculosis of other endocrine glands
ICD-10 A18.82 is a billable code used to indicate a diagnosis of tuberculosis of other endocrine glands.
Tuberculosis (TB) of other endocrine glands refers to the infection of endocrine glands, such as the adrenal glands, thyroid, or pituitary gland, by Mycobacterium tuberculosis. This condition is less common than pulmonary TB but can lead to significant morbidity if not diagnosed and treated promptly. The clinical presentation may vary depending on the gland involved. For instance, adrenal TB can cause adrenal insufficiency, leading to symptoms such as fatigue, weight loss, and hypotension. Diagnosis typically involves a combination of clinical evaluation, imaging studies (like CT scans), and microbiological tests, including sputum tests and biopsy of affected tissues. Treatment usually consists of a multi-drug regimen over an extended period, often 6 to 12 months, to ensure complete eradication of the bacteria and prevent drug resistance. Monitoring for treatment efficacy and side effects is crucial, as is public health reporting due to the contagious nature of TB. Contact tracing may be necessary to identify and treat individuals who may have been exposed to the infected patient. Isolation procedures may be required in cases of active TB to prevent transmission.
Detailed clinical notes on endocrine function tests, imaging results, and treatment plans.
Patients presenting with unexplained weight loss, fatigue, or adrenal crisis.
Endocrinologists must document the impact of TB on hormonal levels and endocrine function.
Comprehensive records of TB testing, treatment regimens, and follow-up care.
Patients with confirmed TB requiring management of co-existing endocrine disorders.
Infectious disease specialists should ensure accurate reporting of TB cases to public health authorities.
Used for screening patients at risk for TB.
Document the reason for testing and results.
Endocrinologists should note any endocrine dysfunction that may affect test results.
Common symptoms include fatigue, weight loss, hormonal imbalances, and signs of adrenal insufficiency, depending on the gland affected.