Secondary syphilitic nephritis
ICD-10 A51.44 is a billable code used to indicate a diagnosis of secondary syphilitic nephritis.
Secondary syphilitic nephritis is a renal complication associated with secondary syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum. This condition arises when the syphilis infection disseminates through the bloodstream, leading to inflammation and damage in the kidneys. Clinically, patients may present with symptoms such as hematuria, proteinuria, and renal impairment. The diagnosis is often confirmed through serological testing for syphilis, including non-treponemal tests (e.g., RPR, VDRL) and treponemal tests (e.g., FTA-ABS). Treatment typically involves the administration of benzathine penicillin G, which is effective in eradicating the infection and preventing further renal damage. Contact tracing is crucial in managing syphilis, as it helps identify and treat sexual partners, thereby reducing transmission rates. Regular follow-up and monitoring of renal function are recommended to assess recovery and manage any potential complications.
Detailed history of syphilis infection, treatment plans, and follow-up care.
Patients presenting with secondary syphilis and renal symptoms.
Ensure all serological tests and treatment regimens are documented.
Comprehensive renal function tests, imaging studies, and treatment responses.
Patients with renal impairment attributed to secondary syphilis.
Document any renal biopsies or advanced imaging that may be performed.
Used when testing for syphilis in patients with renal symptoms.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common symptoms include hematuria, proteinuria, and signs of renal impairment such as elevated blood pressure and changes in urine output.
Treatment typically involves the administration of benzathine penicillin G, along with monitoring renal function and managing any complications.
Contact tracing is crucial to identify and treat sexual partners, reducing the risk of further transmission and complications associated with syphilis.
