Other cerebrospinal syphilis
ICD-10 A52.12 is a billable code used to indicate a diagnosis of other cerebrospinal syphilis.
Other cerebrospinal syphilis refers to a specific manifestation of syphilis that affects the central nervous system, particularly the cerebrospinal fluid (CSF). This condition is a late-stage complication of untreated syphilis, which is caused by the bacterium Treponema pallidum. Patients may present with a range of neurological symptoms, including headaches, altered mental status, seizures, and other cognitive impairments. Diagnosis typically involves lumbar puncture to analyze CSF for the presence of the pathogen or specific antibodies. Treatment usually consists of high-dose intravenous penicillin G, which is effective in eradicating the infection. It is crucial for healthcare providers to conduct thorough sexual history assessments and contact tracing to identify and treat sexual partners, thereby preventing further transmission of syphilis. Regular follow-up and monitoring of CSF parameters are also essential to assess treatment efficacy and manage any potential complications.
Detailed history of syphilis infection, treatment history, and neurological assessment.
Patients presenting with neurological symptoms and a history of syphilis.
Ensure comprehensive documentation of all symptoms and treatment responses.
Neurological examination findings, CSF analysis results, and treatment plans.
Patients with altered mental status or seizures with a known syphilis history.
Document differential diagnoses to support coding.
Used to obtain CSF for analysis in suspected cases of cerebrospinal syphilis.
Document indication for lumbar puncture and results of CSF analysis.
Infectious disease specialists should ensure comprehensive documentation of the patient's history and neurological status.
Common symptoms include headaches, confusion, seizures, and other neurological deficits. Patients may also experience changes in behavior or cognitive function.
