Late syphilitic meningitis
ICD-10 A52.13 is a billable code used to indicate a diagnosis of late syphilitic meningitis.
Late syphilitic meningitis is a severe manifestation of tertiary syphilis, occurring typically years after the initial infection with Treponema pallidum. This condition is characterized by inflammation of the meninges, which can lead to significant neurological impairment. Patients may present with symptoms such as headache, fever, neck stiffness, altered mental status, and focal neurological deficits. Diagnosis is often confirmed through cerebrospinal fluid (CSF) analysis, which may show elevated white blood cell counts, elevated protein levels, and positive serological tests for syphilis. Late syphilitic meningitis can lead to serious complications, including seizures, cognitive decline, and even death if left untreated. Treatment typically involves high-dose intravenous penicillin, which is effective in eradicating the infection and preventing further neurological damage. Close monitoring and follow-up are essential to assess treatment efficacy and manage any residual neurological deficits.
Detailed history of syphilis infection, treatment history, and neurological assessment.
Patients presenting with neurological symptoms and a history of syphilis.
Ensure all serological tests and CSF findings are documented.
Comprehensive neurological examination findings and imaging results.
Patients with cognitive decline or seizures with a history of syphilis.
Document any neurological deficits and their impact on daily functioning.
Used to confirm syphilis diagnosis in patients with neurological symptoms.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common symptoms include severe headaches, fever, neck stiffness, altered mental status, and focal neurological deficits.
Diagnosis is typically made through clinical evaluation, cerebrospinal fluid analysis, and serological testing for syphilis.
The standard treatment is high-dose intravenous penicillin, which is effective in treating the infection.
