Syphilis of liver and other viscera
ICD-10 A52.74 is a billable code used to indicate a diagnosis of syphilis of liver and other viscera.
Syphilis of the liver and other viscera is a manifestation of tertiary syphilis, which occurs when the Treponema pallidum bacterium, responsible for syphilis, spreads to various organs after the initial stages of the infection have progressed untreated. This condition can lead to significant liver damage, presenting as hepatitis, cirrhosis, or even liver failure. Patients may exhibit symptoms such as jaundice, abdominal pain, and ascites. Diagnosis typically involves serological testing for syphilis antibodies, liver function tests, and imaging studies to assess liver involvement. Treatment primarily consists of antibiotic therapy, usually with benzathine penicillin G, which is effective in eradicating the infection and preventing further organ damage. Close monitoring of liver function and follow-up serological testing is essential to ensure treatment efficacy and manage any complications that may arise.
Detailed history of syphilis infection, treatment history, and follow-up care.
Patients presenting with late-stage syphilis and liver dysfunction.
Ensure comprehensive documentation of all symptoms and lab results to support coding.
Liver function tests, imaging results, and treatment plans.
Patients with liver cirrhosis secondary to syphilis.
Document any liver biopsies or additional diagnostic procedures performed.
Used to confirm syphilis diagnosis in patients with liver involvement.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing for co-infections.
Common symptoms include jaundice, abdominal pain, ascites, and signs of liver dysfunction such as elevated liver enzymes.
Diagnosis is made through serological testing for syphilis antibodies, liver function tests, and imaging studies to assess liver involvement.
Treatment typically involves antibiotic therapy, primarily benzathine penicillin G, along with monitoring liver function and managing any complications.
