Syphilis of bone and joint
ICD-10 A52.77 is a billable code used to indicate a diagnosis of syphilis of bone and joint.
Syphilis of bone and joint is a rare manifestation of tertiary syphilis, which occurs when the Treponema pallidum bacterium, responsible for syphilis, invades the skeletal system. This condition typically arises after a prolonged period of untreated syphilis, often years after the initial infection. Patients may present with bone pain, swelling, and deformities, particularly in the long bones and joints. Radiological findings may reveal osteitis, osteomyelitis, or periostitis. The diagnosis is confirmed through serological tests, including non-treponemal tests (e.g., RPR, VDRL) and treponemal tests (e.g., FTA-ABS). Treatment involves the administration of high-dose penicillin, which is effective in eradicating the infection and alleviating symptoms. Early detection and treatment are crucial to prevent further complications, including significant joint damage and systemic involvement.
Detailed history of syphilis infection, treatment history, and serological test results.
Patients presenting with bone pain and a history of untreated syphilis.
Ensure comprehensive documentation of all symptoms and treatment responses.
Radiological findings, surgical notes if applicable, and treatment plans.
Patients with joint deformities or chronic pain attributed to syphilis.
Document any surgical interventions or orthopedic assessments thoroughly.
Used for follow-up visits after initial diagnosis and treatment of syphilis of bone and joint.
Document history, examination findings, and treatment response.
Infectious disease specialists should ensure comprehensive documentation of the patient's history.
Common symptoms include bone pain, joint swelling, and deformities, often accompanied by a history of untreated syphilis.
Treatment typically involves high-dose penicillin, which is effective in eradicating the infection and alleviating symptoms.
