Gonococcal conjunctivitis
ICD-10 A54.31 is a billable code used to indicate a diagnosis of gonococcal conjunctivitis.
Gonococcal conjunctivitis is an acute bacterial infection of the conjunctiva caused by Neisseria gonorrhoeae, a sexually transmitted bacterium. This condition typically presents with symptoms such as redness, swelling, and purulent discharge from the eye. It can occur in adults as a result of direct contact with infected genital secretions, often during sexual activity. In neonates, it can be contracted during passage through an infected birth canal, leading to a serious condition known as ophthalmia neonatorum. Prompt diagnosis and treatment are crucial to prevent complications such as corneal ulceration and potential vision loss. Diagnosis is usually confirmed through culture or nucleic acid amplification tests (NAAT) of conjunctival swabs. Treatment typically involves systemic antibiotics, with ceftriaxone being the first-line therapy. Additionally, it is essential to conduct contact tracing and screening for other sexually transmitted infections (STIs) in affected individuals to prevent further transmission and reinfection.
Detailed examination findings, including visual acuity and discharge characteristics.
Patients presenting with purulent conjunctivitis, especially in sexually active individuals.
Ensure to document any systemic symptoms or concurrent STIs.
Comprehensive history of exposure, sexual history, and STI screening results.
Patients with recurrent STIs or those presenting with systemic symptoms.
Document treatment regimens and patient education on STI prevention.
Used when a patient presents for evaluation and management of gonococcal conjunctivitis.
Document history, examination findings, and treatment plan.
Ophthalmology may require additional details on ocular examination.
Common symptoms include redness of the eye, swelling, and a thick, purulent discharge. Patients may also experience pain and sensitivity to light.
