Gonococcal spondylopathy
ICD-10 A54.41 is a billable code used to indicate a diagnosis of gonococcal spondylopathy.
Gonococcal spondylopathy is a rare but serious complication of gonorrhea, a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. This condition manifests as inflammation of the vertebrae and surrounding structures, leading to back pain, stiffness, and potential neurological deficits. It typically occurs in individuals with disseminated gonococcal infection (DGI), where the bacteria spread from the initial site of infection to other parts of the body, including the joints and spine. Diagnosis is often confirmed through clinical evaluation, imaging studies such as MRI or CT scans, and laboratory tests that identify the presence of Neisseria gonorrhoeae. Treatment primarily involves the use of appropriate antibiotics, with a focus on eradicating the infection and managing symptoms. Early intervention is crucial to prevent long-term complications, including chronic pain or disability. Gonococcal spondylopathy underscores the importance of prompt diagnosis and treatment of gonorrhea, as well as the need for effective contact tracing to prevent further transmission of the infection.
Detailed patient history, laboratory results confirming gonococcal infection, and treatment plans.
Patients presenting with joint pain and a history of gonorrhea.
Need for comprehensive STI screening and management of sexual partners.
Imaging results, clinical findings related to spinal involvement, and treatment interventions.
Patients with back pain and neurological symptoms requiring surgical evaluation.
Coordination with infectious disease specialists for antibiotic therapy.
Used to confirm the diagnosis of gonorrhea in patients with suspected spondylopathy.
Document the reason for testing and results.
Infectious disease specialists may require specific lab results for treatment decisions.
Common symptoms include severe back pain, stiffness, fever, and neurological deficits such as weakness or numbness in the limbs.
Treatment typically involves antibiotics to eradicate the gonococcal infection, along with pain management and physical therapy as needed.
