Gonococcal osteomyelitis
ICD-10 A54.43 is a billable code used to indicate a diagnosis of gonococcal osteomyelitis.
Gonococcal osteomyelitis is a rare but serious complication of disseminated gonococcal infection (DGI), which occurs when Neisseria gonorrhoeae bacteria spread from the urogenital tract to the bloodstream and subsequently to the bones. This condition is characterized by inflammation and infection of the bone, often presenting with localized pain, swelling, and fever. Patients may experience systemic symptoms such as chills and malaise. Gonococcal osteomyelitis is more common in individuals with underlying conditions that compromise the immune system or in those who engage in high-risk sexual behaviors. Diagnosis typically involves imaging studies, such as X-rays or MRI, to identify bone involvement, along with laboratory tests to confirm the presence of Neisseria gonorrhoeae. Treatment primarily consists of antibiotic therapy, often requiring hospitalization for intravenous antibiotics, especially in severe cases. Early recognition and treatment are crucial to prevent complications such as chronic osteomyelitis or systemic spread of the infection.
Detailed patient history, including sexual history and risk factors, laboratory results confirming gonococcal infection, and treatment plans.
Patients presenting with joint pain, fever, and a history of gonorrhea; patients with recurrent infections.
Documentation must clearly link the osteomyelitis to the gonococcal infection.
Imaging results, surgical notes if applicable, and detailed descriptions of the affected bone.
Patients with bone pain and swelling, particularly in the context of a known gonococcal infection.
Orthopedic surgeons must be aware of the infectious etiology to ensure appropriate treatment.
Used to confirm the diagnosis of gonococcal infection in patients presenting with osteomyelitis.
Document the reason for testing and the results.
Infectious disease specialists should ensure accurate interpretation of results.
Common symptoms include localized bone pain, swelling, fever, and systemic symptoms such as chills and malaise. Patients may also have a history of gonorrhea.
