Gonococcal peritonitis
ICD-10 A54.85 is a billable code used to indicate a diagnosis of gonococcal peritonitis.
Gonococcal peritonitis is a rare but serious complication of gonorrhea, a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. This condition occurs when the bacteria spread to the peritoneal cavity, leading to inflammation of the peritoneum, which is the lining of the abdominal cavity. Patients may present with acute abdominal pain, fever, nausea, vomiting, and signs of peritoneal irritation. Diagnosis is typically made through clinical evaluation, supported by laboratory tests that confirm the presence of Neisseria gonorrhoeae in body fluids. Gonococcal peritonitis is more common in individuals with a history of pelvic inflammatory disease (PID) or those who engage in high-risk sexual behaviors. Prompt recognition and treatment are crucial to prevent severe complications, including sepsis and peritonitis-related morbidity. Treatment usually involves the administration of appropriate antibiotics, often in combination, to effectively eradicate the infection. Public health measures, including contact tracing and education about safe sexual practices, are essential to control the spread of gonorrhea and its complications.
Detailed patient history, including sexual history and risk factors, laboratory confirmation of gonococcal infection.
Patients presenting with abdominal pain and a history of gonorrhea or PID.
Need for comprehensive STI screening and management of sexual partners.
Acute presentation details, including vital signs, lab results, and imaging studies.
Patients with acute abdomen and suspected infectious etiology.
Rapid assessment and treatment initiation are critical; documentation must reflect urgency.
When fluid is removed from the peritoneal cavity for diagnostic purposes.
Indication for procedure, consent, and fluid analysis results.
Infectious disease specialists may require additional documentation regarding the infection's management.
Common symptoms include severe abdominal pain, fever, nausea, vomiting, and signs of peritoneal irritation such as rebound tenderness.
Diagnosis is made through clinical evaluation and laboratory tests that confirm the presence of Neisseria gonorrhoeae in body fluids, often supported by imaging studies.
Treatment typically involves the administration of broad-spectrum antibiotics, often in combination, to effectively eradicate the infection.
