Chancroid
ICD-10 A57 is a billable code used to indicate a diagnosis of chancroid.
Chancroid is a sexually transmitted infection caused by the bacterium Haemophilus ducreyi. It is characterized by painful ulcers on the genitalia, which can lead to significant morbidity if left untreated. The infection is primarily transmitted through sexual contact, and it is more prevalent in areas with high rates of other sexually transmitted infections (STIs). Clinically, chancroid presents as one or more painful ulcers, often with a necrotic base and irregular borders, accompanied by swollen lymph nodes in the groin (bubo). Diagnosis is typically made through clinical evaluation, and laboratory confirmation may involve culture or PCR testing. Treatment involves the use of antibiotics, with azithromycin or ceftriaxone being the most commonly recommended options. Effective management also includes contact tracing to prevent further transmission, as partners of infected individuals should be notified and treated to reduce the risk of reinfection. Public health measures are crucial in controlling outbreaks, particularly in high-risk populations. Overall, timely diagnosis and treatment are essential to mitigate complications associated with this infection.
Detailed clinical notes on symptoms, laboratory results, and treatment plans.
Diagnosis and management of STIs, including chancroid and co-infections.
Ensure documentation reflects the complexity of the case, including any complications or co-morbidities.
Thorough history and physical examination notes, including sexual history.
Routine STI screenings and management of symptomatic patients.
Document all patient interactions and partner notification efforts.
When testing for syphilis in a patient diagnosed with chancroid.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive STI screening.
Common symptoms include painful genital ulcers, swollen lymph nodes in the groin, and potential systemic symptoms such as fever.
Chancroid is typically treated with antibiotics such as azithromycin or ceftriaxone, and it is important to notify and treat sexual partners.
Contact tracing is crucial to prevent the spread of the infection, as untreated partners can lead to reinfection and further transmission.
