Early congenital syphilis
Chapter 1:Certain infectious and parasitic diseases
ICD-10 A50.1 is a billable code used to indicate a diagnosis of early congenital syphilis.
Early congenital syphilis is a condition that occurs when a mother with syphilis transmits the infection to her fetus during pregnancy. This can happen at any stage of pregnancy, but the risk is highest during the first trimester. The clinical manifestations of early congenital syphilis can be severe and may include low birth weight, prematurity, and a variety of systemic complications. Infants may present with symptoms such as rash, hepatosplenomegaly, jaundice, and bone abnormalities. Diagnosis is typically made through serological testing of the mother and the infant, and treatment involves the administration of penicillin to both the mother and the infant. Early detection and treatment are crucial to prevent long-term complications and improve outcomes for affected infants. Public health measures, including contact tracing and screening of pregnant women, are essential to reduce the incidence of congenital syphilis.
Complete maternal health history, including STI screening results and treatment plans.
Pregnant women presenting with syphilis, routine prenatal screenings.
Ensure that all prenatal visits document syphilis testing and treatment adherence.
Detailed infant examination notes, including symptoms and treatment response.
Newborns presenting with signs of congenital syphilis.
Document all follow-up visits and any additional testing performed on the infant.
Used for screening pregnant women for syphilis.
Document the reason for testing and results.
Obstetricians should ensure that testing is performed at appropriate intervals during pregnancy.
Early congenital syphilis occurs when the infection is transmitted during pregnancy and presents within the first two years of life, while late congenital syphilis manifests after two years and may involve more severe complications.
