Other late congenital neurosyphilis
ICD-10 A50.49 is a billable code used to indicate a diagnosis of other late congenital neurosyphilis.
Late congenital neurosyphilis is a severe manifestation of syphilis that occurs in infants born to mothers who were infected with Treponema pallidum during pregnancy. This condition can lead to significant neurological impairment, including developmental delays, seizures, and cognitive deficits. The term 'other' in this code refers to cases that do not fit into the more specific categories of congenital neurosyphilis, indicating a variety of clinical presentations. Diagnosis typically involves a combination of clinical evaluation, serological testing for syphilis, and neurological assessments. Treatment usually includes high-dose penicillin, which is effective in eradicating the infection and preventing further neurological damage. Early detection and treatment are crucial to improving outcomes for affected infants. Contact tracing and screening of pregnant women for syphilis are essential public health measures to prevent congenital syphilis and its complications.
Detailed history of maternal syphilis, neurological assessments, and treatment plans.
Infants presenting with developmental delays or seizures.
Need for interdisciplinary collaboration with infectious disease specialists.
Screening results for syphilis during pregnancy and treatment protocols.
Pregnant women with positive syphilis tests requiring treatment.
Importance of contact tracing and follow-up for partners.
Used for screening pregnant women and infants.
Document the reason for testing and results.
Obstetricians should ensure follow-up on positive results.
Common symptoms include developmental delays, seizures, and cognitive impairments. Neurological assessments are crucial for diagnosis.
Treatment typically involves high-dose penicillin, which is effective in treating the infection and preventing further neurological damage.
