Late congenital syphilis, symptomatic
Chapter 1:Certain infectious and parasitic diseases
ICD-10 A50.5 is a billable code used to indicate a diagnosis of late congenital syphilis, symptomatic.
Late congenital syphilis is a severe manifestation of syphilis that occurs in infants born to mothers who were infected with Treponema pallidum during pregnancy. This condition typically presents after the first two years of life and can lead to significant morbidity if not treated. Symptoms may include bone deformities, neurological impairment, and skin rashes. The clinical manifestations can vary widely, with some infants showing no symptoms at birth but developing issues later. Diagnosis is confirmed through serological testing and clinical evaluation. Treatment involves the administration of penicillin, which is effective in eradicating the infection. Early identification and treatment are crucial to prevent long-term complications. Contact tracing is essential to identify and treat infected individuals, thereby reducing the risk of transmission to others.
Detailed clinical notes on the infant's symptoms, maternal history, and treatment plan.
Infants presenting with bone deformities or neurological symptoms.
Ensure that maternal syphilis screening results are included in the documentation.
Comprehensive prenatal care records, including syphilis screening results and treatment history.
Pregnant women diagnosed with syphilis and their management.
Documenting the timing of infection and treatment during pregnancy is crucial.
When testing for syphilis in pregnant women or infants.
Document the reason for testing and results.
Pediatricians should ensure maternal history is included.
Symptoms may include bone deformities, neurological impairment, skin rashes, and developmental delays. These symptoms can appear after the first two years of life.
Treatment typically involves the administration of penicillin, which is effective in eradicating the infection and preventing complications.
Contact tracing is essential to identify and treat infected individuals, thereby reducing the risk of transmission to others and preventing further cases of congenital syphilis.