2025 ICD-10-CM code A52.75
Syphilis of kidney and ureter. Syphilitic glomerular disease.
Medical necessity for treating syphilis of the kidney and ureter is established by confirming the diagnosis and demonstrating the impact of the infection on kidney function. Treatment aims to eradicate the infection, prevent further kidney damage, and manage associated complications.
Diagnosis of syphilis of the kidney and ureter involves evaluating patient exposure history, conducting a physical exam, performing blood tests, examining lesions, and analyzing body fluids. Dark-field microscopy, PCR testing of tissues and fluids, and serologic tests for syphilis aid in confirming the diagnosis. Kidney biopsy may also be necessary. Treatment typically includes antibiotics, often penicillin. Supportive care might involve intravenous electrolytes and dialysis in severe cases. Patient education on disease prevention and early detection is crucial.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: Syphilis, a sexually transmitted infection, can sometimes affect the kidneys and the tubes that carry urine from the kidneys to the bladder. This can lead to kidney problems, including different types of kidney disease and blood vessel damage in the kidneys.
Syphilis of the kidney and ureter is a complication of syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum. This condition can cause various renal manifestations, including glomerulopathies (like membranous nephropathy), tubular pathology, and vasculitic lesions.
Example 1: A patient with a history of untreated syphilis presents with proteinuria, hematuria, and elevated creatinine levels. Further investigation reveals syphilitic glomerulonephritis., A patient diagnosed with secondary syphilis develops nephrotic syndrome, characterized by significant proteinuria, edema, and hypoalbuminemia. Kidney biopsy confirms membranous nephropathy associated with syphilis., A patient with latent syphilis experiences lower abdominal pain and burning sensation during urination. Tests reveal syphilitic involvement of the ureters, causing inflammation and obstruction.
Documentation should include evidence of syphilis infection (e.g., positive serologic tests, dark-field microscopy), clinical findings related to kidney and ureter involvement (e.g., proteinuria, hematuria, imaging studies), and treatment details.
- Payment Status: Active
- Specialties:Infectious Disease, Nephrology, Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office