Donovanosis (granuloma inguinale)

Pathogen

  • Klebsiella granulomatis

Epidemiology

  • India, PNG, Brazil, Caribbean

  • Formally, Australia, USA, South Africa, Zimbabwe

Clinical

  • Beefy red genital ulcers, anal ulcers, usually painless

  • Inguinal lesion, bubu, ulcer

  • Lymphoedema, fibrosis, autoamputation of penis

Diagnosis

  • Tissue smear for Donovan bodies (also seen leishmaniasis), Giemsa stain

  • PCR

Management

  • Doxycycline or Azithromycin for around 3 weeks, or until lesions healed