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