Donovanosis (granuloma inguinale)
Donovanosis (granuloma inguinale)
Pathogen
Pathogen
Klebsiella granulomatis
Epidemiology
Epidemiology
India, PNG, Brazil, Caribbean
Formally, Australia, USA, South Africa, Zimbabwe
Clinical
Clinical
Beefy red genital ulcers, anal ulcers, usually painless
Inguinal lesion, bubu, ulcer
Lymphoedema, fibrosis, autoamputation of penis
Diagnosis
Diagnosis
Tissue smear for Donovan bodies (also seen leishmaniasis), Giemsa stain
PCR
Management
Management
Doxycycline or Azithromycin for around 3 weeks, or until lesions healed