Granuloma inguinale Donovanosis

• Facts:
  Bacterial infection characterized by ulcerative genital lesions that do NOT resolve unless treated with antibiotics
• History / PE:
  Painless genital ulcers
  Raised, red papules
• Diagnosis:
  Donovan bodies
• Treatment:
  Doxycylcine 100mg BID X 3 weeks
• Differential Diagnosis:
  Syphilis (lymphadenopathy, ulcers heal spontaneously)
  Chancroid and herpes genitalis (painful ulcers)