Granuloma Inguinale

Granuloma Inguinale (Donovanosis) is a chronic ulcerative granulomatous disease that develops in the vulva, perineum and inguinal regions. After contracting the infection it may take from 1 week to 3 months for any signs and symptoms to appear.

Causative agent–

Calymmatobacterium granulomatis

Symptoms And Signs—

Nodular type

It consists of ulcerated, painless soft lumps that are typically beefy red in colour and tend to bleed easily.

Hypertrophic or verrucous type

It consists of large dry warty masses that resemble genital warts.

Necrotic type

It presents as dry ulcers that evolve into scarred areas.

Chronic case

  • Bleeding
  • Inguinal swelling(bubo)
  • Local lymph nodes may enlarge and become abscesses or ulcers

 

Investigations—

  • Punch biopsy of lesion
  • Culture of tissue sample

Treatment—

 Medicines

Complications—

  • Heart failure.
  • Permanent swelling and scarring
  • Pneumonia
  • Widespread destruction of the genitals

 

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