Skip to main content

Granuloma Inguinale

Omar Khan, FAAFP, MHS, MD and Henrique N Jaime, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

Granuloma inguinale is a primarily sexually transmitted, chronic, progressive, and indolent bacterial infection caused by Klebsiella granulomatis (formerly Calymmatobacterium granulo...

DIAGNOSIS

HISTORY

  • Sexual contact ± genital lesions

  • Travel history is important given low prevalence in United States.

  • History of HIV infection or other STIs

  • SC nodules or superficial blisters in the genit...

TREATMENT

Usually can be treated in an outpatient setting with appropriate antibiotics and clinical monitoring. 

GENERAL MEASURES

  • Empirical treatment should be comprehensive and cover all likely pathoge...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • If treated in a timely manner, lesions usually resolve.

  • Monitor patient until resolution of symptoms.

Patient Monitoring

  • Monitor for hyperkalemia with extended TMP/S...

REFERENCES

1
Richens  J. Donovanosis (granuloma inguinale). Sex Transm Infect.  2006; 82(Suppl 4): iv21– iv22.  [View Abstract]
2
...

CODES

ICD10

A58 Granuloma inguinale 

SNOMED

  • 28867007 Granuloma inguinale (disorder)

  • 240607002 Donovanosis - inguinal lesion

  • 240606006 Donovanosis - anogenital ulcer

CLINICAL PEARLS

  • Presents as SC nodules or superficial blisters in the genital area that develop into open sores, usually painless

  • Unusual in the United States

  • The disease is transmitted usually through ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×