Donovanosis (Granuloma Inguinale) – Calymmatobacterium granulomatis Papua new Guinea (PNG); endemic aboriginal population northern Australia intracellular painless genital nodule or ulcer (occasional rectal tumour) secondary infection of ulcer phimosis, lymphoedema auto-inoculation, systemic spread – granulomatous lesions Dx: smear from scrapings Giemsa stain: bipolar rods in mononuclear cells Rx: tetracycline 1 month erythromycin if pregnant follow-up … Continue reading Differential of a Genital “Tropical” Ulcer