Granuloma inguinale in a 51-year-old man

Dermatol Online J. 2016 Apr 18;22(4):13030/qt52k0c4hj.

Abstract

Granuloma inguinale, or Donovanosis, is a rare, sexually transmitted ulcerative disease primarily affecting the genital area. In this report, we present a case of a 50-year-old man that was diagnosed with granuloma inguinale after a 2-month history of a penile ulcer. Histological analysis demonstrated the presence of Donovan bodies within macrophages, confirming the diagnosis. He was subsequently treated with trimethoprim/sulfamethoxazole with improvement in the ulcer. This case serves as a reminder to clinicians that although granuloma inguinale is rarely encountered in the US, it should still be suspected in patients with non-healing penile ulcers.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Granuloma Inguinale / diagnosis
  • Granuloma Inguinale / drug therapy
  • Granuloma Inguinale / pathology*
  • Humans
  • Male
  • Middle Aged
  • Penile Diseases / diagnosis
  • Penile Diseases / drug therapy
  • Penile Diseases / pathology*
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
  • Ulcer / diagnosis
  • Ulcer / drug therapy
  • Ulcer / pathology*

Substances

  • Anti-Bacterial Agents
  • Trimethoprim, Sulfamethoxazole Drug Combination