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===== Donovanosis/Granuloma inguinale ===== * '''Caused Klebsiella granulomatis''' (intracellular gram-negative bacterium) * '''Does not usually occur in the US''' * '''The disease manifests as painless, slowly progressive ulcers on the genitals and perineum. Despite the name, inguinal involvement is uncommon (10%), but tender if present''' * '''Lesions''' ** '''Described as beefy red because of high vascularity, and they bleed easily''' ** Insert figure *'''Diagnosis and Evaluation''' ** '''Labs''' *** '''Requires visualization of''' dark-staining '''Donovan bodies''' on crush preparation or biopsy *'''Management''' ** '''Doxycycline''' 100 mg PI BID for at least 3 weeks and until all lesions have healed
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