Infectious Diseases Fellowship at Indiana University

@iuidfellowship.bsky.social

8 months ago

#granuloma #inguinale ddx Disseminated histoplasmosis may present as genital ulcer but fever, weight loss, anorexia are prominent.

Infectious Diseases Fellowship at Indiana University

@iuidfellowship.bsky.social

8 months ago

DDx #granuloma #inguinale is painless like like syphilitic ulcers & LGV
-Chancroid (H. ducreyi) painful ulcerations (like HSV) that heal spontaneously & often w/suppurative inguinal lymphadenitis.
HSV painful lesions but unlike chancroid: no suppurative adenitis.

Infectious Diseases Fellowship at Indiana University

@iuidfellowship.bsky.social

8 months ago

Clinically, #granuloma #inguinale is painless, slowly progressive ulcerative lesions on genitals or perineum without regional lymphadenopathy; subcutaneous granulomas (pseudobuboes) also might occur. The lesions are highly vascular (i.e., beefy red appearance) & bleed #donovanosis