Overview
Granuloma inguinale is a rare bacterial STI caused by Klebsiella granulomatis. It causes progressive genital ulcers and requires prolonged treatment.
Causes and transmission
- Transmitted through sexual contact.
- Rare in many settings but important in differential diagnosis.
How it is assessed
- Clinical examination plus specialized testing or biopsy where available.
- Other ulcer causes should be excluded.
Management considerations
- Prolonged antibiotic treatment under specialist supervision.
- Follow-up until lesions resolve.
Prevention
- Avoid contact with active lesions.
- Prompt diagnosis reduces complications.
Key points
- Rare cause of genital ulcers
- Progressive lesion growth
- Requires prolonged antibiotics
- More common in tropical regions
When to seek care
- Progressive genital ulcer
- Non-healing sore
- Travel or regional exposure history