Granuloma inguinale - Revision history

Jonrako at 19:44, 28 July 2021

2021-07-28T19:44:40Z

← Revisión anterior		Revisión del 19:44 28 jul 2021
Línea 16:		Línea 16:
	*Lymphatic obstruction, elephantiasis		*Lymphatic obstruction, elephantiasis
	*Hematogenous spread to spleen, lungs, liver, bones, orbits		*Hematogenous spread to spleen, lungs, liver, bones, orbits
			[[File:Granuloma Inguinale.JPG\|thumb]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Differential Diagnosis */

2020-09-10T20:17:34Z

Differential Diagnosis

← Revisión anterior		Revisión del 20:17 10 sep 2020
Línea 18:		Línea 18:

	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Chancroid]]

	{{STD DDX}}		{{STD DDX}}

Rossdonaldson1: /* Differential Diagnosis */

2020-09-10T20:17:17Z

Differential Diagnosis

← Revisión anterior		Revisión del 20:17 10 sep 2020
Línea 19:		Línea 19:
	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Chancroid]]		*[[Chancroid]]
	*[[Herpes simplex]]
	*[[Lymphogranuloma venereum]]		{{STD DDX}}
	*[[Syphilis]]

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 13:11, 14 March 2018

2018-03-14T13:11:08Z

← Revisión anterior		Revisión del 13:11 14 mar 2018
Línea 37:		Línea 37:
	**[[Erythromycin]] base 500mg PO QID		**[[Erythromycin]] base 500mg PO QID
	**[[Bactrim DS]] (160mg/800mg) PO BID		**[[Bactrim DS]] (160mg/800mg) PO BID

			==Disposition==
			*Typically outpatient

	==See Also==		==See Also==
	*[[STDs]]		*[[STDs]]
	*[[Ulcerative STDs]]		*[[Ulcerative STDs]]

			==External Links==
			https://www.cdc.gov/std/tg2015/donovanosis.htm

	==References==		==References==
	<references/>~~https://www.cdc.gov/std/tg2015/donovanosis.htm~~		<references/>


	[[Category:ID]]		[[Category:ID]]
	[[Category:Tropical Medicine]]		[[Category:Tropical Medicine]]

Lisayee25 at 19:13, 1 March 2018

2018-03-01T19:13:39Z

← Revisión anterior		Revisión del 19:13 1 mar 2018
Línea 4:		Línea 4:
	*[[Sexually transmitted disease]]		*[[Sexually transmitted disease]]
	*Tropical and semitropical (India, Papua New Guinea, Australia, Carribean, Africa)		*Tropical and semitropical (India, Papua New Guinea, Australia, Carribean, Africa)
			*Very rare in the United States

	==Clinical Features==		==Clinical Features==
Línea 11:		Línea 12:
	**Hard, bleeds easily		**Hard, bleeds easily
	**"Beefy red"		**"Beefy red"
			* Inguinal lymphadenopathy is generally mild or absent
	*Urethral stenosis		*Urethral stenosis
	*Lymphatic obstruction, elephantiasis		*Lymphatic obstruction, elephantiasis
Línea 28:		Línea 30:

	==Management==		==Management==
	*[[~~Doxycycline~~]] ~~100mg~~ PO ~~BID x 3 weeks or lesion heals~~		*The duration of treatment is a minimum of three weeks, and should be continued until all lesions have completely healed.
	*Alternative: ~~For 3 week duration or until lesion heals~~		*Recommended: [[Azithromycin]] 1g PO qweek
	**[[~~Azithromycin~~]] 1g PO ~~qweek~~		*Alternative:
			**[[Doxycycline]] 100mg PO BID
	**[[Ciprofloxacin]] 750mg PO BID		**[[Ciprofloxacin]] 750mg PO BID
	**[[Erythromycin]] base 500mg PO QID		**[[Erythromycin]] base 500mg PO QID
Línea 37:		Línea 40:
	==See Also==		==See Also==
	*[[STDs]]		*[[STDs]]
			*[[Ulcerative STDs]]
	==References==		==References==
	<references/>		<references/>https://www.cdc.gov/std/tg2015/donovanosis.htm


	[[Category:ID]]		[[Category:ID]]
	[[Category:Tropical Medicine]]		[[Category:Tropical Medicine]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T20:36:35Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 20:36 22 jul 2016
Línea 21:		Línea 21:
	*[[Syphilis]]		*[[Syphilis]]

	==~~Diagnosis~~==		==Evaluation==
	===Workup===		===Workup===
	*Microscopy: Donovan bodies		*Microscopy: Donovan bodies

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T10:24:21Z

Text replacement - "* " to "*"

← Revisión anterior		Revisión del 10:24 4 jul 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	* "Donovanosis"		*"Donovanosis"
	* ''Klebsiella granulomatis'': Intracellular gram negative rod		*''Klebsiella granulomatis'': Intracellular gram negative rod
	* [[Sexually transmitted disease]]		*[[Sexually transmitted disease]]
	* Tropical and semitropical (India, Papua New Guinea, Australia, Carribean, Africa)		*Tropical and semitropical (India, Papua New Guinea, Australia, Carribean, Africa)

	==Clinical Features==		==Clinical Features==
	* Genital/perineal ulcer		*Genital/perineal ulcer
	** Chronic, painless, progressive		**Chronic, painless, progressive
	** Irregular, clean-based, granulomatous, nodular		**Irregular, clean-based, granulomatous, nodular
	** Hard, bleeds easily		**Hard, bleeds easily
	** "Beefy red"		**"Beefy red"
	* Urethral stenosis		*Urethral stenosis
	* Lymphatic obstruction, elephantiasis		*Lymphatic obstruction, elephantiasis
	* Hematogenous spread to spleen, lungs, liver, bones, orbits		*Hematogenous spread to spleen, lungs, liver, bones, orbits

	==Differential Diagnosis==		==Differential Diagnosis==
	* [[Chancroid]]		*[[Chancroid]]
	* [[Herpes simplex]]		*[[Herpes simplex]]
	* [[Lymphogranuloma venereum]]		*[[Lymphogranuloma venereum]]
	* [[Syphilis]]		*[[Syphilis]]

	==Diagnosis==		==Diagnosis==
Línea 28:		Línea 28:

	==Management==		==Management==
	* [[Doxycycline]] 100mg PO BID x 3 weeks or lesion heals		*[[Doxycycline]] 100mg PO BID x 3 weeks or lesion heals
	*Alternative: For 3 week duration or until lesion heals		*Alternative: For 3 week duration or until lesion heals
	** [[Azithromycin]] 1g PO qweek		**[[Azithromycin]] 1g PO qweek
	** [[Ciprofloxacin]] 750mg PO BID		**[[Ciprofloxacin]] 750mg PO BID
	** [[Erythromycin]] base 500mg PO QID		**[[Erythromycin]] base 500mg PO QID
	** [[Bactrim DS]] (160mg/800mg) PO BID		**[[Bactrim DS]] (160mg/800mg) PO BID

	==See Also==		==See Also==

Ostermayer: Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

2016-03-22T16:59:22Z

Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

← Revisión anterior		Revisión del 16:59 22 mar 2016
Línea 43:		Línea 43:

	[[Category:ID]]		[[Category:ID]]
	[[Category:~~TropMed~~]]		[[Category:Tropical Medicine]]

Mholtz at 09:52, 22 August 2015

2015-08-22T09:52:17Z

← Revisión anterior		Revisión del 09:52 22 ago 2015
Línea 14:		Línea 14:
	* Lymphatic obstruction, elephantiasis		* Lymphatic obstruction, elephantiasis
	* Hematogenous spread to spleen, lungs, liver, bones, orbits		* Hematogenous spread to spleen, lungs, liver, bones, orbits

	==Differential Diagnosis==		==Differential Diagnosis==
	* [[Chancroid]]		* [[Chancroid]]
Línea 20:		Línea 21:
	* [[Syphilis]]		* [[Syphilis]]

	==Workup==		==Diagnosis==
	* Microscopy: Donovan bodies		===Workup===
	** Short, pleomorphic rods with bipolar staining		*Microscopy: Donovan bodies
	* Screen for other [[STDs]]		**Short, pleomorphic rods with bipolar staining
			*Screen for other [[STDs]]

	==Management==		==Management==
	* [[Doxycycline]] 100mg PO BID x 3 weeks or lesion heals		* [[Doxycycline]] 100mg PO BID x 3 weeks or lesion heals
	** Alternative: For 3 week duration or until lesion heals		*Alternative: For 3 week duration or until lesion heals
	*** [[Azithromycin]] 1g PO qweek		** [[Azithromycin]] 1g PO qweek
	*** [[Ciprofloxacin]] 750mg PO BID		** [[Ciprofloxacin]] 750mg PO BID
	*** [[Erythromycin]] base 500mg PO QID		** [[Erythromycin]] base 500mg PO QID
	*** [[Bactrim DS]] (160mg/800mg) PO BID		** [[Bactrim DS]] (160mg/800mg) PO BID

	==See Also==		==See Also==
	*[[STDs]]		*[[STDs]]

	==~~Sources~~==		==References==
	<references/>		<references/>
	*Rosen's Emergency Medicine 8th edition. 2013. Chapter: Sexually Transmitted Disease p. 1318.
	* Fasoldt, JJ, et al. (2013, Apr 9). Granuloma Inguinale (Donovanosis). eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/1052617-overview.

	[[Category:ID]]		[[Category:ID]]
	[[Category:TropMed]]		[[Category:TropMed]]

Rossdonaldson1: /* Sources */

2014-12-30T06:29:08Z

Sources

← Revisión anterior		Revisión del 06:29 30 dic 2014
Línea 40:		Línea 40:
	*Rosen's Emergency Medicine 8th edition. 2013. Chapter: Sexually Transmitted Disease p. 1318.		*Rosen's Emergency Medicine 8th edition. 2013. Chapter: Sexually Transmitted Disease p. 1318.
	* Fasoldt, JJ, et al. (2013, Apr 9). Granuloma Inguinale (Donovanosis). eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/1052617-overview.		* Fasoldt, JJ, et al. (2013, Apr 9). Granuloma Inguinale (Donovanosis). eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/1052617-overview.

			[[Category:ID]]
			[[Category:TropMed]]