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      • Record: found
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      A FORGOTTEN DISEASE REMINDS ITSELF WITH A RARE COMPLICATION

      case-report

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          Abstract

          Diagnosed cases of sexually transmitted diseases (STD) represent tip of the iceberg and Donovanosis in one of them. Donovanosis, in most cases is obvious clinically, but rely for its confirmation on the demonstration of donovan bodies in histological sections and cytological preparation. In an extremely rare setting, this disease may get complicated by the development of squamous cell carcinoma. We report this occurrence in an 18-year-old girl to review the currently forgotten status of donovanosis amongst the STDs and the poor outcome of the disease if left untreated.

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          T Babor, J. F. Biddle, J Sauders … (2008)
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            Phylogenetic evidence for reclassification of Calymmatobacterium granulomatis as Klebsiella granulomatis comb. nov.

            J. Carter, K Sriprakash, Bruce F. Bowden … (1999)
            By sequencing a total of 2089 bp of the 16S rRNA and phoE genes it was demonstrated that Calymmatobacterium granulomatis (the causative organism of donovanosis) shows a high level of identity with Klebsiella species pathogenic to humans (Klebsiella pneumoniae, Klebsiella rhinoscleromatis). It is proposed that C. granulomatis should be reclassified as Klebsiella granulomatis comb. nov. An emended description of the genus Klebsiella is given.
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              Donovanosis.

              Patrick N O’Farrell (2002)
              Donovanosis, a chronic cause of genital ulceration, has recently been the subject of renewed interest after a long period of relative obscurity. The causative organism, Calymmatobacterium granulomatis, has been cultured for the first time in many years and a polymerase chain reaction diagnostic using a colorimetric detection system has been developed. Phylogenetic analysis confirms close similarities with the genus Klebsiella and a proposal made that C granulomatis be reclassified as Klebsiella granulomatis comb nov. Azithromycin has emerged as the drug of choice and should be used if the diagnosis is confirmed or suspected. In donovanosis endemic areas, syndromic management protocols for genital ulceration may need to be adapted locally. A significant donovanosis epidemic was reported in Durban from 1988-97 but the current status of this epidemic is unclear. The donovanosis elimination programme among Aboriginals in Australia appears successful and is a model that could be adopted in other donovanosis endemic areas. Overall, the incidence of donovanosis seems to be decreasing. Increased attention would undoubtedly be paid to donovanosis if policy makers recognised more readily the importance of genital ulcers in fuelling the HIV epidemic.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Dermatol
                Journal ID (publisher-id): IJD
                Title: Indian Journal of Dermatology
                Publisher: Medknow Publications (India )
                ISSN (Print): 0019-5154
                ISSN (Electronic): 1998-3611
                Publication date (Print): Jul-Aug 2011
                Volume: 56
                Issue: 4
                Pages: 430-431
                Affiliations
                [1] From the Department of Pathology, GSVM Medical College, Kanpur, India.
                [1 ] Department of Skin and Venereal Diseases, GSVM Medical College, Kanpur, India.
                Author notes
                Address for correspondence: Dr. Meetu Agrawal, Department of Pathology, GSVM Medical College, Kanpur - 208 001, India. E-mail: meetu.drmeetuagrawal@ 123456gmail.com
                Article
                Publisher ID: IJD-56-430
                DOI: 10.4103/0019-5154.84752
                PMC ID: 3179012
                PubMed ID: 21965857
                SO-VID: 6eea45d3-b9fc-41e4-a8ca-92a5ce5acf5d
                Copyright © © Indian Journal of Dermatology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : December 2009
                Date accepted : August 2010
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dermatology
                Keywords: squamous cell carcinoma,donovanosis,sexually transmitted disease
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: squamous cell carcinoma, donovanosis, sexually transmitted disease

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