Disseminated donovanosis (granuloma inguinale) with osteomyelitis of both wrists
West Indian med. j
;
51(3): 194-196, Sept. 2002.
Article
in English
| LILACS
| ID: lil-333249
ABSTRACT
Donovanosis is a sexually transmitted infection which presents with genital ulceration and inguinal lymphadenopathy. Rarely, it presents with extra-genital manifestations. We present a case of disseminated donovanosis with cervical ulceration, massive pelvic lymphadenopathy, osteomyelitis of the wrists and septic arthritis of the knees and right elbow. A 23-year-old gravida two presented with wasting, oedema, ascites, bilateral iliac lymphadenopathy, anaemia and a large ulcer of the cervix uteri. Two months later in the outpatient clinic, she was much improved but still had post-coital bleeding and a hyperaemic cervix, suggestive of persistent infection. The course of antibiotics was therefore repeated. Histopathological examination of a specimen from colposcopic biopsy of the cervix uteri revealed granuloma inguinale. She improved after several courses of antibiotics, blood transfusion, surgical dÚbridement and aspiration of affected joints.
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Index:
LILACS (Americas)
Main subject:
Osteomyelitis
/
Carpal Bones
/
Granuloma Inguinale
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
West Indian med. j
Journal subject:
Medicine
Year:
2002
Type:
Article
Affiliation country:
Jamaica
Institution/Affiliation country:
University of the West Indies/JM
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