Disseminated donovanosis (granuloma inguinale) with osteomyelitis of both wrists
West Indian med. j
;
51(3): 194-196, Sept. 2002.
Artigo
em Inglês
| 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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Índice:
LILACS (Américas)
Assunto principal:
Osteomielite
/
Ossos do Carpo
/
Granuloma Inguinal
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
West Indian med. j
Assunto da revista:
Medicina
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
Jamaica
Instituição/País de afiliação:
University of the West Indies/JM
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