Donovanosis, also known as inguinal granuloma or venereal granuloma, is an infectious disease caused by the bacteria Klebsiella granulomatis , formerly known as Donovani granulomatis and Claymmatobacterium granulomatis , characterized by the presence of lumps or wounds that bleed easily mainly in the genital region.
The best way to prevent donovanosis is through the use of condoms during sexual intercourse. However, in the case of lesions in the inguinal or perianal region, it is important to consult the doctor to make the diagnosis and start the treatment, since the bacteria are present in the lesion.
Symptoms of donovanosis
Donovanosis manifests itself from the following symptoms:
- Lumps or wounds in the genital, inguinal or perianal region; Wounds or lumps that look bright red, which grow and can bleed easily; Presence of ulcer; Wound with a well-defined aspect and that does not hurt.
Symptoms can appear between 30 days and 6 months after infection by the bacteria and therefore the search for treatment can take time, which can worsen the infection and even facilitate the entry of other microorganisms into the body and give rise to an infection. blood. Understand what blood infection is and how to treat it.
How to confirm the diagnosis
The initial diagnosis is made from the microbiological analysis of wound secretion, in which the bacterium is identified and the profile of sensitivity and resistance to antibiotics, so that the doctor can indicate the most effective medication to fight infection. The doctor may also request confirmation of donovanosis by biopsy the tissue from the affected areas. Know what the biopsy is for.
How the treatment is done
Treatment for donovanosis is done according to medical advice, and the use of antibiotics, such as:
- Doxycycline for at least 3 weeks; Sulfamethoxazole / Trimethoprim for at least 3 weeks; Ciprofloxacin, until Klebsiella granulomatis can no longer be identified; Tianfenicol granulated, until there is no more evidence of the bacteria; Erythromycin for at least 3 weeks.
It is important to note that the choice of antibiotic and the time of use must be indicated by the doctor, and the consumption of antibiotics is not indicated without the guidance of the responsible physician.
In the case of more extensive lesions, removal by surgery may be recommended. In addition, during and after treatment it is important to carry out periodic examinations so that it can be verified how the organism is reacting to the treatment and if the bacteria are managing to be eliminated. It is also indicated that the person being treated does not have sexual intercourse until bacteria are identified, in order to avoid the possible contagion of other people.
Prevention
Prevention is done through the use of condoms in any type of intimate contact. It is important to check that the wound is protected with a condom, because if the exposed wound comes into contact with the partner, donovanosis is at great risk of being transmitted.
Avoiding intimate contact while there are still symptoms of the disease is paramount to the prevention of donovanosis. Performing a self-examination of the genitals, observing whether the smell, color, appearance and skin have any abnormalities, helps to identify the existence of donovanosis more quickly and to make medical intervention as soon as possible.
