34. Granuloma inguinale

This is a chronic ulcer-forming disease, often confined to the skin and its underlying surface of the genitals and surrounding area. The disease is not highly infectious. There is ample evidence that it is common and more easily transmitted amongst those with poor personal hygiene. It is common again among promiscuous individuals and in those harbouring other STI. This disease is rather unique in the sense that ulcerations, which are normally seen over the genetals can occur on the face, hands and neck. The ulcer is usually painless, reddish-looking and bleeds easily when traumatised.

Multiple uclers often develop; these enlarge, touch and develop into one much larger ulcer. Secondary bacterial infection often supervenes and produces a foul smelling discharge. This is usually followed by swelling of the genitals.

Common complications of widespread granuloma inquinale include joint pains and stiffness, bone infection and lack of blood, and these may finally complicate the disease into death.