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Granuloma inguinale is spread primarily through heterosexual and male homosexual contact; however, its occurrence in children and sexually inactive adults indicates that it may also be spread by contact with human feces.
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What is granuloma inguinale?
Granuloma inguinale is a sexually transmitted infection that affects the skin and mucous membranes of the anal and genital areas.
What is the most distinguishing characteristic of granuloma inguinale?
The most significant distinguishing characteristic of granuloma inguinale is the skin ulcer, which is larger than in most other diseases, painless, irregular in shape, and likely to bleed when touched.
What is the prognosis for granuloma inguinale patients?
Most patients with granuloma inguinale recover completely, although superinfected ulcers may require lengthy courses of medication. Early treatment prevents the complications associated with second- and third-stage infection.
What are Donovan bodies?
Rod-shaped oval organisms found in tissue samples from patients with granuloma inguinale. Donovan bodies appear deep purple when stained with Wright's stain.
Granuloma inguinale?
DefinitionGranuloma inguinale is a sexually transmitted disease that is rarely seen in the United States.Alternative NamesDonovanosisCauses, incidence, and risk factorsGranuloma inguinale is caused by the bacteria Calymmatobacterium granulomatis. The disease is commonly found in tropical and subtropical areas such as Southeast India, Guyana, and New Guinea, but it occurs on occasion in the United States, typically in the Southeast. There are approximately 100 cases reported per year in the United States.The disease spreads mostly through vaginal or anal intercourse. Very rarely, it spreads during oral sex.Men are affected more than twice as often as women, with most infections occurring in people aged 20-40 years. The disease is seldom seen in children or the elderly.SymptomsSymptoms can occur between 1 to 12 weeks after coming in contact with the bacteria that causes the disease.About half of infected men and women have lesions in the anal area.Small, beefy-red bumps appear on the genitals or around the anus.The skin gradually wears away, and the bumps turn into raised, beefy-red, velvety nodules called granulation tissue. They are usually painless, but bleed easily if injured.The disease slowly spreads and destroys genital tissue.Tissue damage may spread to the area where the legs meet the torso. This area is called the inguinal folds.Genitals and surrounding skin has a loss of skin color.In its early stages, it may be difficult to tell the difference between granuloma inguinale and chancroid.In the later stages, granuloma inguinale may look like advanced genital cancers, lymphogranuloma venereum, and anogenital cutaneous amebiasis.Signs and testsGranuloma inguinale should be considered if genital lesions have been present for a long time and have been spreading.Tests that may be done include:Scrapings or punch biopsy of lesionCulture of tissue sample (difficult to do and not routinely available)Laboratory tests, such as those used to detect syphilis, are available only on a research basis for diagnosing granuloma inguinale.TreatmentAntibiotics are used to treat granuloma inguinale. A complete cure requires fairly long treatment. Most treatment courses run 3 weeks or until the lesions have completely healed.A follow-up examination is essential because the disease can reappear after an apparently successful cure.Expectations (prognosis)Treating this disease early decreases the chances of tissue destruction or scarring. Untreated disease results in destruction of the genital tissue.ComplicationsGenital destruction and scarringLoss of skin color in genital areaPermanent genital swelling due to scarringCalling your health care providerCall for an appointment with your health care provider if you have had sexual contact with a person who is known to have granuloma inguinale, or if you develop symptoms similar to those listed above.PreventionAvoiding all sexual activity is the only absolute way to prevent a sexually transmitted disease such as granuloma inguinale. However, safer sex behaviors may reduce your risk.The proper use of condoms, either the male or female type, greatly decreases the risk of catching a sexually transmitted disease. You need to wear the condom from the beginning to the end of each sexual activity.ReferencesBallard RC. Calymmatobacterium granulomatis (Donovanosis, Granuloma Inguinale). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2005:chap 233.Eckert LO, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 22.Centers for Disease Control and Prevention, Workowski KA, Berman SM. Diseases characterized by genital ulcers. Sexually transmitted diseases treatment guidelines 2006. MMWR Morb Mortal Wkly Rep. 2006 Aug 4;55(RR-11):14-30.
What is the cpt code for removal of suprastomal trache granuloma?
MLB with a suprastomal granuloma removal
What is the radiographic difference between a granuloma cyst and abscess?
A granuloma is smaller in size less than 4 mm in diameter where as cyst is a sequela of granuloma so it is larger in size.
What term is used to describe small knotlike swellings of granulation tissue in the epidermis?
Granulomagranulomagranuloma is the answer
Treatment for Granuloma?
what is the treatment for faint nodule granuloma
You have just had one of these removed and tested and described as a tongue mass excision Pyogenic granuloma Is this something to be concerned with?
Pyogenic granuloma is benign.
You kissed a girl and will you get a disease?
generally speaking you dont get a disease from just kissing a girl ( or boy ) but there are some STI's or STD's ( sexally transmitted infections )or ( sexually transmitted diseases )that can be transmitted from skin-skin contact ( such as the lips). These diseases could be one of the following :chlamydia, gonorrhea, genital herpes, syphilis, chancroid, lymphogranuloma venereum (LGV), trichomoniasis, granuloma inguinale, and certain forms of hepatitis.
What is the ICD-9 code for pyogenic granuloma?
It's actually"pyogenic granuloma" and the ICD-9-CM diagnosis code is 686.1
