Granuloma inguinale
ICD-10 A58 is a billable code used to indicate a diagnosis of granuloma inguinale.
Granuloma inguinale, also known as donovanosis, is a sexually transmitted infection caused by the bacterium Calymmatobacterium granulomatis. It is characterized by the development of painless, progressive ulcerative lesions primarily in the genital and perianal regions. The lesions are typically beefy red and can bleed easily upon contact. The condition is endemic in certain tropical and subtropical regions, but cases have been reported worldwide, particularly among populations with high rates of sexually transmitted infections (STIs). Diagnosis is often made through clinical examination and can be confirmed by identifying the causative organism in tissue samples. Granuloma inguinale is associated with other STIs, necessitating comprehensive screening and treatment of sexual partners. Treatment typically involves antibiotics, with azithromycin being the first-line therapy. Early intervention is crucial to prevent complications such as secondary infections and scarring. Contact tracing is essential to control the spread of the infection, as it is highly transmissible through sexual contact.
Detailed patient history, including sexual history and previous STIs.
Diagnosis and management of granuloma inguinale in patients presenting with genital ulcers.
Ensure documentation includes laboratory confirmation and treatment response.
Photographic evidence of lesions and detailed descriptions of ulcer characteristics.
Evaluation of atypical genital lesions that may be confused with other dermatological conditions.
Document differential diagnoses and rationale for chosen treatment.
Used for follow-up visits after diagnosis of granuloma inguinale.
Document the patient's history, examination findings, and treatment response.
Infectious disease specialists should ensure thorough documentation of STI screening.
Common symptoms include painless ulcers in the genital area, which may bleed easily. The lesions are typically beefy red and can progress if untreated.
Granuloma inguinale is treated with antibiotics, with azithromycin being the first-line treatment. Other options include doxycycline and ciprofloxacin.
Yes, granuloma inguinale is highly contagious and is primarily transmitted through sexual contact. Contact tracing is essential to prevent further spread.
