Granuloma inguinale: a case report.

A 20-year-old woman developed bleeding because of a painless genital ulcer. The diagnosis of granuloma inguinale was proven by showing the presence of Donovan bodies in a biopsy of the lesion. Treatment with tetracycline was successful when given in adequate dosage. Granuloma inguinale, although rare, should be considered in the differential diagnosis of patients with asymptomatic genital ulcers. Multiple biopsies may have to be done and stained with fresh Giemsa to prove the diagnosis, as in this case.