What is Inguinal Granuloma?

A sexually transmitted infection (STI) causes lesions in the anal and genital regions.

These lesions usually reappear, even after treatment.

What causes inguinal granuloma?

A class of bacteria known as Klebsiella granulomatous causes this infection. Inguinal granuloma is a sexually transmitted infection and can be contracted by having vaginal or anal sex with an infected partner. Rarely can it be contracted through oral sex?

Symptoms and Stages of the Inguinal Granuloma

The signs of the disease have a slow onset. However, it can take up to 12 weeks for the symptoms to the peak. Generally, you first experience a small-sized pimple or lump on your skin that is not usually painful, so you may not realize it. In 90 percent of cases, the infection begins in the genital region and in the anal area or mouth sores that occur only in a minority of instances if sexual contact participates in these areas.

The skin lesion progresses through three stages:

First stage

The small grain will begin to spread and eat the surrounding tissue in the first stage. As the tissue declines, it turns pink or weak red, affecting the entire anus and genitals.

Second stage


In the second stage of the disease, the bacteria begin to erode the skin. Once this happens, the affected person will develop superficial ulcers that extend from the genitals and the anus to the thighs and the lower abdomen (inguinal area), realizing that the perimeters of the ulcers are coated with granulation tissue. The foul smell can also accompany the ulcers.

Third Stage

When the inguinal granuloma progresses to the third stage, the ulcers become scar tissue.

How is inguinal granuloma diagnosed?

It can be challenging to detect in the early stages since the initial lesions can not be observed. If the ulcers do not heal after a prolonged period, your doctor may order a skin biopsy on the occurring lesions. When you have a biopsy, the doctor will remove a small ulcer area with a circular blade. Once removed, the sample will be analyzed for the presence of bacteria (Klebsiella granulomatous). It may also be possible to detect bacteria by scraping the affected part.

Who is at risk?

At risk is someone who has sexual contact with people from tropical and subtropical regions where the disease is most prevalent. Men are twice as likely to contract it as women. As a result, homosexual men have a greater chance of contracting inguinal granuloma.

Treatment for the Inguinal Granuloma

It can be treated with antibiotics such as Tetracycline, Erythromycin, Streptomycin, and Ampicillin. Most of these medications are prescribed for three weeks, and early treatment is recommended to prevent the appearance of permanent scars and swelling in the genital, anal, and inguinal areas.

After being treated, it is necessary to do routine exams to make sure the infection does not come back. It is repeated after it seems to have been healed in some cases.