It is a sexually transmitted infection (STI), which 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, it can 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 peak. Generally, you first experience a small-sized pimple or lump on your skin that is not normally painful, so you may not realize it at first. 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 cases, if sexual contact participates in these areas.
The skin lesion progresses through three stages:
In the first stage, the small grain will begin to spread and eat the surrounding tissue. As the tissue begins to decline, it turns pink or weak red, affecting the entire anus and genitals.
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 bad smell can also accompany the ulcers.
When the inguinal granuloma progresses to the third stage, the ulcers become scar tissue.
How is inguinal granuloma diagnosed?
It can be difficult to detect in the early stages, since the initial lesions can not be observed. If the ulcers do not heal after a prolonged period of time, your doctor may order a skin biopsy on the lesions that are occurring. When you have a biopsy, the doctor will remove a small area of the ulcer 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 it has been treated, it is necessary to do the routine exams to make sure the infection does not come back. In some cases, it is repeated after it seemed to have been healed.