Wounded

A 42 year old man presents with several painless penile ulcers for 2 months.

These initially manifested as painless nodules, which then evolved into ulcers over the course of a month.

Immediately prior to this, he had traveled to South Africa, where he engaged in several unprotected sexual encounters.

His medical and surgical histories are otherwise unremarkable.

Select Relevant Investigations
Dark field Microscopy

Performed

No organisms are seen.
Biopsy Ulcers

Performed

Multiple Donovan bodies are seen.
Cultures for H. ducreyi

Performed

No growth is noted.
VDRL

Performed

The VDRL test is negative.

Select Relevant Management
Doxycyclin
Screen Partner
Penicillin
Sodium Stibogluconate