Symptoms can occur between 1 to 12 weeks after coming in contact with the bacteria that causes the disease.
In its early stages, it may be difficult to tell the difference between granuloma inguinale and chancroid.
Granuloma inguinale should be considered if genital lesions have been present for a long time and have been spreading.
Tests that may be done include:
Laboratory tests, such as those used to detect syphilis, are available only on a research basis for diagnosing granuloma inguinale.
Ballard RC. Calymmatobacterium granulomatis (Donovanosis, Granuloma Inguinale). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2005:chap 233.
Eckert LO, Lentz GM. Infections of the lower genital tract: vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 22.
Centers for Disease Control and Prevention, Workowski KA, Berman SM. Diseases characterized by genital ulcers. Sexually transmitted diseases treatment guidelines 2006. MMWR Morb Mortal Wkly Rep. 2006 Aug 4;55(RR-11):14-30.
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