A 42-year-old man presents with a chronic, painless genital ulcer and unilateral inguinal lymphadenopathy. He is from Kenya. The ulcer is non-tender w...

Question

A 42-year-old man presents with a chronic, painless genital ulcer and unilateral inguinal lymphadenopathy. He is from Kenya. The ulcer is non-tender with a granular, beefy-red base. Darkfield microscopy is negative for spirochaetes. Biopsy shows Donovan bodies within macrophages. What is the treatment of choice?

Accepted Answer

Azithromycin 1 g weekly for at least 3 weeks or until lesions heal

Answer

Benzathine penicillin G single dose

Answer

Metronidazole for 7 days

Answer

Ceftriaxone single dose

Answer

Aciclovir for 7 days

uk-dtmh MCQ (SBA): Donovanosis Treatment