title: Hypertrophic donavanosis in a young pregnant woman.
abstract: BACKGROUND
  Donovanosis is a chronic bacterial illness, progressive and indolent, which normally attacks the skin and mucous membranes in the genital and perigenital regions.
  
  
  METHODS
  An 18-year-old pregnant female presented with large, hypertrophic lesions in the ano-genital region. HIV serology was negative. Pap smear revealed a CIN 1 associated with HPV infection. Biopsy yielded macrophages laden with Gram-negative Donovan bodies.
  
  
  CONCLUSIONS
  A diagnosis of vulvar and perianal donovanosis was reached; the patient decided to terminate the pregnancy and was treated with azithromycin, which led to clinical resolution.
authors: Department of Mother and Infant Sciences, University of Milan, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
authors: C A
authors: CA
authors: Liverani
authors: D
authors: D
authors: Lattuada
authors: S
authors: S
authors: Mangano
authors: C
authors: C
authors: Pignatari
authors: D
authors: D
authors: Puglia
authors: E
authors: E
authors: Monti
authors: G
authors: G
authors: Bolis
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D001004:Anus Diseases / Q000382:microbiology; D005260:Female; D006100:Granuloma Inguinale / Q000175:diagnosis*; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D014845:Vulvar Diseases / Q000382:microbiology