A 42-year man was presented with a 3-month history of a few painless ulcerated lesions on the pubic area. The patient reported painless nodules that slowly evolved to red ulcerated lesions over 1 month. There was a history of unprotected intercourse about 2 months prior to the eruption. Physical examination revealed Multiple beefy-red exuberant non-tender round ulcers of various sizes on the shaft of the penis, the pubic area, and the scrotum. The ulcers had clean friable granulating bases. Inguinal lymph nodes were not palpable.
The man was circumcised but he had a below-average-to-poor standard of hygiene. The rest of the physical examination were unremarkable. Laboratory tests Routine blood and urinalyses including serotesting for syphilis were unremarkable. A punch biopsy was performed and the crushed granulation tissue was air dried on a glass slide. Microscopic examination of a…
