Donovanosis

Reporting

Both confirmed cases and probable cases should be notified.

Confirmed case

A confirmed case requires laboratory definitive evidence and clinical evidence.

Laboratory definitive evidence

1. Demonstration of intracellular Donovan bodies on smears or biopsy specimens taken from a lesion

   or

2. Detection of Calymmatobacterium granulomatis* by nucleic acid testing of a specimen taken from a lesion.

Clinical evidence

Clinically compatible illness involving genital ulceration.

Probable case

A probable case requires clinical evidence and epidemiological evidence.

Clinical evidence

As with confirmed case.

Epidemiological evidence

1. A compatible sexual risk history in a person from an endemic area

   or

2. A compatible sexual risk history involving sexual contact with someone from an endemic area.

* Referred to as Klebsiella granulomatis.