Donovanosis, reporte de caso

La Donovanosis es una enfermedad ulcerativa cronica y progresiva que ataca por lo comun la region genital, es producida por el Calymmatobacterium granulomatis, bacteria Gram negativa. La Azitromicina ha emergido como la droga de eleccion para su tratamiento. Se presenta un caso de Donovanosis en un varon de 46 anos, quien tenia relaciones heterosexual y homosexual, el cual presento papula anal que evoluciono a una ulcera cronica, le realizan el diagnostico de tumoracion anorrectal a descartar una neoplasia anorrectal y le realizan colostomia. El retardo en la sospecha clinica en un area no endemica concluyo con su diagnostico con un extendido en lamina para microscopia con coloracion Giemsa. (AU) Donovanosis is a chronic and progressive ulcerative disease that frequently attacks the genital region. It is produced by the gram negative bacteria Calymmatobacterium granulomatis. Azythromycin has emerged as the drug of choice for its treatment. We present one DonovanosisAE case in a 46-year-old male, who had heterosexual and homosexual intercourse. He presented anal papulae that evolved to a chronic ulcer. He was diagnosed as having an anal and rectal tumor, and colostomy was performed to discard neoplasia. Delay in clinical diagnosis in a non endemic area concluded with diagnosis by Giemsa stain of a sample and microscopic observation. (AU)