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Mutilating granuloma inguinale after rape. A case report.

N O'Farrell1

  • 1Ngwelezana Hospital, Empangeni, Natal.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|July 15, 1989
PubMed
Summary

This case report describes extensive genital lesions of granuloma inguinale in a rape survivor. This is the first known instance of granuloma inguinale occurring after a sexual assault.

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Area of Science:

  • Infectious Diseases
  • Forensic Medicine
  • Dermatology

Background:

  • Granuloma inguinale (GI), also known as donovanosis, is a chronic bacterial sexually transmitted infection.
  • It is endemic in tropical and subtropical regions, primarily affecting the genitalia.

Observation:

  • This report details a unique case of a woman presenting with severe, mutilating genital lesions consistent with granuloma inguinale.
  • The patient was a victim of rape, and the lesions developed following the assault.

Findings:

  • This is the first documented case of granuloma inguinale in a rape victim.
  • The extensive mutilating nature of the lesions highlights a potential severe manifestation of the infection in this context.

Implications:

  • This case underscores the importance of considering granuloma inguinale in the differential diagnosis of genital lesions in sexual assault survivors.
  • Further research may be warranted to understand the potential link between trauma and the development or severity of granuloma inguinale.
  • This finding emphasizes the need for comprehensive medical evaluation and treatment for victims of sexual violence, including screening for STIs.

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