• Donovanosis is a rare cause of genital ulceration but should be considered in patients returning from areas where the disease may be endemic e.g. PNG, Southern Africa, India and parts of South America.
  • Primarily sexually transmissible but may be transmitted vertically and by casual contact.
  • Incident cases were found as recently as mid 2000s in northern and tropical Australia among Aboriginal and Torres Strait Islander people, but it is now very rare in these areas.
  • In non-healing genital lesions, carcinoma needs to be considered.