california
Forum Senior
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1. A 23 year old woman who recently arrived to study in the US from southern India presents with a chronic vulvar ulcer. The lesion began as a papule and then ulcerated. She has had the lesionfor several months. Currently physical exam reveals a painless elevated area of beefy red, friable granulation tissue. She has been sexually active for several years. This disease is most likely cause by a(n)
a. spirochete
b. gram positive coccus
c. intracellular gram negative bacteria
d. chronic viral infection
e. fungus
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| robin082006
Forum Hero
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a?
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| an
Forum Guru
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c. intracellular gm neg bacterium..donovanosis(calymmatobacterium granulomatosis)
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| mesh
Forum Guru
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agree with C....
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| hopdoc
Forum Senior
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Agree with C as well. Piled up granulation tissue is the clue.
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