Granulating Ulcers Without Buboes

These are most likely to be lesions of granuloma inguinale, a condition also known as Donovanosis and caused by Calymmatobacterium granulomatis. It should be remembered that persons who are immunosuppressed may not develop a bubo and occasionally persistent genital ulcers without bubo formation may occur as a result of chancroid in persons with immunosuppression and HIV infection.