Vulvar donovanosis – An unusual cause of genital ulcer in a female

Genital ulcer is one of the common complaints which is encountered among adolescent and adult patients. Amongst the various causes, donovanosis is a rare entity due to the widespread use of antibiotics. Most of the genital ulcers are diagnosed clinically and treated empirically. Some need further evaluation when they do not respond to empirical treatment. Diagnosis is often delayed due to late presentation, lack of suspicion, use of inappropriate diagnostic investigations, and the treatment is challenging due to antibiotic resistance. We are presenting a case of vulvar donovanosis in a 40-year-old female diagnosed with cytopathology due to its rare incidence in this advanced antibiotic era.