Even now patients may feel enormous shame and embarrassment which often results in very late presentation for treatment. Rejection by family, friends and community is not uncommon. TOP OF PAGE Diagnosis Microscopy of scrapings or biopsy confirms the diagnosis. Clean the lesion with saline, take punch biopsies or scrapings of lesion. The classical method in Northern Australia has been the 'pressed slide' method, whereby a standard microscope slide is pressed firmly against the edge of the cleaned lesion and allowed to dry in air before forwarding to the laboratory.
Culture is very difficult and unreliable.
The dosage is based on equivalence with other tetracyclines. Patients should be followed until symptoms have resolved. Follow-up of partner notification, testing and treatment. TOP OF PAGE Notification criteria and procedure Pathology laboratories to notify on diagnosis. OR A clinically compatible illness characterised by usually painless, beefy red, granulomatous or ulcerative lesions with rolled edges and a tendency to form scar tissue, where syphilis has been excluded.