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Microbiology · Bacteriology: donovanosis
Sample itemA man has a painless, beefy-red, easily bleeding genital ulcer with no lymph node suppuration. Smear stained with Giemsa shows intracellular bipolar organisms in macrophages. What are these called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Donovan bodies
Klebsiella granulomatis causes donovanosis (granuloma inguinale), and safety pin shaped Donovan bodies are seen inside macrophages. Negri bodies are in rabies, Guarnieri in smallpox and Councilman in viral hepatitis and yellow fever.
Option by option
A. Guarnieri bodies
Guarnieri bodies are inclusions in smallpox and vaccinia.
B. Councilman bodies
Councilman bodies are apoptotic hepatocytes.
C. Donovan bodies (correct)
Correct. Donovan bodies are intracellular organisms in donovanosis.
D. Negri bodies
Negri bodies are cytoplasmic inclusions in rabies neurones.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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