This image depicts an anterior view of a male patient’s torso, highlighting the bilateral inguinal lymph node swellings, which were the manifestation of an infection known as granuloma inguinale, or Donovanosis. There was associated edema of the penile shaft as well. Granuloma inguinale is caused by the Gram-negative bacterium, Klebsiella granulomatis, formerly Calymmatobacterium granulomatis. A sexually transmitted disease, it is a slowly progressive, ulcerative condition of the skin and lymphatics of the genital, and perianal area. A definitive diagnosis is achieved when a tissue smear tests positive for the presence of Donovan bodies.