A 42 year old man presents with several painless penile ulcers for 2 months. These initially manifested as painless nodules, which then evolved into ulcers over the course of a month. Immediately prior to this, he had traveled to South Africa, where he engaged in several unprotected sexual encounters. His medical and surgical histories are otherwise unremarkable.
No organisms are seen.
Multiple Donovan bodies are seen.
No growth is noted.
The VDRL test is negative.