{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:44:15Z","timestamp":1777927455650,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T00:00:00Z","timestamp":1676851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Donovanosis is a chronic genital ulcerative disease caused by the intracellular Gram-negative bacterium Klebsiella granulomatis, reported more frequently in people living with HIV\/AIDS (PLHA). Here we present a case of relapsing donovanosis in a PLHA on second line antiretroviral therapy who had episodes of transient unexplained decrease in CD4 counts associated with rapid growth of the lesion and non-responsiveness to treatment followed by clinical resolution coinciding with recovery of the CD4 count.<\/jats:p>","DOI":"10.1177\/09564624231156205","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T01:36:18Z","timestamp":1676943378000},"page":"423-426","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Relapsing donovanosis rhyming with unexplained decline in CD4 count in a person living with HIV\/AIDS: Long-term follow up and therapeutic outcome"],"prefix":"10.1177","volume":"34","author":[{"given":"Surabhi","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kabir","family":"Sardana","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6052-7419","authenticated-orcid":false,"given":"Aastha","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"bibr1-09564624231156205","first-page":"1","volume":"51","author":"Centers for Disease Control and Prevention","year":"2002","journal-title":"MMWR"},{"key":"bibr2-09564624231156205","first-page":"84","volume":"70","author":"Merianos A","year":"1994","journal-title":"Genitourin Med"},{"issue":"2","key":"bibr3-09564624231156205","first-page":"e24","volume":"53","author":"Tan SL","year":"2012","journal-title":"Singapore Med J"},{"key":"bibr4-09564624231156205","doi-asserted-by":"publisher","DOI":"10.1136\/sti.78.6.452"},{"key":"bibr5-09564624231156205","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2004.07.008"},{"key":"bibr6-09564624231156205","doi-asserted-by":"publisher","DOI":"10.5070\/D36GD7Z92M"},{"key":"bibr7-09564624231156205","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.44308"},{"key":"bibr8-09564624231156205","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199804000-00004"},{"key":"bibr9-09564624231156205","first-page":"175","volume":"65","author":"Jardin ML","year":"1990","journal-title":"An Bras Dermatol Sifilogr"},{"key":"bibr10-09564624231156205","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu038"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624231156205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624231156205","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624231156205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:44:24Z","timestamp":1777675464000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624231156205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,20]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/09564624231156205"],"URL":"https:\/\/doi.org\/10.1177\/09564624231156205","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,20]]}}}