“…Primary infection in extragenital sites is rare and subject to dispute for the following reasons: 21 (i) Genital lesions may appear after extragenital lesions 22 or may not be discovered until a diagnosis of extragenital donovanosis has been made 23 . (ii) Genital lesions may have been healed for up to a year before the patient presents with extragenital lesions 24 , 25 . (iii) donovanosis may relapse from a few months to 2 years after healing 26 , 27 .…”