### Patient: Doctor, I have been feeling very nauseous lately and I have noticed an excessive growth on my body. I also have a lump on my knee and a sore in my vulvar area.
### Doctor: Based on your symptoms, it is possible that you are suffering from Granuloma inguinale, which is a bacterial infection that can cause the growth of lesions in the genital and anal areas. We need to run some tests to confirm the diagnosis and start antibiotics as soon as possible.