Bejel

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Bejel Classification and external resources
ICD-10	A65.
ICD-9	104
DiseasesDB	30090

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Bejel, or endemic syphilis, is a chronic skin and tissue disease caused by infection by a subspecies of the spirochete Treponema pallidum.

Although the organism that causes bejel, Treponema pallidum endemicum, is morphologically and serologically indistinguishable from Treponema pallidum pallidum, which causes venereal syphilis, transmission of bejel is not venereal in nature, generally resulting from mouth-to-mouth contact or sharing of domestic utensils, and the courses of the two diseases are somewhat different.

Bejel usually begins in childhood as a small mucous patch, often on the interior of the mouth, followed by the appearance of raised, eroding lesions on the limbs and trunk. Periostitis (inflammation) of the leg bones is commonly seen, and gummas of the nose and soft palate develop in later stages.

Bejel is mainly found in arid countries of the eastern Mediterranean region and in West Africa, where it is known as sahel. It is treatable with penicillin or other antibiotics, resulting in a complete recovery.

See also

• pinta (disease)
• syphilis
• yaws

v • d • e Infectious diseases · Bacterial diseases: G- (primarily A00-A79, 001-041,080-109)
Spirochaete	Treponema Treponema pallidum (Syphilis/Bejel, Yaws) · Treponema carateum (Pinta) Borrelia Borrelia recurrentis (Relapsing fever) · Borrelia burgdorferi (Lyme disease, Erythema chronicum migrans, Neuroborreliosis) Spirillum Spirillum minus (Rat-bite fever/Sodoku) Leptospira Leptospira interrogans (Leptospirosis) Multiple Noma · Trench mouth
Proteobacteria	α Rickettsiales Rickettsiaceae/ (Rickettsioses) Typhus Rickettsia typhi (Murine typhus) · Rickettsia prowazekii (Epidemic typhus) Spotted fever Tick-borne disease Rickettsia rickettsii (Rocky Mountain spotted fever) · Rickettsia conorii (Boutonneuse fever) Other Rickettsia akari (Rickettsialpox) · Orientia tsutsugamushi (Scrub typhus) Anaplasmataceae Ehrlichia/Anaplasma: Ehrlichiosis (Human granulocytic ehrlichiosis, Human monocytic ehrlichiosis) Rhizobiales Brucellaceae Brucella (Brucellosis) Bartonellaceae Bartonellosis: Bartonella henselae (Cat scratch fever) · Bartonella quintana (Trench fever) · either henselae or quintana (Bacillary angiomatosis) β Neisseriales M+ Neisseria meningitidis/meningococcus (Meningococcal disease, Waterhouse-Friderichsen syndrome) M- Neisseria gonorrhoeae/gonococcus (Gonorrhea) · Moraxella catarrhalis Burkholderiales Burkholderia (Glanders, Melioidosis) · Bordetella (Pertussis) γ Enterobacteriales (OX-) Lac+ Klebsiella (Rhinoscleroma, Donovanosis) · Escherichia coli/O157:H7 · Enterobacter Slow/weak Serratia marcescens (Serratia infection) · Citrobacter Lac- Yersinia pestis (Plague/Bubonic plague) · Yersinia enterocolitica Salmonella enterica (Typhoid fever, Paratyphoid fever, Salmonellosis) · Shigella dysenteriae/sonnei/flexneri (Shigellosis, Bacillary dysentery) · Proteus Pasteurellales Haemophilus: influenzae (Brazilian purpuric fever) · ducreyi (Chancroid) Pasteurella multocida (Pasteurellosis) · Actinobacillus (Actinobacillosis) Legionellales Legionella (Legionellosis) · Coxiella (Q fever) Other Thiotrichales/Francisella (Tularemia) · Vibrionales/Vibrio (Cholera) · Pseudomonadales/Pseudomonas aeruginosa (Pseudomonas infection) ε Campylobacterales Campylobacter jejuni (Campylobacteriosis) · Helicobacter pylori (Peptic ulcer)
Chlamydiae	Chlamydophila (Psittacosis) · Chlamydia (Chlamydia, Lymphogranuloma venereum, Trachoma)
Bacteroidetes	Bacteroides fragilis
Primarily rods except Neisseriaceae and Spirochaete. Primarily OX+ except Enterobacteriaceae. Primarily extracellular except Rickettsiales/Chlamydia/Treponema (obligate) and Brucella/Listeria/Legionella (facultative). Primarily aerobic or facultative anaerobic except Bacteroides.

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