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bejelA non-venereal infection by Treponema pallidum endemicum—which is indistinguishable from venereal T pallidum pallidum—which causes syphilis, and affects children in Saharan Africa and the Middle East.
Clinical findings, early
Lymphadenitis, condyloma-like oropharyngeal, anogenital lesions.
Clinical findings, late
Lesions mimic tertiary syphilis—e.g., gumma of the nose and soft palate, bony deformities, nodular skin ulcers.
Penicillin, erythromycin, tetracycline.