Abstract

Bejel, an endemic treponematosis caused by infection with Treponema pallidum subspecies endemicum, has not been reported in eastern Asia and the Pacific region. We report local spread of bejel among men who have sex with men in Japan. Spread was complicated by venereal syphilis.

Highlights

  • Bejel, an endemic treponematosis caused by infection with Treponema pallidum subspecies endemicum, has not been reported in eastern Asia and the Pacific region

  • Treponema pallidum subspecies pallidum is the causative agent of venereal syphilis

  • No patient with nonvenereal treponematosis has been reported in Japan

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Summary

Introduction

An endemic treponematosis caused by infection with Treponema pallidum subspecies endemicum, has not been reported in eastern Asia and the Pacific region. Other Treponema species cause nonvenereal endemic treponematosis No patient with nonvenereal treponematosis has been reported in Japan. We conducted a molecular epidemiologic study to characterize the genotypes of T. pallidum subsp. Pallidum among patients with venereal syphilis after 2011 [9].

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