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Pseudotuberculosis: antibodies to the causative agent of pseudotuberculosis in blood
Last reviewed: 05.07.2025

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The diagnostic titer of antibodies to the pseudo-tuberculosis pathogen in the blood serum for RPGA is 1:100 or higher.
Pseudotuberculosis (Far Eastern scarlet fever-like fever) is an acute infectious disease classified as an alimentary zoonoses. The causative agent of pseudotuberculosis is Yersinia pseudotuberculosis, a gram-negative bacillus, belonging to the enterobacteria family. There are 6 serovariants (I-VI) of Yersinia pseudotuberculosis. The human disease is most often caused by Yersinia I, less often by III and IV serovariants. Pseudotuberculosis is characterized by general intoxication, scarlet fever-like rash, gastrointestinal tract and joint damage. Serological testing is the main method of laboratory diagnostics of pseudotuberculosis, since bacteriological testing of feces, urine, sputum, cerebrospinal fluid, and bile requires a long time (15-28 days) and gives a positive result in 15-30% of cases.
Determination of the titer of antibodies to the pseudo-tuberculosis pathogen in serum is a retrospective method for diagnosing pseudo-tuberculosis. Paired sera of the patient are examined. To identify specific antibodies, blood is taken for examination at the onset of the disease and 7-10 days after the initial examination. A diagnostic sign of pseudo-tuberculosis is an increase in the antibody titer after 7-10 days by at least 4 times or a single titer of 1:100 or higher. RPGA is a highly specific method that gives positive results in more than 80% of patients. Antibodies are detected using RPGA already in the first week of the disease.
Determination of antibodies to the pseudo-tuberculosis pathogen is used to diagnose pseudo-tuberculosis, including bacterial arthritis, Reiter's disease, Behcet's syndrome, and infectious arthropathies.