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Treatment and prevention of pseudotuberculosis
Last reviewed: 06.07.2025
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As an etiotropic treatment for pseudo-tuberculosis, levomycetin is prescribed in an age-appropriate dose for 7-10 days. If there is no effect or if there is an exacerbation after discontinuing levomycetin, a course of treatment with a cephalosporin antibiotic of the third and fourth generation should be administered. In severe forms, two antibiotics can be prescribed, taking into account their compatibility. In mild forms of pseudo-tuberculosis, antibiotics may not be used. There is data on the effectiveness of using children's anaferon.
For the purpose of detoxification, intravenous infusions of 1.5% reamberin solution, rheopolyglucin, albumin, and 10% glucose solution are prescribed.
In severe cases of pseudo-tuberculosis, corticosteroids are recommended at a rate of 1-2 mg/kg of prednisolone per day in 3 doses for 5-7 days. They are especially indicated in the development of erythema nodosum and polyarthritis.
Antihistamines [chloropyramine (suprastin), clemastine, diphenhydramine, promethazine, etc.] are prescribed as desensitizing therapy. Syndromic therapy and probiotics (acipole, etc.) are of great importance.
Prevention of pseudo tuberculosis
Proper storage of vegetables, fruits and other food products is of great importance, eliminating the possibility of their infection by rodents. Strict sanitary control of food preparation technology is necessary, especially dishes that are not subjected to heat treatment (salads, vinaigrettes, fruits, etc.), as well as water supply in rural areas.
Anti-epidemic measures at the site of infection are generally the same as for intestinal infections. After hospitalization of the patient, final disinfection is carried out. Specific prevention has not been developed.