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Treatment of pseudotuberculosis: indications for hospitalization

, medical expert
Last reviewed: 06.07.2025
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Indications for hospitalization

Mainly clinical: severity of symptoms of intoxication, fever, degree of damage to various organs and systems (primarily nervous, cardiovascular, gastrointestinal tract), development of complications, presence of severe premorbid diseases.

Treatment of pseudo tuberculosis is no different from treatment of yersiniosis. To activate the macrophage-phagocytic system, deblock the effector system of immunity with immune complexes, and weaken allergic reactions, GNT and HRT recommend repeated intravenous or intramuscular administration of normal human immunoglobulin with an interval of 2-3 days, a course of 5-6 administrations. There are reports of successful use of recombinant human IL-2: 500 thousand IU twice.

Additional treatment for pseudo tuberculosis

If symptoms of acute abdomen develop in the abdominal form, appendectomy is performed. Physiotherapeutic and spa treatment of pseudotuberculosis depends on the form of the disease and the underlying syndrome.

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Approximate periods of incapacity for work

On average, it is 18-25 days; in secondary focal forms and wave-like course - up to 6 months.

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Clinical examination

No different from that described for yersiniosis.

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Patient information sheet

It is necessary to follow the daily routine and diet recommended by the doctor; self-medication should not be done. Treatment of pseudo-tuberculosis should be carried out in accordance with the timing and clinical manifestations of the disease; undergo medical examination 1, 3, 6 and 12 months after recovery, in case of a protracted and chronic course of the disease - for a longer period until final recovery.

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