The treatment of toxic dysentery is divided into symptomatic and causal treatment, with symptomatic treatment including cooling, usually physical and, if necessary, pharmacological. Allopathic treatment includes the appropriate use of antibiotics.
For shock patients, the main treatment is to expand blood volume and correct acidosis with glucose saline, improve microcirculatory disorders and protect vital organs with vasoactive drugs and anticoagulation with heparin, etc. For cerebral patients, mannitol is used to reduce cerebral oedema and vasoactive drugs are used to improve cerebral microcirculation, while respiratory failure is prevented with respiratory stimulants or mechanical ventilation.
The main treatment for the cause is antimicrobial therapy, mainly using third-generation cephalosporins and quinolones.