Since the advent of prophylactic vaccination against typhoid fever, the interpretation of agglutination reactions has been confusing. This is due to the fact that the serum of inoculated persons will agglutinate the organism in question. In view of this fact Dreyer introduced his method of repeated estimation of the agglutinin content of the patient's serum. However, in the case of Salmonella paratyphi (B. paratyphosus A), the agglutinin response may be so slight as to render the repeated estimations uncertain. Recently, Felix published evidence to show that protective inoculations lead to the formation of large flaking agglutinins, while the agglutination in typhoid fever and in a non-inoculated person is, without exception, of the small flake type. The explanation of the small and large flaking forms is found in the work of Weil and Felix who showed that Proteus X exists in two forms (0 and H forms), which differ from each other morphologically, biologically and serologically. They represent two forms of variation mutually transferable into each other. The anti-O-serum contains one agglutinin which reacts specifically with the homologous organisms agglutinating them in small flakes (O-agglutination); antiserum against the H type contains two agglutinins, the specific small flaking O and a nonspecific large flaking H which reacts with heterologous as well as with homologous organisms. The 0 receptors are thermostabile while the H receptors are thermolabile (Sachs). Burnet believed that the O types are due to the somatic proteins, and the H type to the flagellar proteins. Accordingly,
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