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The Atypical Dysentery Bacilli

Published online by Cambridge University Press:  15 May 2009

T. J. Mackie
Affiliation:
Professor of Bacteriology, University of Cape Town
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As there appears to be a considerable amount of uncertainty (as evidenced by recent writings on this subject) regarding the biological relationships and the etiological significance of the so-called “atypical B. dysenteriae,” this short communication is intended as a brief résumé of conclusions arrived at in the course of an extended investigation of dysentery bacilli in Egypt during 1916 and 1917. It is to be noted that the results recorded here were obtained from the examination of cases of dysentery observed in the earliest stages and frequently followed into convalescence. Such experience has shown that conclusions derived solely from an investigation of the later stages of the disease, e.g. convalescents examined after arrival from over-seas in the United Kingdom, throw little light on the problem of the bacterial etiology of the disease as a whole. In a paper by Thomson and Mackie (1917) on the clinical and laboratory study of dysentery in Egypt a number of atypical dysentery strains were described, but at the time this communication was submitted for publication my observations were not sufficiently complete to make any general statements regarding organisms of this type and no attempt was made to classify them.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1919

References

page 69 note 1 Journ. Royal Army Med. Corps, XXVIII. 403. The present author is personally responsible for the bacteriological notes in this paper.Google Scholar

page 70 note 1 Prepared with the original strain of Hiss and Russell, see Chick, Lancet, 04 22, 1916.Google Scholar

page 71 note 1 Martin, Brit. Med. Journ. I. 04 14, 1917.Google Scholar

page 71 note 2 Glynn, , Berridge, , Foley, , Price, , and Robinson, , Report to Medical Research Committee, 12, 1917.Google Scholar

page 71 note 3 Lancet, 04 22, 1916.Google Scholar

page 73 note 1 In the case of infections with B. Shiga and B. Flexner the agglutination reaction of the patient's serum was found to be so variable and unreliable and so frequently absent, except in such low titres (1:50 or less) as to introduce the fallacy of a normal serum effect, that no investigation of this reaction was carried out in the case of the atypical infections.