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The serological diagnosis of glandular fever (infectious mononucleosis): a new technique

Published online by Cambridge University Press:  15 May 2009

A. M. Barrett
Affiliation:
From the Department of Pathology, University of Cambridge
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1. The agglutination titres for sheep and for horse erythrocytes of 100 normal sera and twenty-seven glandular fever sera have been determined.

2. The results of the sheep-cell agglutination tests on normal sera differed considerably from those of Stuart, Burgess, Lawson & Wellman (1934) whose technique was used. The reason for this difference was not determined. It was thought to have some bearing upon the interpretation of sheep-cell agglutination tests in the diagnosis of glandular fever.

3. Although in the glandular fever sera the horse-cell titre was usually higher than the sheep-cell titre, the normal range for horse cells was also higher, and in the diagnosis of glandular fever there did not appear to be any advantage in using horse cells instead of sheep cells.

4. The value of absorption tests in the diagnosis of glandular fever is discussed and a new technique described which has practical advantages over other methods although it does not embody any important new principles.

5. Of 300 normal sera examined by this technique, five contained small amounts of an antibody indistinguishable from glandular fever antibody and ten others contained a sheep-cell agglutinin apparently, though not certainly, different from any yet recognized in human serum.

6. A comparison of the results of the two tests on thirty-one samples of glandular fever serum showed the absorption test to be a more sensitive diagnostic test for glandular fever than the ordinary sheep-cell agglutination test.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1941

References

REFERENCES

Bailey, G. H. & Raffel, S. (1935). Hemolytic antibodies for sheep and ox erythrocytes in infectious mononucleosis. J. clin. Invest. 14, 228–44.CrossRefGoogle ScholarPubMed
Beer, P. (1936). The heterophile antibodies in infectious mononucleosis and after the injection of serum. J. clin. Invest. 15, 591–9.CrossRefGoogle ScholarPubMed
Bunnell, W. W. (1933). A diagnostic test for infectious mononucleosis. Amer. J. med. Sci. 186, 346–53.CrossRefGoogle Scholar
Davidsohn, I. (1937). Serologic diagnosis of infectious mononucleosis. J. Amer. med. Ass. 108, 289–94.CrossRefGoogle Scholar
Davidsohn, I. (1938). The serologic diagnosis of infectious mononucleosis. In Handbook of Hematology, edited by Hal, Downey, London: Hamish Hamilton Medical Books, 4, 2617–44.Google Scholar
Himsworth, H. P. (1941). Vagaries of the Paul Bunnell test. Lancet 1, 195.CrossRefGoogle Scholar
Levine, P. & Mabee, J. (1923). A dangerous ‘universal donor’ detected by the direct matching of bloods. J. Immun. 8, 425–31.CrossRefGoogle Scholar
Paul, J. R. & Bunnell, W. W. (1932). The presence of heterophile antibodies in infectious mononucleosis. Amer. J. med. Sci. 183, 90104.CrossRefGoogle Scholar
Stuart, C. A., Burgess, A. M., Lawson, H. A. & Wellman, H. E. (1934). Some cytologic and serologic aspects of infectious mononucleosis. Arch. intern. Med. 54, 199214.CrossRefGoogle Scholar
Stuart, C. A., Fulton, MacD., Ash, R. P. & Gregory, K. K. (1936). The relations between certain heterophile antibodies and antigens. J. infect. Dis. 59, 6571.CrossRefGoogle Scholar
Stuart, C. A., Griffin, A. M., Wheeler, K. M. & Battey, S. (1936). A thermostable antigen in beef cells. Proc. Soc. exp. Biol., N. Y., 34, 212–15.CrossRefGoogle Scholar
Stuart, C. A., Welch, H., Cunningham, J. & Burgess, A. M. (1936). Infectious mononucleosis. Arch. intern. Med. 58, 512–22.CrossRefGoogle Scholar