Hemagglutination reaction described by Middlebrook and Dubos were examined on the sera from 271 in patients at the Obihiro National Sanatorium, using Denden's old tuberculine as an antigen and the human group 4 erythrocytes as that one which is sensitized. The obtained results were statistically analyzed, principally referring to clinical symptoms, types and conditions of the disease. The results are summarized in the following:
1) Of 271 patients, 2 were free from TB, 237 were pulmonary TB, 12 were of tuberculosis of other organs and 20 were almost recovered cases.
2) Of 269 cases of tuberculosis, 98.8% were positive at the agglutination titer of 1:7, 88.1% were 1:14 and the average agglutination titer of all cases was 46.8.
3) When 269 cases were divided into four groups of severe, moderate, slight and arrested group, according to their clinical symptoms, average agglutination titers of these groups were 77.7-43.7- 20.6 and 9.8, respectively.
4) When they were divided into four groups of high fever, slight fever, intermittent slight fever and normal fever group, the average agglutination titers of these groups were 86.9-57.2-22.4- and 38.8, respectively.
5) 4 groups of the total cases divided according to the amount of sputa; i. e., large amount group, daily 30 to 50cc group, daily 20 to 30cc group, daily around 10cc group and scarce expectoration group gave, respectively, the average agglutination titers of 82.0-105.0-42.6 and 47.2.
6) 269 cases were divided into five groups of Gaffky 7 to 10, Gaffky 4 to 6, Gaffky 1 to 3, culture positive and culture negative group, according to the secretion degree of tubercle bacilli in the sputa. The average agglutination titers of these groups were 83.1-61.1-80.0-46.8 and 30.4, respectively.
7) Three groups of the cases divided according to their blood sedimentation rates; i. e., over 31mm/hour, 16 to 30mm/hour and 0 to 15mm/hour, gave 71.1-85.0 and 22.1 of average agglutination titers, respectively.
8) We could not find any particular relationship between the agglutination titers and the intensity of Mantoux reaction.
9) When the 269 cases were divided into five groups of exsudative, productive, mixed, cirrhotic and arrested group, according to their type and grade of the disease, the average agglutination titers of these groups were of 79.9-34.4-31.8-21.9 and 9.8 respectively.
10) It seems that the higer titers are generally found more in their number among cases having wider infiltration lesions in the lungs.
11) No special correlation was found between the agglutination titers and the existence of TB cavity in the lungs.
We observed that the intensity of the agglutination titers have some correlation with the clinical symptoms, i. e., fever, blood sedimentation rates, etc. These facts make us believe that hemagglutination reaction will reveal, to some extents, the progress of tuberculosis.
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