Complement-fixation test, which had been used as the method for the serological diagnosis of syphilis, has been applied to the diagnosis of many other diseases. In rickettsial diseases, Davis carried out complement-fixation test, in 1911, using the spleen of guinea-pig and the nit of louse infected with Rocky Mountain spotted fever as antigen. Papamarku, Jacobsthal, Epstein and other many workers elaborated to accomplish this test, using alcohol extract of materials from epidemic typhus cases or infected lice. Organ extract was, however, lacking in the number of rickettsiae and louse antigen showed strongly unspecific reaction, thus neither was satisfactory. Castaneda in 1936 obtained positive complement-fixation reactions in cases of active and past infection with Mexican typhus and Brill's disease, using the rickettsial suspension obtained from peritoneal cavity of x-rayed and then typhus infected rats as antigen. Since 1938, when Cox succeeded to cultivate Rocky Mountain spotted fever and typhus group rickettsiae in yolk sac of developing chick embryos, it became easier to get highly concentrated rickettsial suspension, then complement-fixation test in rickettsial diseases made great progress. Thus this test was proved to be valuable in -serological diagnosis of almost all rickettsial diseases by Bengtson, Plotz and so on. Furthermore, after the method of producing antigen being improved by Craigie in 1945, the test was applied extensively in the epidemiological, serological and immunological studies on rickettsial dlseases.
There is, however, no uniformity in technic of complement-fixation test, a good many modifications being devised by many workers, and not so many have been discussed about technical differences among them. Van der Scheer et al, studing on antigenicity of diagnostic antigens for epidemic typhus, murine typhus and Rocky Mountain spotted fever, pointed out that incompletely purified antigen was apt to react unspecifically, when complement fixation was carried out for an overnight at a low temperature. Schubert et al compared five different complement fixation technics used in rickettsial diseases and concluded that a highly sensitive method was inferior in specificity, one superior in specificity was less sensitive and that an intermediate technic was the best. Damon et al, comparing water-bath fixation method with ice-box method, held the same view with Schubert on sensitivity.
Though the value of complement-fixation test as a serological reaction in rickettsial diseases has been generally thus appreciated, there is still enough ground for further investigation in details, similarly to the diagnosis of syphilis.
Well, we have been endeavouring to devise a more sensitive complement fixation technic in order to contribute to the development of the early diagnosis for typhus fever group infections. Several methods, including those commonly used technics and our own modifications, chiefly their sensitivity were compared.
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