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During the past six months cases of dysentery and mild diarrheal disease have been encountered, caused by a late-lactose fermenting bacillus, which in its early cultural and fermentative reactions so closely resembled E. dysenteriae Flexner that it was at first regarded as a member of that group of organisms. Attention was particularly directed to a study of the organism by the regularity with which it fermented rhamnose, a characteristic possessed only by the rarer strains of Flexner bacilli, and by its being inagglutinabhW in stock Flexner and polyvalent dysentery anti-serums. After twenty-four hours incubation, the organism in question fermented glucose, mannitol, maltose, and rhamnose, and failed to ferment lactose, xylose, sucrose and dulcitol. After two to six days incubation, acid was formed in lactose, the other sugars remaining as mentioned. In no instance was gas formed in any sugar. Because of these characteristics, and because of the large numbers in which the organisms were present in the stools of the cases studied, the bacillus was subjected to a more careful study, the results of which will be given later. It was identified as a strain of E. dysenteriae Sonne, which heretofor has been little seen in this country. The association of late-lactose fermenting dysentery-like organisms with diarrheal disease was first noted by Duval and Schorer (1904), who found these organisms while studying summer diarrhea in infants. The organism described by them produced a primary acidity in litmus milk which was replaced by alkalinity

SONNE DYSENTERY A REPORT OF 32 CASES OF DYSENTERY CAUSED BY EBERTHELLA PARADYSENTERIAE SONNE