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Human sera from patients with culturally confirmed listeriosis were tested for immunoglobulin M (IgM) and immunoglobulin G (IgG) agglutinating antibodies with trypsinized antigens ofListeria monocytogenes, Streptococcus faecalis , andStaphylococcus aureus . The response of humans to listeria infections is mainly IgM rather than IgG as found in animals. The antigens prepared fromL. monocytogenes serotypes 1a, 1b, 2, 4b, and 4d were evaluated for specificity with normal sera, sera from patients with various other diseases, and sera from patients with listeriosis. The trypsinized antigens appeared to be specific for listeria antibodies with a cross-reaction rate of from 5.4 to 6%. Cross-reaction withS. aureus can be eliminated by absorption of the serum withS. aureus . This agglutination technique appears to be applicable for diagnostic testing, but, as with all serological procedures, both acute and convalescent sera should be tested.

Evaluation and Standardization of an Agglutination Test for Human Listeriosis