The dienes (mutual inhibition) test in the investigation of proteus infections.
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The properties and characteristics of 296 Proteus strains isolated from hospital patients and from sewage have been examined with a view to determining those characters which are of most use in following and detecting cross-infection.Ninety-six per cent of the organisms isolated were P. mirabilis and it was found that by identifying biotypes and by phage typing the species could be divided into a relatively large number of groups which would be useful for epidemiological investigation.
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We report on a boy with ureteroceles that obstructed the bladder outlet and ureters, who presented with sepsis and hyperammonemia despite normal liver function. The hyperammonemia was most likely caused by excessive absorption of ammonia produced by Proteus mirabilis in the obstructed urinary tract.