“…Currently, there are 15 well-established S. flexneri serotypes (1a, 1b, 1c, 2a, 2b, 3a, 3b, 4a, 4b, 5a, 5b, X, Xv, Y, and F6), which are composed of type (I, II, III, IV, and V)-, group (3:4, 6, and 7:8)-and 1c-specific antigenic determinants (6). The O-antigen modification that results in the addition of phosphoethanolamine (PEtN) to either Rha II or Rha III, mediated by opt, is found in serotypes 4a variant (4av), X variant (Xv), and Y variant (Yv) (7,8).…”