“…S. flexneri is divided into at least 19 serotypes (serotypes 1a, 1b, 1c, 1d, 2a, 2b, 3a, 3b, 4a, 4av, 4b, 5a, 5b, X, Xv, Y, Yv, F6, and 7b), based on the combinations of antigenic determinants present on the O antigen of the cell envelope lipopolysaccharide (LPS) (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Serotypes 1c, 4av, 7b, 1d, Yv, and Xv were new serotypes reported in recent years (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14), among which serotypes 1c and Xv have caused epidemic-level disease (5,7,9). Serotype Xv first appeared in 2000 in Henan province and subsequently replaced serotype 2a to become the predominant serotype in Henan between 2002 and 2006.…”