The generalized Shwartzman reaction (1) occurs in immature (2) rabbits following the second of two sublethal intravenous injections of gram-negative bacterial endotoxin, spaced 18 to 24 hours apart, and consists of widespread hemorrhage and necrosis. The reaction also occurs after a single injection of endotoxin in animals treated with intravenous thorotrast, trypan blue (3), colloidal iron, or colloidal carbon (4). Because these substances were thought to "blockade" the reticuloendothelial (R.E.) system, it was suggested that an analogous impairment of R.E. function may also be produced by the first or "preparing" injection of endotoxin, resulting in slower removal and detoxification of the second dose and directly or indirectly in the characteristic lesions in the kidney, heart, lungs, and liver.In the experiments to be reported, the distribution of radioactive Crl' labeled endotoxin in normal rabbits was compared with that in rabbits which had received a preparing injection of unlabeled endotoxin 24 hours earlier. The results indicate that, in the rabbit, the "prepared" state is characterized by impaired removal of a second injection of endotoxin by the liver and increased localization by the lung.METHODS AND PROCEDURE Animals. Young albino rabbits of a hybrid stock weighing between 0.77 and 1.3 kilo., used for all experi-