TORULA IN MAN

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Abstract
Torula is a form of yeast, producing lesions preferably in the central nervous system. These lesions macroscopically simulate tuberculosis, from which disease they must be differentiated as well as from lesions formed by coccidioides and blastomycetes. It is not my object in this paper to go deeply into the differential features of these three diseases but briefly to point out the main differences and then present a case of torula infection in a man admitted to the San Francisco Hospital, September, 1916. It is definitely agreed that coccidioidal granuloma and blastomycosis are two different diseases. Coccidioidal granuloma is a disease produced by an organism which sporulates but never buds in tissue. It varies greatly in size, having large forms up to 30 or 40 or even 80 microns in diameter producing many small ascospores which, in turn, escape from the capsule. It simulates tuberculosis in the type of its lesions

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