Meningo-Encephalitis Due to Torula Histolytica

The literature on the comparatively rare condition called meningoencephalitis contains descriptions of eighteen authentic cases of Torula infection. The subject was thoroughly reviewed in 1916 by Stoddard and Cutler, 1 in 1924 by Sheppe 2 and in 1925 by Shapiro and Neal. 3 A great many cases in the past must have simulated tuberculous meningitis, tumor of the brain or epidemic encephalitis. The cases shown in table 1 have been regarded as true instances of torulosis confirmed by culture and (or) tissue studies. An additional instance of the infection is added to the literature in the case herewith reported. Fourteen of the nineteen cases involved the central nervous system; two, the central nervous system and lungs; one, the lumbar muscles and vertebral column; one, the pelvic and inguinal tissues, and one, the lungs. All cases involving the central nervous system have resulted fatally. The youngest patient in the series was 13 years and