16 An Introduction to Medical Mijcologi/ 



not commonly found. Metastatic growths in the bony framework may be 

 detected. 



14. EXAMINATION OF SPINAL FLUID 



The routine inoculation of all specimens of spinal fluid on a suitable 

 culture medium is advisable in all cases in which symptoms referable to 

 the nervous system are present. It may be noted that the diagnosis of 

 torulosis is rarely proved ante mortem. The chief reason is that the syn- 

 drome is not well delineated, but undoubtedly a contributory factor is the 

 unawareness of physicians. 



15. CLINICAL SYMPTOMS AND SIGNS 



Perhaps the most important diagnostic aid of all is the clinical knowledge 

 of the symptoms and signs of the invasion of pathogenic fungi. 



BIBLIOGRAPHY 



Greenbaum, S. S.: Immunity in ringworm infections: Active acquired immunity, with note 



on complement fixation tests in superficial ringworm infections, Arch. Dermat. & Syph. 



10:279, 1924. 

 Hopkins, J. G., and Iwamoto, K. : Fermentation reactions of ringworm fungi: Differentiation 



of Trichophyta and allied genera from other fungi, Arch. Dermat. & Syph. 8:619, 1923; 



Fermentation reactions of ringworm fungi: Characteristics of three divisions of Trichophyton 



group, ibid. 8:838, 1923. 

 Moore, M.: Mycotic granulomas and cutaneous tuberculosis: Comparison of histopathologic 



response, J. Invest. Dermat. 6:149, 1945. 



