In 1916, Ashford1 reported finding a monilia in cases of sprue in Porto Rico, distinct from Monilia albicans, which Bahr and others had previously reported as occurring in sprue. Ashford called this organism Monilia psilosis (Ashford). He considered it the specific cause of sprue when it colonizes in an intestinal tract rendered favorable to it by a glandular insufficiency caused by climatic or other influences and resulting in a lessened outpouring of the digestive juices, with increased bacterial activity producing an increased acidity of the intestinal tract, and so producing conditions favoring the growth of Monilia psilosis.2
Other articles by him have since appeared from time to time, giving the results of his further investigations on the etiology and treatment of sprue, dealing with the methods of isolating Monilia psilosis, its almost universal presence in sprue at some stage of the disease, and also giving the results of
ROGERS JM. ISOLATION OF MONILIA PSILOSIS IN TROPICAL SPRUE (PSILOSIS): REPORT OF CASE THAT ORIGINATED IN KOREA. JAMA. 1922;79(20):1677–1678. doi:10.1001/jama.1922.02640200027009
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