“…For in-depth investigations of this critical stage in disease establishment, see several prior publications (Cole & Hung, 2001;Cole, Seshan, et al, 1988;Drutz & Huppert, 1983;Hector & Pappagianis, 1983;Mandel, Galgiani, Kroken, & Orbach, 2006;Mead, Roe, et al, 2020;Viriyakosol, Singhania, et al, 2013;Whiston et al, 2012;Wise, Hung, Whiston, Taylor, & Cole, 2013). Morphogenesis is triggered by exposure to high temperatures (>37°C), gas concentrations (5% to 15% CO 2 ), and other factors that have not been precisely defined (Breslau & Kubota, 1964;Klotz, Drutz, Huppert, Sun, & DeMarsh, 1984). In vitro, spherules can be obtained using either chemically defined Converse medium (Converse, 1955) or RPMI 1640 supplemented with 10% fetal bovine serum (FBS; RPMI-sph medium) (Petkus, Baum, Ellis, Stern, & Danley, 1985).…”