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Cutaneous Anthrax Associated With the Kombucha "Mushroom" in Iran
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To the Editor. A report entitled "Unexplained Severe Illness Possibly Associated With Consumption of Kombucha TeaIowa 1995,"1 was published in JAMA in 1996. I describe herein an outbreak of cutaneous anthrax related to the Kombucha mushroom in Iran. The Kombucha "mushroom" is a "symbiotic colony of several species of yeast and bacteria that are bound together by a surrounding thin membrane."1
In 1996, in a village on the outskirts of Tehran, an outbreak of skin lesions affecting 20 patients (12 female and 8 male; age range, 8 to 62 years) was reported. An infectious disease specialist was sent to the area, and he reported that the skin lesions were painless and had a central black necrotic area, marginal erythema, and severe peripheral edema, which are typical findings of anthrax. The patients were treated either with procaine penicillin injection (800000 U, 2 times a day) or with oral penicillin for 2 . . . [Full Text of this Article]
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Unexplained Severe Illness Possibly Associated With Consumption of Kombucha Tea—Iowa, 1995
JAMA. 1996;275(2):96-98.
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