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  Vol. 280 No. 18, November 11, 1998 TABLE OF CONTENTS
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Cutaneous Anthrax Associated With the Kombucha "Mushroom" in Iran

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor.— A report entitled "Unexplained Severe Illness Possibly Associated With Consumption of Kombucha Tea—Iowa 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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RELATED ARTICLE

Unexplained Severe Illness Possibly Associated With Consumption of Kombucha Tea—Iowa, 1995
JAMA. 1996;275(2):96-98.
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