title: Fatal pneumonia among metalworkers due to inhalation exposure to Bacillus cereus Containing Bacillus anthracis toxin genes.
abstract: Bacillus cereus pneumonia is unusual in nonimmunocompromised hosts. We describe fatal cases in 2 metalworkers and the associated investigation. Anthrax toxin genes were identified in B. cereus isolates from both patients using polymerase chain reaction. Finding anthrax toxin genes in non-Bacillus anthracis isolates has, to our knowledge, only been reported once previously.
authors.affiliation: Epidemic Intelligence Service, Atlanta, Georgia, USA. sbavashia@sbcglobal.net
authors.forename: Swati B
authors.initials: SB
authors.lastname: Avashia
authors.forename: W S
authors.initials: WS
authors.lastname: Riggins
authors.forename: Connie
authors.initials: C
authors.lastname: Lindley
authors.forename: Alex
authors.initials: A
authors.lastname: Hoffmaster
authors.forename: Rahsaan
authors.initials: R
authors.lastname: Drumgoole
authors.forename: Trudi
authors.initials: T
authors.lastname: Nekomoto
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Jackson
authors.forename: Karen K
authors.initials: KK
authors.lastname: Hill
authors.forename: Karen
authors.initials: K
authors.lastname: Williams
authors.forename: Lulu
authors.initials: L
authors.lastname: Lehman
authors.forename: Melissa C
authors.initials: MC
authors.lastname: Libal
authors.forename: Patricia P
authors.initials: PP
authors.lastname: Wilkins
authors.forename: James
authors.initials: J
authors.lastname: Alexander
authors.forename: Anthony
authors.initials: A
authors.lastname: Tvaryanas
authors.forename: Tom
authors.initials: T
authors.lastname: Betz
mesh_terms: D000328:Adult; D000942:Antigens, Bacterial / Q000235:genetics*; D001408:Bacillus anthracis / Q000235:genetics*; D001409:Bacillus cereus / Q000235:genetics / Q000472:pathogenicity*; D001427:Bacterial Toxins / Q000235:genetics*; D004391:Dust; D017809:Fatal Outcome; D006801:Humans; D019570:Inhalation Exposure; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D018410:Pneumonia, Bacterial / Q000382:microbiology* / Q000401:mortality; D014896:Welding
chemical_list: D000942:Antigens, Bacterial; D001427:Bacterial Toxins; D004391:Dust; C030325:anthrax toxin