Fatal Pneumonia among Metalworkers Due to Inhalation Exposure to Bacillus cereus Containing Bacillus anthracis Toxin Genes.
Avashia, Swati B. 1, 2, 3; Riggins, W. S. 4; Lindley, Connie 6; Hoffmaster, Alex 2; Drumgoole, Rahsaan 3; Nekomoto, Trudi 4; Jackson, Paul J. 8; Hill, Karen K. 9; Williams, Karen 3; Lehman, Lulu 4; Libal, Melissa C. 7; Wilkins, Patricia P. 2; Alexander, James 6; Tvaryanas, Anthony 5; Betz, Tom 3
[Report] Clinical Infectious Diseases. 44(3):414-416, February 1, 2007.

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: 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.

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