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J. Richard Holmes; Travis Plunkett; Paul Pate; William L. Roper, MD; W. James Alexander, MD

Arch Intern Med. 1981;141(6):766-767.

Abstract
• Symptoms of acute food poisoning developed in eight members of a group who ate lunch at a cafeteria. After brief incubation periods, all affected individuals complained of nausea and abdominal cramps. Four persons promptly experienced vomiting. None of those affected was found to have fever and all recovered within 48 hours. Epidemiologic investigation incriminated macaroni and cheese as a cause of the illness and samples of this food contained large numbers of Bacillus cereus. Previous outbreaks of B cereus emetic food poisoning have been associated with consumption of contaminated fried rice and may occur after ingestion of other foods.

(Arch Intern Med 1981;141:766-767)

Author Affiliations
From the Jefferson County Department of Health (Messrs Holmes, Plunkett, Pate, Dr Roper) and the Division of Infectious Diseases, the Department of Medicine, the University of Alabama School of Medicine (Dr Alexander), Birmingham, Ala.

Footnotes
Accepted for publication April 1, 1980.

Reprint requests to Bureau of Communicable Diseases, Jefferson County Department of Health, 1400 Sixth Ave S, PO Box 2646, Birmingham, AL 35233 (Mr Holmes).

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