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
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