Antimicrobial resistance among urinary tract Escherichia coli isolates from inpatients and outpatients in a tertiary care center in São Paulo, Brazil.

hallucinations is unusual for intoxication with atropine or scopolamine, but could be explained by delayed digestion of non-ground Jimson weed seeds. Postprandial ‘inability to vomit’, followed by unconsciousness and auditory hallucinations, as reported by this patient, clearly is consistent with tropane alkaloid poisoning, and, together with laboratory results (50 seeds D. stramonium/kg of grain), confirm contamination by Jimson weed to be the cause of this event. Foodborne disease outbreaks are recognized by the occurrence of illness within a variable but usually short time period after a meal, among individuals who have consumed foods in common. Prompt and thorough laboratory evaluation of cases and implicated foods is essential. Food poisoning due to Jimson weed may mimic B. cereus food intoxication and therefore should be considered as a differential diagnosis. The increasing propagation of organic farming with the refusal to use pesticides may increase the occurrence of food poisoning due to Jimson weed in the future. Conflict of interest: No conflict of interest to declare.