Acute dimethylnitrosamine poisoning outbreak.

In an 8-h period, five members of two kindred families suddenly became ill with nausea, vomiting, and malaise. This was followed by acute liver disease, a generalized bleeding tendency, and a low platelet count. Two of the patients died four and five days after onset of illness. It was established that dimethylnitrosamine had been intentionally added to lemonade and milk that were consumed by the victims.