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__**Case Study 1**__

A 40 years old male with multisystem failure secondary to bilateral pneumonia is brought to hospital via helicopter. He had presented to his local physician 3 days previously complaining of fevers, malaise, and vague respiratory symptoms. He was given amantadine. His condition became progressively worse, with shortness of breath and a fever to 40.5 C, and he was admitted to an outside hospital 24 hours prior to transfer. A laboratory examination revealed abnormal liver and renal function. Therapy with Timentin and trimethoprim-sulfamethoxazole was begun. On admission, he underwent a bronchoscopic examination which revealed mildly inflamed airways containing thin, watery secretions. A Gram stain of bronchial washings was carried out.


 * __Gram staining of Bronchial Wash__**

Confirmed that Gram negative bacteria were the cause of the patients symptoms. This is due to the staining showing no crystal violet dye.


 * __Buffered Charcoal Yeast Extract Media__**

As Buffered charcoal yeast extract can only grow Gram negative bacteria this confirmed that gram negative bacteria were the cause for the patients symptoms.

On our first meeting as a group we all discussed which disease would be the most likely cause following the evidence provided and came to the conclusion that the patient was suffering from Legionnaires caused by Legionnella pneumophilia.


 * __Group Members:__**


 * Gina Murison (mg914) - Group Leader
 * Simone King (ks982) - Minuter
 * Ahmed (aa397)
 * Ofure (oo888)
 * Nafie


 * __Contents:__**


 * 1) Home and Introduction to case study.
 * 2) Infectious Agent by Simone King
 * 3) Pathogenicity by Ahmed
 * 4) Epidemiology by Nafie
 * 5) Clinical Aspects by Ofure
 * 6) Therapies by Gina Murison
 * 7) Group Conclusion
 * 8) Case Study (Full)
 * 9) References
 * 10) Case study overview and marking scheme
 * 11) Discussion E-mails
 * 12) Feedback
 * 13) Minutes for meetings held

The wiki is well structured, each topic is easy to find, all pages required are present plus more have been created to facilitate the reader. The presentation is also good, especially the home page but could be improved in terms of using the same format for each topic and also a more personalized choice of background would have shown that you are mastering the wiki editing. Conclusions are good but list of references is not correctly formatted. The group should have worked on it together.