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Troubled Waters

Not Your Typical Case of Sea Sickness

By Sebastian A. Schormann, James E. Boyett, Samiksha A. Raut

Troubled Waters


 

Abstract

This interrupted case study tells the story of “Michael Mathers,” a tourist traveling on a cruise ship who suddenly becomes sick. Despite receiving a preliminary diagnosis and treatment by the cruise ship doctor, Mr. Mathers’ symptoms continue to worsen, prompting his return to the ship’s doctor. He then finds out that many other people are experiencing similar symptoms, and surprisingly, they are all male. The overwhelming number of cruise patients prompts an emergency docking and a trip to the hospital by the passengers to discover the cause of the outbreak. In order to arrive at the correct diagnosis of Legionnaires’ disease, students review bacterial morphology, laboratory techniques for identification of microorganisms, viral and bacterial infections, biofilms, and principles of epidemiology. This case was developed for an introductory-level microbiology course for undergraduate non-majors, the majority of whom are on the allied health track, and could be implemented when discussing microorganisms related to the respiratory system.

   

Date Posted

10/11/2021

Overview

Objectives

  • Describe the physiology and natural habitat of Legionella pneumophila.
  • Explain the importance of biofilms.
  • Understand the susceptibility of certain individuals to Legionellosis.
  • Analyze the diagnosis between viral bronchitis and Legionellosis.
  • Explain basic principles of epidemiology to better understand transmission of a disease.

Keywords

Legionellosis; Legionella pneumophila; Legionnaires’ disease; pneumonia; bacteria; biofilm; bacterial morphology; viral bronchitis; epidemiology

  

Subject Headings

Epidemiology
Microbiology

EDUCATIONAL LEVEL

Undergraduate lower division

  

FORMAT

PDF

   

TOPICAL AREAS

N/A

   

LANGUAGE

English

   

TYPE/METHODS

Analysis (Issues), Discussion, Interrupted

 

 

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