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==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.==