Empiric Treatment of Fulminant Crashing PNA

• Vancomycin – CA-MRSA
• Zosyn/Cefepime/Penem – Gram negs
• Doxy – Atypicals and zoonoses
• Amphoterecin – Fungal (Histo, blasto, coccidiomycosis)
• Acyclovir – HSV, VZV
• Tamiflu – influenza

Case from HCMC of fulminant PNA in healthy young man that was blasto