GIM Question 22

A 55 year-old woman is admitted from home with pneumonia.

  1. What are the most likely pathogens in this case?
  2. What empiric antibiotic therapy would you treat her with?
  3. How would your management change if this woman was HIV+ with evidence of Pneumocystis jirovecii pneumonia (PJP)?
    • TMP-SMX (septra) 15-20mg/kg PO/IV q6-8hr daily for 21d
    • Dapsone with trimethoprim can be used as an alternative therapy

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