Interesting. Reports coming in of pH1N1 pneumonia cases being replaced by streptococcal and staphylococcal pneumonia with severe presentations in Canada. It should be noted that strep and staph pneumonias are certainly seen in the critical care setting as a routine occurrence. What is less routine is several intensivists bothering to mention it at the same time from different locations.
Received report from intensivist in the UK talking about a "run of pneumococcal meningitis [they've] not seen in years". Temperature spike in one of the patients discussed above hit a whopping 109 degrees F. Speculation whether this phenomenon is somehow related to pH1N1.