68 year old woman with a relapsing pneumonia. 3 admissions over 6 months. No pathogen on BAL. Response to meropenem each time, gets about 2 weeks and is discharged. This time is admitted febrile, dyspnoeic and has a ‘rash’ on her legs.  Really it’s multiple pustular lesions on her legs.  Meropenem is commenced and she … More NO cardia