Thanks for your question on Healthcare Magic. I can understand your concern. Repeated spiking temperatures (fever) in pneumonia patient is suggestive of nonresolving pneumonia. So better to consult pulmonologist and get done sputum culture and sensitivity report. Culture report will isolate the causative organism (if it is MRSA or other bacteria) and sensitivity report will guide about effective antibiotic treatment. He may need higher antibiotics on the basis of sensitivity report. By this, we can achieve speedy recovery. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks.