Introduction: Severe community-acquired pneumonia (CAP) remains a challenge for intensive care units (ICU), with mortality rates reaching 23-27%. Material and methods: A retrospective analysis of a clinical case of a patient hospitalized with severe CAP in ICU, the management being performed according to SSC-2016 recommendations. Results: A 38-year old male, diagnosed with CAP complicated by acute respiratory distress syndrome, phase II, scored qSOFA 2 points, APACHE 15 points, SOFA 6 points, CURB-65 3 points and PSI 135 points (class IV). Intensive treatment was initiated by ventilatory support (PEEP, Vt, PΔ). The guidance of antibacterial therapy and its deescalation using procalcitonin, PICCO monitoring of infusion therapy and vasopressors had a positive role over prognosis, with patient`s survival, clinical cure and radiological resolution of pneumonia. Conclusions: Immediate actions, in the first hour of hospitalization in ICU, by applying SSC-2016 recommendations, allowed severe CAP to be successfully treated, with the patient initially reserved for prognosis.