A 35-year-old white man presented with fever, myalgias, and fatigue for 6 weeks. He also had dry cough and dyspnea with mild exertion. During the past few weeks, he received multiple courses of oral antibiotics without improvement for a diagnosis of pneumonia. He smoked 1 pack of cigarettes per day for 20 years. He smoked crystalline methamphetamine regularly for the past 5 years. His medical history was otherwise unremarkable. Occupational and family histories were noncontributory.