A 40-year-old, white, nonsmoking man was admitted to the hospital in the Department of Gastroenterology with hemolytic anemia and jaundice associated with dry cough of 2 months in duration and fatigue. Pneumonia of the right lower lobe and lingular segment was diagnosed 2 months prior to hospital admission, for which the patient received a course of macrolides. There was no relevant occupational or travel history. No medications were taken on a regular basis. On hospital admission, he was afebrile and acyanotic; on examination, chest auscultation was normal and abdominal evaluation showed splenomegaly then confirmed by abdominal ultrasound.