A 56-year-old man presented with progressive shortness of breath, fever, dry cough, and generalized fatigue for 2 days to an outside institution. His medical history was significant for a parotid tumor resected 5 months earlier. After the procedure, investigations for a persistent fever and weight loss lead to a diagnosis of Hodgkin lymphoma (nodular sclerosing), confirmed by mediastinal node biopsy at mediastinoscopy. He then was treated with ABVD (adriamycin/doxorubicin, 50 mg/m2; bleomycin, 10 U/m2; vinblastine/velban, 6 mg/m2; and dacarbazine, 375 mg/m2) every 2 weeks four times with good response. Hence, the total bleomycin dose was 40 mg/m2. The last dose was administered 12 days before admission. He reported being a former 1 pack per day smoker but denied smoking for the past 6 months. He reported no allergies. During his admission, progressive respiratory failure developed, requiring intubation 5 days after the admission. Following empiric treatment with antibiotics and corticosteroids, the patient’s condition improved and he was extubated after 6 days. He was then transferred to our institution for further management.