A 24-year-old man presented with a 3-month history of persistent severe giddiness, productive cough, hemoptysis, and ulcer over his sternum. His medical history was notable for a number of infections since childhood, which included inguinal lymphadenopathy, suppurative skin infections, Penicillium osteomyelitis of the scalp, pulmonary tuberculosis, and lupus vulgaris. His family history was noncontributory, and his development milestones were normal. His immunizations as a child were uneventful. His HIV status, which had been checked on multiple occasions, was negative.