A 22-year-old Hispanic man presented to the emergency department with fever, chills, and headache of 5 days in duration accompanied by productive cough and hemoptysis for almost 2 days. He also admitted intermittent chest pain that was sharp in nature, nonradiating, and aggravated by swallowing. The patient had a negative medical history, but he reported night sweats for the past 2 weeks and a significant loss of appetite associated with weight loss. He was an immigrant from Mexico but had been in the United States for a year. There was no history of recent travel or sick contacts, and he denied prescribed or illicit drug use. He also denied any high-risk sexual behavior in the past year.