Case Presentation: A 64-year-old male presented to the Emergency Room with one week of worsening productive cough, fevers (Tmax 103F), vomiting, diarrhea, and malaise. His past medical history was significant for Rheumatoid Arthritis (RA), treated with etanercept, hydroxychloroquine, leflunomide and sulfasalazine. On physical examination, he was febrile, normotensive with tachycardia, and tachypneic with diminished breath […]