Case Presentation: Patient is a 37-year-old male with a history of HIV, Kaposi’s sarcoma, substance abuse, Hepatitis C, and heart failure. Patient was previously treated for cryptococcal meningitis, neurosyphilis, VZV encephalitis, and ESBL UTI. He presents to the hospital due to shortness of breath, facial pain, malaise, neck stiffness, and abdominal pain with bilious vomiting. [...]