Case Presentation: A 64-year-old male with a history of idiopathic portal vein hypertension requiring splenectomy at age four, COPD, and treated lung cancer presented with dyspnea and anorexia. Clinical examination revealed tachypnea, tachycardia, dry cough, cachexia, and dry skin. CT scans showed bilateral pulmonary opacities and confirmed asplenia. He was admitted to the intensive care [...]