No abstract available. Article truncated after 150 words. History of Present Illness: A 66-year-old man had undergone an orthotopic heart transplantation on March 28th, 2015 due to end-stage cardiomyopathy. During a recent hospitalization from 6/26-7/2 a transbronchial lung biopsy was suggestive of subacute rejection. He was treated with: Plasmapheresis x 3; Intravenous immunoglobulin (IVIG); 500 mg Solu-Medrol daily; Tacrolimus held as supra-therapeutic level of 16.2; Mycophenolate decreased to 500mg BID; Prednisone at 10mg BID on discharge. On July 3rd he began having cough productive of clear sputum, nausea, vomiting, and headache. Subsequently he had body aches, subjective fever, chills, night sweats, and a poor appetite with a 4 kg weight loss over the last week. There was also a history of several falls after “losing his balance". Past Medical History: There was also a history of type 2 diabetes mellitus, chronic kidney disease, coronary artery disease with coronary artery bypass grafting in 2000. Physical Examination: Vital signs: T-37.1 ...