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A 37 year old male with past medical history of HIV (unknown CD4+ count and viral load, on HAART with questionable compliance), IV drug abuse, presented to ER with complaints of three day cough productive of yellow/ brownish sputum, subjective fevers, chills, chest pain aggravated by coughing and deep breaths, diarrhea, vomiting. He reported being in contact with people who had flu.