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Gary Skankey*
We present a patient who is a 67-year-old female who is morbidly obese (BMI 62), but otherwise healthy, who was admitted on 4/6/2020 (day 0) with a five day history of fever and diarrhea, followed by 24 hours worth of increasing shortness of breath, dry cough, nausea, and dry heaves. A chest x-ray showed bilateral infiltrates consistent with congestive heart failure, however B-naturetic peptide was only 284 (NL<125). Blood work was as follows: WBC-3420, ABG-7.43/34/64 on 6 liters O2, Quantifieron-negative, Coccidioides IgG and IgM-both negative, and Blood cultures-negative.