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== Clinical Summary ==
This 41-year-old black male was brought to the hospital in a comatose state. The patient, who had a history of heavy alcohol intake, was found comatose on the morning of the day of admission. No further history is available.
On admission, the pertinent findings included a temperature of 104°, a white cell count of 22,700 cells/mm³, nuchal rigidity, elevated spinal fluid pressure, and the presence of Gram-positive diplococci on a smear of spinal fluid (cultures of blood and spinal fluid were subsequently reported positive for Streptococcus pneumoniae). The patient expired 12 hours after admission in spite of intensive antibiotic therapy.
== Autopsy Findings ==
The right lung weighed 800 grams. The most striking finding was a marked uniform consolidation of the entire middle lobe which was reddish-gray in color. There was also marked thickening of the pleura overlying the middle lobe.
== Images ==
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