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→Clinical Summary
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.
At autopsy 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.
== Autopsy Findings ==