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. 2020 Jan 8;42(1):1–8. doi: 10.1097/PAF.0000000000000664

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Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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Two cases of coinfection with SARS-CoV-2 and S. pneumoniae. In 2 cases, decedents were positive both for COVID-19 infection and for a concomitant bacterial lung infection with S. pneumoniae. A, Case 13: diffuse intra-alveolar neutrophils with hyaline membrane formation (H&E, original magnification ×10). B, Case 13: intra-alveolar neutrophils and hyaline membranes with associated diplococci, intra-alveolar hemorrhage and fibrin, and coagulative necrosis (H&E, ×40). C, Case 19: sheets of intra-alveolar neutrophils (H&E, ×10). D. Case 19: sheets of neutrophils with coagulative necrosis (H&E, ×40).