Only TWO cases of meningococcal pneumonia without meningitis are known to have occurred in the last 20 years. Roberg 1 described a case in 1945, and in 1957 another patient was reported by Meltzer and Kneeland.2 The latter authors reviewed the literature up to 1957. Such infrequency, if true, would certainly permit the labeling of meningococcal pneumonia a "rare disease." Report of Case A 16-year-old student entered the Nashville Metropolitan General Hospital for the first time in January 1965 with 24-hour history of chills, fever, generalized aching, pain in the right lower anterior pleuritic chest and a cough productive of yellow sputum which became "rusty colored" on the morning of admission. The past history revealed excellent health, normal growth and development, and the usual childhood diseases. The family history was not contributory. Three siblings were in good health. No other member of his family had an illness similar to