患者，男性，72岁。有高血压病史。突起发热、咳嗽、咳脓痰，意识模糊。体检：血压90/60mmHg，左中下肺满布湿喷音，双下肢病理征（+)，WBC15×109/L。胸片：左中下肺肺炎。最可能的诊断是

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