rntc/legacy_e3c · Datasets at Hugging Face

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However, the general and mental condition was relatively better.	[ "However", ",", "the", "general", "and", "mental", "condition", "was", "relatively", "better", "." ]	[ [ 0, 7 ], [ 7, 8 ], [ 9, 12 ], [ 13, 20 ], [ 21, 24 ], [ 25, 31 ], [ 32, 41 ], [ 42, 45 ], [ 46, 56 ], [ 57, 63 ], [ 63, 64 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0 ]
The patient was discharged from the hospital.	[ "The", "patient", "was", "discharged", "from", "the", "hospital", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 26 ], [ 27, 31 ], [ 32, 35 ], [ 36, 44 ], [ 44, 45 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 1, 0, 0, 0, 0 ]
A 57 year old lady presented to a peripheral hospital with complaints of penetrating epigastric pain of a week’s duration.	[ "A", "57", "year", "old", "lady", "presented", "to", "a", "peripheral", "hospital", "with", "complaints", "of", "penetrating", "epigastric", "pain", "of", "a", "week", "’s", "duration", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 13 ], [ 14, 18 ], [ 19, 28 ], [ 29, 31 ], [ 32, 33 ], [ 34, 44 ], [ 45, 53 ], [ 54, 58 ], [ 59, 69 ], [ 70, 72 ], [ 73, 84 ], [ 85, 95 ], [ 96, 100 ], [ 101, 103 ], [ 104, 105 ], [ 106, 110 ], [ 110, 112 ], [ 113, 121 ], [ 121, 122 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0232493", "C0232493", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 4, 9, 9, 9, 0 ]
There was no vomiting or weight loss.	[ "There", "was", "no", "vomiting", "or", "weight", "loss", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 12 ], [ 13, 21 ], [ 22, 24 ], [ 25, 31 ], [ 32, 36 ], [ 36, 37 ] ]	[ 0, 0, 0, 1, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0042963", "CUI_LESS", "C1262477", "C1262477", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 1, 0 ]
Bowel movements were normal.	[ "Bowel", "movements", "were", "normal", "." ]	[ [ 0, 5 ], [ 6, 15 ], [ 16, 20 ], [ 21, 27 ], [ 27, 28 ] ]	[ 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 1, 0, 1, 0 ]
Clinical examination at the time was unrevealing.	[ "Clinical", "examination", "at", "the", "time", "was", "unrevealing", "." ]	[ [ 0, 8 ], [ 9, 20 ], [ 21, 23 ], [ 24, 27 ], [ 28, 32 ], [ 33, 36 ], [ 37, 48 ], [ 48, 49 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 4, 9, 0, 5, 0 ]
An abdominal ultrasound examination was reported as normal.	[ "An", "abdominal", "ultrasound", "examination", "was", "reported", "as", "normal", "." ]	[ [ 0, 2 ], [ 3, 12 ], [ 13, 23 ], [ 24, 35 ], [ 36, 39 ], [ 40, 48 ], [ 49, 51 ], [ 52, 58 ], [ 58, 59 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 1, 0, 5, 0 ]
The patient’s insistence on full investigation of the persistent epigastric pain led to a computed tomographic examination and discovery of a pancreatic tumour subsequent to which she was referred to our institution.	[ "The", "patient", "’s", "insistence", "on", "full", "investigation", "of", "the", "persistent", "epigastric", "pain", "led", "to", "a", "computed", "tomographic", "examination", "and", "discovery", "of", "a", "pancreatic", "tumour", "subsequent", "to", "which", "she", "was", "referred", "to", "our", "institution", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 11, 13 ], [ 14, 24 ], [ 25, 27 ], [ 28, 32 ], [ 33, 46 ], [ 47, 49 ], [ 50, 53 ], [ 54, 64 ], [ 65, 75 ], [ 76, 80 ], [ 81, 84 ], [ 85, 87 ], [ 88, 89 ], [ 90, 98 ], [ 99, 110 ], [ 111, 122 ], [ 123, 126 ], [ 127, 136 ], [ 137, 139 ], [ 140, 141 ], [ 142, 152 ], [ 153, 159 ], [ 160, 170 ], [ 171, 173 ], [ 174, 179 ], [ 180, 183 ], [ 184, 187 ], [ 188, 196 ], [ 197, 199 ], [ 200, 203 ], [ 204, 215 ], [ 215, 216 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 1, 0, 0, 0, 2, 0, 1, 0, 0, 0, 0 ]
The CT scan showed a large tumour (6cm in largest diameter) in the body and tail of pancreas with no evidence of metastasis.	[ "The", "CT", "scan", "showed", "a", "large", "tumour", "(", "6cm", "in", "largest", "diameter", ")", "in", "the", "body", "and", "tail", "of", "pancreas", "with", "no", "evidence", "of", "metastasis", "." ]	[ [ 0, 3 ], [ 4, 6 ], [ 7, 11 ], [ 12, 18 ], [ 19, 20 ], [ 21, 26 ], [ 27, 33 ], [ 34, 35 ], [ 35, 38 ], [ 39, 41 ], [ 42, 49 ], [ 50, 58 ], [ 58, 59 ], [ 60, 62 ], [ 63, 66 ], [ 67, 71 ], [ 72, 75 ], [ 76, 80 ], [ 81, 83 ], [ 84, 92 ], [ 93, 97 ], [ 98, 100 ], [ 101, 109 ], [ 110, 112 ], [ 113, 123 ], [ 123, 124 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4255448", "CUI_LESS" ]	[ 0, 0, 1, 1, 0, 0, 1, 0, 5, 10, 10, 10, 0, 0, 3, 8, 8, 8, 8, 8, 0, 0, 1, 0, 1, 0 ]
She was prepared for exploratory laparotomy.	[ "She", "was", "prepared", "for", "exploratory", "laparotomy", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 16 ], [ 17, 20 ], [ 21, 32 ], [ 33, 43 ], [ 43, 44 ] ]	[ 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 0, 1, 0 ]
The pancreas was explored through the gastrocolic omentum.	[ "The", "pancreas", "was", "explored", "through", "the", "gastrocolic", "omentum", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 16 ], [ 17, 25 ], [ 26, 33 ], [ 34, 37 ], [ 38, 49 ], [ 50, 57 ], [ 57, 58 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 1, 0, 3, 8, 8, 0 ]
The body and tail of the pancreas including the tumour were resected.	[ "The", "body", "and", "tail", "of", "the", "pancreas", "including", "the", "tumour", "were", "resected", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 12 ], [ 13, 17 ], [ 18, 20 ], [ 21, 24 ], [ 25, 33 ], [ 34, 43 ], [ 44, 47 ], [ 48, 54 ], [ 55, 59 ], [ 60, 68 ], [ 68, 69 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 8, 8, 8, 0, 0, 1, 0, 1, 0 ]
The spleen was also removed.	[ "The", "spleen", "was", "also", "removed", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 14 ], [ 15, 19 ], [ 20, 27 ], [ 27, 28 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 0, 0, 1, 0 ]
The end of the pancreas was suture ligated.	[ "The", "end", "of", "the", "pancreas", "was", "suture", "ligated", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 10 ], [ 11, 14 ], [ 15, 23 ], [ 24, 27 ], [ 28, 34 ], [ 35, 42 ], [ 42, 43 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 8, 0, 0, 1, 0 ]
Her post-operative recovery was uneventful.	[ "Her", "post", "operative", "recovery", "was", "uneventful", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 18 ], [ 19, 27 ], [ 28, 31 ], [ 32, 42 ], [ 42, 43 ] ]	[ 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 4, 9, 1, 0, 1, 0 ]
Histological examination of the specimen showed a well circumscribed ovoid tumour 60mm x 50mm across.	[ "Histological", "examination", "of", "the", "specimen", "showed", "a", "well", "circumscribed", "ovoid", "tumour", "60mm", "x", "50mm", "across", "." ]	[ [ 0, 12 ], [ 13, 24 ], [ 25, 27 ], [ 28, 31 ], [ 32, 40 ], [ 41, 47 ], [ 48, 49 ], [ 50, 54 ], [ 55, 68 ], [ 69, 74 ], [ 75, 81 ], [ 82, 86 ], [ 87, 88 ], [ 89, 93 ], [ 94, 100 ], [ 100, 101 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 1, 5, 10, 10, 10, 0 ]
Sections revealed islands and trabeculae of regular cells with variable amounts of eosinophilic cytoplasm, mostly regular nuclei with indistinct nucleoli.	[ "Sections", "revealed", "islands", "and", "trabeculae", "of", "regular", "cells", "with", "variable", "amounts", "of", "eosinophilic", "cytoplasm", ",", "mostly", "regular", "nuclei", "with", "indistinct", "nucleoli", "." ]	[ [ 0, 8 ], [ 9, 17 ], [ 18, 25 ], [ 26, 29 ], [ 30, 40 ], [ 41, 43 ], [ 44, 51 ], [ 52, 57 ], [ 58, 62 ], [ 63, 71 ], [ 72, 79 ], [ 80, 82 ], [ 83, 95 ], [ 96, 105 ], [ 105, 106 ], [ 107, 113 ], [ 114, 121 ], [ 122, 128 ], [ 129, 133 ], [ 134, 144 ], [ 145, 153 ], [ 153, 154 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 1, 3, 8, 8, 8, 8, 8, 0, 3, 8, 8, 8, 8, 0, 0, 3, 8, 8, 8, 8, 0 ]
Areas of necrosis were present with hemorrhage.	[ "Areas", "of", "necrosis", "were", "present", "with", "hemorrhage", "." ]	[ [ 0, 5 ], [ 6, 8 ], [ 9, 17 ], [ 18, 22 ], [ 23, 30 ], [ 31, 35 ], [ 36, 46 ], [ 46, 47 ] ]	[ 0, 0, 1, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "C0027540", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0019080", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 1, 0 ]
A fibrous pseudo-capsule was noted around the tumour and the resection of the tumour appeared complete.	[ "A", "fibrous", "pseudo", "capsule", "was", "noted", "around", "the", "tumour", "and", "the", "resection", "of", "the", "tumour", "appeared", "complete", "." ]	[ [ 0, 1 ], [ 2, 9 ], [ 10, 16 ], [ 17, 24 ], [ 25, 28 ], [ 29, 34 ], [ 35, 41 ], [ 42, 45 ], [ 46, 52 ], [ 53, 56 ], [ 57, 60 ], [ 61, 70 ], [ 71, 73 ], [ 74, 77 ], [ 78, 84 ], [ 85, 93 ], [ 94, 102 ], [ 102, 103 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0027651", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 0, 1, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 1, 0 ]
No capsular of vascular invasion was seen.	[ "No", "capsular", "of", "vascular", "invasion", "was", "seen", "." ]	[ [ 0, 2 ], [ 3, 11 ], [ 12, 14 ], [ 15, 23 ], [ 24, 32 ], [ 33, 36 ], [ 37, 41 ], [ 41, 42 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 1, 0 ]
Immuno-peroxidase staining was positive for chromogranin A.	[ "Immuno", "peroxidase", "staining", "was", "positive", "for", "chromogranin", "A", "." ]	[ [ 0, 6 ], [ 7, 17 ], [ 18, 26 ], [ 27, 30 ], [ 31, 39 ], [ 40, 43 ], [ 44, 56 ], [ 57, 58 ], [ 58, 59 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 5, 0, 1, 0, 0 ]
Synaptophysin was strongly positive, CD10 was negative, Ki-67 was less than 2% positive and the mitotic count was between 2-20 per 10 hpf.	[ "Synaptophysin", "was", "strongly", "positive", ",", "CD10", "was", "negative", ",", "Ki", "67", "was", "less", "than", "2", "%", "positive", "and", "the", "mitotic", "count", "was", "between", "2-20", "per", "10", "hpf", "." ]	[ [ 0, 13 ], [ 14, 17 ], [ 18, 26 ], [ 27, 35 ], [ 35, 36 ], [ 37, 41 ], [ 42, 45 ], [ 46, 54 ], [ 54, 55 ], [ 56, 58 ], [ 59, 61 ], [ 62, 65 ], [ 66, 70 ], [ 71, 75 ], [ 76, 77 ], [ 77, 78 ], [ 79, 87 ], [ 88, 91 ], [ 92, 95 ], [ 96, 103 ], [ 104, 109 ], [ 110, 113 ], [ 114, 121 ], [ 122, 126 ], [ 127, 130 ], [ 131, 133 ], [ 134, 137 ], [ 137, 138 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 0, 5, 10, 0, 1, 0, 5, 0, 1, 6, 0, 5, 10, 10, 10, 10, 0, 0, 0, 1, 0, 5, 10, 10, 10, 10, 0 ]
The staining reactions were confirmatory of a neuroendocrine carcinoma of the pancreas.	[ "The", "staining", "reactions", "were", "confirmatory", "of", "a", "neuroendocrine", "carcinoma", "of", "the", "pancreas", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 22 ], [ 23, 27 ], [ 28, 40 ], [ 41, 43 ], [ 44, 45 ], [ 46, 60 ], [ 61, 70 ], [ 71, 73 ], [ 74, 77 ], [ 78, 86 ], [ 86, 87 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C2205506", "C2205506", "C2205506", "C2205506", "C2205506", "CUI_LESS" ]	[ 0, 0, 1, 0, 1, 0, 0, 0, 1, 0, 3, 8, 0 ]
The final staging of the completely excised tumour was T3 N0 M0.	[ "The", "final", "staging", "of", "the", "completely", "excised", "tumour", "was", "T3", "N0", "M0", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 17 ], [ 18, 20 ], [ 21, 24 ], [ 25, 35 ], [ 36, 43 ], [ 44, 50 ], [ 51, 54 ], [ 55, 57 ], [ 58, 60 ], [ 61, 63 ], [ 63, 64 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Following discharge, she was followed up regularly and remains symptom free.	[ "Following", "discharge", ",", "she", "was", "followed", "up", "regularly", "and", "remains", "symptom", "free", "." ]	[ [ 0, 9 ], [ 10, 19 ], [ 19, 20 ], [ 21, 24 ], [ 25, 28 ], [ 29, 37 ], [ 38, 40 ], [ 41, 50 ], [ 51, 54 ], [ 55, 62 ], [ 63, 70 ], [ 71, 75 ], [ 75, 76 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 2, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
A CT Scan performed 2 years after surgery showed no evidence of tumour recurrence.	[ "A", "CT", "Scan", "performed", "2", "years", "after", "surgery", "showed", "no", "evidence", "of", "tumour", "recurrence", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 19 ], [ 20, 21 ], [ 22, 27 ], [ 28, 33 ], [ 34, 41 ], [ 42, 48 ], [ 49, 51 ], [ 52, 60 ], [ 61, 63 ], [ 64, 70 ], [ 71, 81 ], [ 81, 82 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 4, 9, 0, 1, 1, 0, 1, 0, 0, 1, 0 ]
A 3-day-old boy from Kosovo with dextro-transposition of the great arteries who developed progressive heart failure required an emergency arterial switch operation.	[ "A", "3", "day", "old", "boy", "from", "Kosovo", "with", "dextro", "transposition", "of", "the", "great", "arteries", "who", "developed", "progressive", "heart", "failure", "required", "an", "emergency", "arterial", "switch", "operation", "." ]	[ [ 0, 1 ], [ 2, 3 ], [ 4, 7 ], [ 8, 11 ], [ 12, 15 ], [ 16, 20 ], [ 21, 27 ], [ 28, 32 ], [ 33, 39 ], [ 40, 53 ], [ 54, 56 ], [ 57, 60 ], [ 61, 66 ], [ 67, 75 ], [ 76, 79 ], [ 80, 89 ], [ 90, 101 ], [ 102, 107 ], [ 108, 115 ], [ 116, 124 ], [ 125, 127 ], [ 128, 137 ], [ 138, 146 ], [ 147, 153 ], [ 154, 163 ], [ 163, 164 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 1, 2, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4692816", "C0018801", "C0018801", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 7, 7, 0, 1, 6, 0, 3, 8, 8, 0, 0, 0, 3, 1, 0, 0, 0, 0, 0, 1, 0 ]
Because of persistent pulmonary edema after completion of the arterial switch operation at our institution, the patient could not be weaned off mechanical ventilation.	[ "Because", "of", "persistent", "pulmonary", "edema", "after", "completion", "of", "the", "arterial", "switch", "operation", "at", "our", "institution", ",", "the", "patient", "could", "not", "be", "weaned", "off", "mechanical", "ventilation", "." ]	[ [ 0, 7 ], [ 8, 10 ], [ 11, 21 ], [ 22, 31 ], [ 32, 37 ], [ 38, 43 ], [ 44, 54 ], [ 55, 57 ], [ 58, 61 ], [ 62, 70 ], [ 71, 77 ], [ 78, 87 ], [ 88, 90 ], [ 91, 94 ], [ 95, 106 ], [ 106, 107 ], [ 108, 111 ], [ 112, 119 ], [ 120, 125 ], [ 126, 129 ], [ 130, 132 ], [ 133, 139 ], [ 140, 143 ], [ 144, 154 ], [ 155, 166 ], [ 166, 167 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 2, 0, 0, 0, 1, 0, 0, 1, 0 ]
Transthoracic echocardiography revealed an anomalous accelerated flow, indicating an anomalous systemic pulmonary shunt.	[ "Transthoracic", "echocardiography", "revealed", "an", "anomalous", "accelerated", "flow", ",", "indicating", "an", "anomalous", "systemic", "pulmonary", "shunt", "." ]	[ [ 0, 13 ], [ 14, 30 ], [ 31, 39 ], [ 40, 42 ], [ 43, 52 ], [ 53, 64 ], [ 65, 69 ], [ 69, 70 ], [ 71, 81 ], [ 82, 84 ], [ 85, 94 ], [ 95, 103 ], [ 104, 113 ], [ 114, 119 ], [ 119, 120 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0 ]
Arterial catheterization revealed an abnormal bronchial artery originating from the left subclavian artery and bifurcating to both lungs.	[ "Arterial", "catheterization", "revealed", "an", "abnormal", "bronchial", "artery", "originating", "from", "the", "left", "subclavian", "artery", "and", "bifurcating", "to", "both", "lungs", "." ]	[ [ 0, 8 ], [ 9, 24 ], [ 25, 33 ], [ 34, 36 ], [ 37, 45 ], [ 46, 55 ], [ 56, 62 ], [ 63, 74 ], [ 75, 79 ], [ 80, 83 ], [ 84, 88 ], [ 89, 99 ], [ 100, 106 ], [ 107, 110 ], [ 111, 122 ], [ 123, 125 ], [ 126, 130 ], [ 131, 136 ], [ 136, 137 ] ]	[ 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUILESS", "CUILESS", "CUILESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 1, 3, 8, 8, 8, 1, 0, 3, 8, 8, 8, 0, 1, 0, 3, 8, 0 ]
The anomalous ectatic bronchial artery was successfully occluded by coil embolization.	[ "The", "anomalous", "ectatic", "bronchial", "artery", "was", "successfully", "occluded", "by", "coil", "embolization", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 21 ], [ 22, 31 ], [ 32, 38 ], [ 39, 42 ], [ 43, 55 ], [ 56, 64 ], [ 65, 67 ], [ 68, 72 ], [ 73, 85 ], [ 85, 86 ] ]	[ 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUILESS", "CUILESS", "CUILESS", "CUILESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 8, 0, 0, 1, 0, 0, 1, 0 ]
The improvement of the patient's hemodynamic status resulted in an uneventful post-operative course.	[ "The", "improvement", "of", "the", "patient", "'s", "hemodynamic", "status", "resulted", "in", "an", "uneventful", "post", "operative", "course", "." ]	[ [ 0, 3 ], [ 4, 15 ], [ 16, 18 ], [ 19, 22 ], [ 23, 30 ], [ 30, 32 ], [ 33, 44 ], [ 45, 51 ], [ 52, 60 ], [ 61, 63 ], [ 64, 66 ], [ 67, 77 ], [ 78, 82 ], [ 83, 92 ], [ 93, 99 ], [ 99, 100 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 2, 7, 7, 0, 0, 0, 0, 0, 0, 4, 9, 1, 0 ]
A 49-year-old white Caucasian woman presented with vaginal bleeding.	[ "A", "49", "year", "old", "white", "Caucasian", "woman", "presented", "with", "vaginal", "bleeding", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 13 ], [ 14, 19 ], [ 20, 29 ], [ 30, 35 ], [ 36, 45 ], [ 46, 50 ], [ 51, 58 ], [ 59, 67 ], [ 67, 68 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C2979982", "C2979982", "CUI_LESS" ]	[ 0, 2, 7, 7, 7, 7, 7, 1, 0, 0, 1, 0 ]
A pelvic examination revealed a cystic lesion arising from her cervix.	[ "A", "pelvic", "examination", "revealed", "a", "cystic", "lesion", "arising", "from", "her", "cervix", "." ]	[ [ 0, 1 ], [ 2, 8 ], [ 9, 20 ], [ 21, 29 ], [ 30, 31 ], [ 32, 38 ], [ 39, 45 ], [ 46, 53 ], [ 54, 58 ], [ 59, 62 ], [ 63, 69 ], [ 69, 70 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1511606", "C1511606", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 1, 0, 0, 1, 1, 0, 3, 8, 0 ]
Examination of a biopsy specimen revealed a poorly differentiated neoplasm, with sheets of small hyperchromatic cells, staining weakly for neuroendocrine markers.	[ "Examination", "of", "a", "biopsy", "specimen", "revealed", "a", "poorly", "differentiated", "neoplasm", ",", "with", "sheets", "of", "small", "hyperchromatic", "cells", ",", "staining", "weakly", "for", "neuroendocrine", "markers", "." ]	[ [ 0, 11 ], [ 12, 14 ], [ 15, 16 ], [ 17, 23 ], [ 24, 32 ], [ 33, 41 ], [ 42, 43 ], [ 44, 50 ], [ 51, 65 ], [ 66, 74 ], [ 74, 75 ], [ 76, 80 ], [ 81, 87 ], [ 88, 90 ], [ 91, 96 ], [ 97, 111 ], [ 112, 117 ], [ 117, 118 ], [ 119, 127 ], [ 128, 134 ], [ 135, 138 ], [ 139, 153 ], [ 154, 161 ], [ 161, 162 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
She was diagnosed with small cell carcinoma and started on concurrent chemotherapy and radiation.	[ "She", "was", "diagnosed", "with", "small", "cell", "carcinoma", "and", "started", "on", "concurrent", "chemotherapy", "and", "radiation", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 17 ], [ 18, 22 ], [ 23, 28 ], [ 29, 33 ], [ 34, 43 ], [ 44, 47 ], [ 48, 55 ], [ 56, 58 ], [ 59, 69 ], [ 70, 82 ], [ 83, 86 ], [ 87, 96 ], [ 96, 97 ] ]	[ 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0262584", "C0262584", "C0262584", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 3, 8, 1, 0, 1, 0, 0, 1, 0, 1, 0 ]
However, additional positive immunostaining for CD99 was strongly suggestive of Ewing's sarcoma.	[ "However", ",", "additional", "positive", "immunostaining", "for", "CD99", "was", "strongly", "suggestive", "of", "Ewing", "'s", "sarcoma", "." ]	[ [ 0, 7 ], [ 7, 8 ], [ 9, 19 ], [ 20, 28 ], [ 29, 43 ], [ 44, 47 ], [ 48, 52 ], [ 53, 56 ], [ 57, 65 ], [ 66, 76 ], [ 77, 79 ], [ 80, 85 ], [ 85, 87 ], [ 88, 95 ], [ 95, 96 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0553580", "C0553580", "C0553580", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
Fluorescence in situ hybridization revealed ESWR1 gene rearrangement, confirming Ewing's sarcoma.	[ "Fluorescence", "in", "situ", "hybridization", "revealed", "ESWR1", "gene", "rearrangement", ",", "confirming", "Ewing", "'s", "sarcoma", "." ]	[ [ 0, 12 ], [ 13, 15 ], [ 16, 20 ], [ 21, 34 ], [ 35, 43 ], [ 44, 49 ], [ 50, 54 ], [ 55, 68 ], [ 68, 69 ], [ 70, 80 ], [ 81, 86 ], [ 86, 88 ], [ 89, 96 ], [ 96, 97 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0553580", "C0553580", "C0553580", "CUI_LESS" ]	[ 0, 0, 0, 1, 1, 0, 0, 1, 0, 1, 0, 0, 1, 0 ]
Our patient underwent surgery, which confirmed stage IIB Ewing's sarcoma.	[ "Our", "patient", "underwent", "surgery", ",", "which", "confirmed", "stage", "IIB", "Ewing", "'s", "sarcoma", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 21 ], [ 22, 29 ], [ 29, 30 ], [ 31, 36 ], [ 37, 46 ], [ 47, 52 ], [ 53, 56 ], [ 57, 62 ], [ 62, 64 ], [ 65, 72 ], [ 72, 73 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0553580", "C0553580", "C0553580", "CUI_LESS" ]	[ 2, 7, 0, 1, 0, 0, 1, 0, 0, 0, 0, 1, 0 ]
She received adjuvant chemotherapy but died from progressive metastatic disease after four cycles.	[ "She", "received", "adjuvant", "chemotherapy", "but", "died", "from", "progressive", "metastatic", "disease", "after", "four", "cycles", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 21 ], [ 22, 34 ], [ 35, 38 ], [ 39, 43 ], [ 44, 48 ], [ 49, 60 ], [ 61, 71 ], [ 72, 79 ], [ 80, 85 ], [ 86, 90 ], [ 91, 97 ], [ 97, 98 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C2939419", "C2939419", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 0, 1, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0 ]
This case report describes the condition of a 30-year-old man involved in a motor vehicle collision.	[ "This", "case", "report", "describes", "the", "condition", "of", "a", "30", "year", "old", "man", "involved", "in", "a", "motor", "vehicle", "collision", "." ]	[ [ 0, 4 ], [ 5, 9 ], [ 10, 16 ], [ 17, 26 ], [ 27, 30 ], [ 31, 40 ], [ 41, 43 ], [ 44, 45 ], [ 46, 48 ], [ 49, 53 ], [ 54, 57 ], [ 58, 61 ], [ 62, 70 ], [ 71, 73 ], [ 74, 75 ], [ 76, 81 ], [ 82, 89 ], [ 90, 99 ], [ 99, 100 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 1, 0, 2, 7, 7, 7, 7, 1, 0, 0, 0, 0, 1, 0 ]
Clinical examination, X-rays, and computed tomography scan revealed a posterior hip dislocation with an ipsilateral femoral head and mid-shaft fractures.	[ "Clinical", "examination", ",", "X", "rays", ",", "and", "computed", "tomography", "scan", "revealed", "a", "posterior", "hip", "dislocation", "with", "an", "ipsilateral", "femoral", "head", "and", "mid", "shaft", "fractures", "." ]	[ [ 0, 8 ], [ 9, 20 ], [ 20, 21 ], [ 22, 23 ], [ 24, 28 ], [ 28, 29 ], [ 30, 33 ], [ 34, 42 ], [ 43, 53 ], [ 54, 58 ], [ 59, 67 ], [ 68, 69 ], [ 70, 79 ], [ 80, 83 ], [ 84, 95 ], [ 96, 100 ], [ 101, 103 ], [ 104, 115 ], [ 116, 123 ], [ 124, 128 ], [ 129, 132 ], [ 133, 136 ], [ 137, 142 ], [ 143, 152 ], [ 152, 153 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 1, 2, 2, 2, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0840688", "C0840688", "C0840688", "CUI_LESS", "CUI_LESS", null, null, null, null, "C2047309", "C2047309", "C2047309", "CUI_LESS" ]	[ 0, 1, 0, 1, 6, 0, 0, 0, 0, 1, 1, 0, 3, 8, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
The patient was treated by closed reduction of hip dislocation using a temporarily applied external fixator followed by intramedullary nailing of the femoral shaft.	[ "The", "patient", "was", "treated", "by", "closed", "reduction", "of", "hip", "dislocation", "using", "a", "temporarily", "applied", "external", "fixator", "followed", "by", "intramedullary", "nailing", "of", "the", "femoral", "shaft", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 23 ], [ 24, 26 ], [ 27, 33 ], [ 34, 43 ], [ 44, 46 ], [ 47, 50 ], [ 51, 62 ], [ 63, 68 ], [ 69, 70 ], [ 71, 82 ], [ 83, 90 ], [ 91, 99 ], [ 100, 107 ], [ 108, 116 ], [ 117, 119 ], [ 120, 134 ], [ 135, 142 ], [ 143, 145 ], [ 146, 149 ], [ 150, 157 ], [ 158, 163 ], [ 163, 164 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 1, 0, 0, 1, 0, 3, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 3, 8, 8, 0 ]
Achieving a closed reduction is a challenge with ipsilateral fractures but it should be favored over open reduction due to a lower risk of complications.	[ "Achieving", "a", "closed", "reduction", "is", "a", "challenge", "with", "ipsilateral", "fractures", "but", "it", "should", "be", "favored", "over", "open", "reduction", "due", "to", "a", "lower", "risk", "of", "complications", "." ]	[ [ 0, 9 ], [ 10, 11 ], [ 12, 18 ], [ 19, 28 ], [ 29, 31 ], [ 32, 33 ], [ 34, 43 ], [ 44, 48 ], [ 49, 60 ], [ 61, 70 ], [ 71, 74 ], [ 75, 77 ], [ 78, 84 ], [ 85, 87 ], [ 88, 95 ], [ 96, 100 ], [ 101, 105 ], [ 106, 115 ], [ 116, 119 ], [ 120, 122 ], [ 123, 124 ], [ 125, 130 ], [ 131, 135 ], [ 136, 138 ], [ 139, 152 ], [ 152, 153 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0 ]
The type of femoral head fracture, in this case, may have aided in an easier reduction.	[ "The", "type", "of", "femoral", "head", "fracture", ",", "in", "this", "case", ",", "may", "have", "aided", "in", "an", "easier", "reduction", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 11 ], [ 12, 19 ], [ 20, 24 ], [ 25, 33 ], [ 33, 34 ], [ 35, 37 ], [ 38, 42 ], [ 43, 47 ], [ 47, 48 ], [ 49, 52 ], [ 53, 57 ], [ 58, 63 ], [ 64, 66 ], [ 67, 69 ], [ 70, 76 ], [ 77, 86 ], [ 86, 87 ] ]	[ 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", null, null, null, "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 3, 8, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
We present here a case of Macrophage activation syndrome associated with Griscelli syndrome type 2 in a 3-years-old male born of consanguineous parentage.	[ "We", "present", "here", "a", "case", "of", "Macrophage", "activation", "syndrome", "associated", "with", "Griscelli", "syndrome", "type", "2", "in", "a", "3", "years", "old", "male", "born", "of", "consanguineous", "parentage", "." ]	[ [ 0, 2 ], [ 3, 10 ], [ 11, 15 ], [ 16, 17 ], [ 18, 22 ], [ 23, 25 ], [ 26, 36 ], [ 37, 47 ], [ 48, 56 ], [ 57, 67 ], [ 68, 72 ], [ 73, 82 ], [ 83, 91 ], [ 92, 96 ], [ 97, 98 ], [ 99, 101 ], [ 102, 103 ], [ 104, 105 ], [ 106, 111 ], [ 112, 115 ], [ 116, 120 ], [ 121, 125 ], [ 126, 128 ], [ 129, 143 ], [ 144, 153 ], [ 153, 154 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1096155", "C1096155", "C1096155", "CUI_LESS", "CUI_LESS", "C1868679", "C1868679", "C1868679", "C1868679", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 2, 7, 7, 7, 7, 0, 0, 0, 0, 0 ]
His birth histories, his familie social history and developmental milestones were unremarkable.	[ "His", "birth", "histories", ",", "his", "familie", "social", "history", "and", "developmental", "milestones", "were", "unremarkable", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 19 ], [ 19, 20 ], [ 21, 24 ], [ 25, 32 ], [ 33, 39 ], [ 40, 47 ], [ 48, 51 ], [ 52, 65 ], [ 66, 76 ], [ 77, 81 ], [ 82, 94 ], [ 94, 95 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
He was born at full term with no antenatal or perinatal complications, He was on exclusively breast-fed, food diversification was started at 6 months old, his weight, length and psychomotor development were within the normal range, the child was described as a good eater, was on a normal diet and was thriving appropriately.	[ "He", "was", "born", "at", "full", "term", "with", "no", "antenatal", "or", "perinatal", "complications", ",", "He", "was", "on", "exclusively", "breast", "fed", ",", "food", "diversification", "was", "started", "at", "6", "months", "old", ",", "his", "weight", ",", "length", "and", "psychomotor", "development", "were", "within", "the", "normal", "range", ",", "the", "child", "was", "described", "as", "a", "good", "eater", ",", "was", "on", "a", "normal", "diet", "and", "was", "thriving", "appropriately", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 11 ], [ 12, 14 ], [ 15, 19 ], [ 20, 24 ], [ 25, 29 ], [ 30, 32 ], [ 33, 42 ], [ 43, 45 ], [ 46, 55 ], [ 56, 69 ], [ 69, 70 ], [ 71, 73 ], [ 74, 77 ], [ 78, 80 ], [ 81, 92 ], [ 93, 99 ], [ 100, 103 ], [ 103, 104 ], [ 105, 109 ], [ 110, 125 ], [ 126, 129 ], [ 130, 137 ], [ 138, 140 ], [ 141, 142 ], [ 143, 149 ], [ 150, 153 ], [ 153, 154 ], [ 155, 158 ], [ 159, 165 ], [ 165, 166 ], [ 167, 173 ], [ 174, 177 ], [ 178, 189 ], [ 190, 201 ], [ 202, 206 ], [ 207, 213 ], [ 214, 217 ], [ 218, 224 ], [ 225, 230 ], [ 230, 231 ], [ 232, 235 ], [ 236, 241 ], [ 242, 245 ], [ 246, 255 ], [ 256, 258 ], [ 259, 260 ], [ 261, 265 ], [ 266, 271 ], [ 271, 272 ], [ 273, 276 ], [ 277, 279 ], [ 280, 281 ], [ 282, 288 ], [ 289, 293 ], [ 294, 297 ], [ 298, 301 ], [ 302, 310 ], [ 311, 324 ], [ 324, 325 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4060932", "C4060932", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 2, 0, 0, 0, 1, 6, 0, 0, 1, 0, 1, 0, 4, 9, 9, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 2, 7, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Furthermore the boy presented a progressive abdominal distension since birth, progressive pallor and recurrent episodes of fever since 1 year of age.	[ "Furthermore", "the", "boy", "presented", "a", "progressive", "abdominal", "distension", "since", "birth", ",", "progressive", "pallor", "and", "recurrent", "episodes", "of", "fever", "since", "1", "year", "of", "age", "." ]	[ [ 0, 11 ], [ 12, 15 ], [ 16, 19 ], [ 20, 29 ], [ 30, 31 ], [ 32, 43 ], [ 44, 53 ], [ 54, 64 ], [ 65, 70 ], [ 71, 76 ], [ 76, 77 ], [ 78, 89 ], [ 90, 96 ], [ 97, 100 ], [ 101, 110 ], [ 111, 119 ], [ 120, 122 ], [ 123, 128 ], [ 129, 134 ], [ 135, 136 ], [ 137, 141 ], [ 142, 144 ], [ 145, 148 ], [ 148, 149 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0000731", "C0000731", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0015967", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 2, 7, 1, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0, 0, 1, 4, 9, 9, 9, 9, 0 ]
There was history of blood transfusions for last 2 months.	[ "There", "was", "history", "of", "blood", "transfusions", "for", "last", "2", "months", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 17 ], [ 18, 20 ], [ 21, 26 ], [ 27, 39 ], [ 40, 43 ], [ 44, 48 ], [ 49, 50 ], [ 51, 57 ], [ 57, 58 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 1, 0, 4, 9, 9, 0 ]
On the other side there was no history of jaundice, vomiting, urinary or bowel complaints, bleeding from any site or neurological complaints.	[ "On", "the", "other", "side", "there", "was", "no", "history", "of", "jaundice", ",", "vomiting", ",", "urinary", "or", "bowel", "complaints", ",", "bleeding", "from", "any", "site", "or", "neurological", "complaints", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 12 ], [ 13, 17 ], [ 18, 23 ], [ 24, 27 ], [ 28, 30 ], [ 31, 38 ], [ 39, 41 ], [ 42, 50 ], [ 50, 51 ], [ 52, 60 ], [ 60, 61 ], [ 62, 69 ], [ 70, 72 ], [ 73, 78 ], [ 79, 89 ], [ 89, 90 ], [ 91, 99 ], [ 100, 104 ], [ 105, 108 ], [ 109, 113 ], [ 114, 116 ], [ 117, 129 ], [ 130, 140 ], [ 140, 141 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0022346", "CUI_LESS", "C0042963", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1401147", "C1401147", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
On admission, he was very pale with silvery gray scalp hair, white eyelashes, he was hypotonic, tachycardic, fever of 40°C, lymphoadenopathy and hepato-splenomegaly.	[ "On", "admission", ",", "he", "was", "very", "pale", "with", "silvery", "gray", "scalp", "hair", ",", "white", "eyelashes", ",", "he", "was", "hypotonic", ",", "tachycardic", ",", "fever", "of", "40°C", ",", "lymphoadenopathy", "and", "hepato", "splenomegaly", "." ]	[ [ 0, 2 ], [ 3, 12 ], [ 12, 13 ], [ 14, 16 ], [ 17, 20 ], [ 21, 25 ], [ 26, 30 ], [ 31, 35 ], [ 36, 43 ], [ 44, 48 ], [ 49, 54 ], [ 55, 59 ], [ 59, 60 ], [ 61, 66 ], [ 67, 76 ], [ 76, 77 ], [ 78, 80 ], [ 81, 84 ], [ 85, 94 ], [ 94, 95 ], [ 96, 107 ], [ 107, 108 ], [ 109, 114 ], [ 115, 117 ], [ 118, 122 ], [ 122, 123 ], [ 124, 140 ], [ 141, 144 ], [ 145, 151 ], [ 152, 164 ], [ 164, 165 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 1, 0, 0, 0, 1, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0241938", "CUI_LESS", "C0039231", "CUI_LESS", "C0015967", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1334458", "CUI_LESS", "C0019214", "C0019214", "CUI_LESS" ]	[ 0, 1, 0, 2, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 2, 0, 1, 0, 1, 0, 1, 0, 5, 0, 1, 0, 1, 6, 0 ]
The blood count showed pancytopenia; 1980 white blood cells/µL (VN 4000-13 500/µL), neutrophils 820/µL, 910 cells/µL, hemoglobin (Hb) 6.3 g/dL (11.5-14 VN, 5 g/dL), platelets 44 000/µL (VN 150 000-400 000/µL), There were no giant cytoplasmic granules in leucocytes.	[ "The", "blood", "count", "showed", "pancytopenia", ";", "1980", "white", "blood", "cells/µ", "L", "(", "VN", "4000-13", "500/µ", "L", ")", ",", "neutrophils", "820/µ", "L", ",", "910", "cells/µ", "L", ",", "hemoglobin", "(", "Hb", ")", "6.3", "g/d", "L", "(", "11.5-14", "VN", ",", "5", "g/d", "L", ")", ",", "platelets", "44", "000/µ", "L", "(", "VN", "150", "000-400", "000/µ", "L", ")", ",", "There", "were", "no", "giant", "cytoplasmic", "granules", "in", "leucocytes", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 15 ], [ 16, 22 ], [ 23, 35 ], [ 35, 36 ], [ 37, 41 ], [ 42, 47 ], [ 48, 53 ], [ 54, 61 ], [ 61, 62 ], [ 63, 64 ], [ 64, 66 ], [ 67, 74 ], [ 75, 80 ], [ 80, 81 ], [ 81, 82 ], [ 82, 83 ], [ 84, 95 ], [ 96, 101 ], [ 101, 102 ], [ 102, 103 ], [ 104, 107 ], [ 108, 115 ], [ 115, 116 ], [ 116, 117 ], [ 118, 128 ], [ 129, 130 ], [ 130, 132 ], [ 132, 133 ], [ 134, 137 ], [ 138, 141 ], [ 141, 142 ], [ 143, 144 ], [ 144, 151 ], [ 152, 154 ], [ 154, 155 ], [ 156, 157 ], [ 158, 161 ], [ 161, 162 ], [ 162, 163 ], [ 163, 164 ], [ 165, 174 ], [ 175, 177 ], [ 178, 183 ], [ 183, 184 ], [ 185, 186 ], [ 186, 188 ], [ 189, 192 ], [ 193, 200 ], [ 201, 206 ], [ 206, 207 ], [ 207, 208 ], [ 208, 209 ], [ 210, 215 ], [ 216, 220 ], [ 221, 223 ], [ 224, 229 ], [ 230, 241 ], [ 242, 250 ], [ 251, 253 ], [ 254, 264 ], [ 264, 265 ] ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0030312", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3670580", "C3670580", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 1, 0, 5, 10, 10, 10, 10, 0, 0, 0, 0, 0, 0, 0, 1, 5, 10, 0, 5, 10, 10, 0, 1, 0, 0, 0, 5, 10, 10, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 5, 10, 10, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]
The liver function tests were normal expect low albumin (2.1 mg/dL) and increased alkaline phosphatase (1196 mg/dL) with low fibrinogen (1.7g/l).	[ "The", "liver", "function", "tests", "were", "normal", "expect", "low", "albumin", "(", "2.1", "mg/d", "L", ")", "and", "increased", "alkaline", "phosphatase", "(", "1196", "mg/d", "L", ")", "with", "low", "fibrinogen", "(", "1.7g/l", ")", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 18 ], [ 19, 24 ], [ 25, 29 ], [ 30, 36 ], [ 37, 43 ], [ 44, 47 ], [ 48, 55 ], [ 56, 57 ], [ 57, 60 ], [ 61, 65 ], [ 65, 66 ], [ 66, 67 ], [ 68, 71 ], [ 72, 81 ], [ 82, 90 ], [ 91, 102 ], [ 103, 104 ], [ 104, 108 ], [ 109, 113 ], [ 113, 114 ], [ 114, 115 ], [ 116, 120 ], [ 121, 124 ], [ 125, 135 ], [ 136, 137 ], [ 137, 143 ], [ 143, 144 ], [ 144, 145 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0860864", "C0860864", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0151849", "C0151849", "C0151849", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1295715", "C1295715", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 5, 10, 10, 0, 0, 0, 0, 1, 0, 5, 10, 10, 0, 0, 0, 1, 0, 5, 0, 0 ]
Serum triglycerides, ferrintin and lactic dehydrogenase were very high; respectively 4.75g/L; 2763µg/L and 597U/L. the C reactive protein (CRP) was elevated at 83mg/l.	[ "Serum", "triglycerides", ",", "ferrintin", "and", "lactic", "dehydrogenase", "were", "very", "high", ";", "respectively", "4.75g/L", ";", "2763µg/L", "and", "597U/L", ".", "the", "C", "reactive", "protein", "(", "CRP", ")", "was", "elevated", "at", "83mg/l", "." ]	[ [ 0, 5 ], [ 6, 19 ], [ 19, 20 ], [ 21, 30 ], [ 31, 34 ], [ 35, 41 ], [ 42, 55 ], [ 56, 60 ], [ 61, 65 ], [ 66, 70 ], [ 70, 71 ], [ 72, 84 ], [ 85, 92 ], [ 92, 93 ], [ 94, 102 ], [ 103, 106 ], [ 107, 113 ], [ 113, 114 ], [ 115, 118 ], [ 119, 120 ], [ 121, 129 ], [ 130, 137 ], [ 138, 139 ], [ 139, 142 ], [ 142, 143 ], [ 144, 147 ], [ 148, 156 ], [ 157, 159 ], [ 160, 166 ], [ 166, 167 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 5, 0, 5, 0, 5, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 5, 0 ]
A chest X-ray was normal while the abdominal ultrasound showed a hepatomegaly and a splenomegaly, free biliary ducts without ascites.	[ "A", "chest", "X", "ray", "was", "normal", "while", "the", "abdominal", "ultrasound", "showed", "a", "hepatomegaly", "and", "a", "splenomegaly", ",", "free", "biliary", "ducts", "without", "ascites", "." ]	[ [ 0, 1 ], [ 2, 7 ], [ 8, 9 ], [ 10, 13 ], [ 14, 17 ], [ 18, 24 ], [ 25, 30 ], [ 31, 34 ], [ 35, 44 ], [ 45, 55 ], [ 56, 62 ], [ 63, 64 ], [ 65, 77 ], [ 78, 81 ], [ 82, 83 ], [ 84, 96 ], [ 96, 97 ], [ 98, 102 ], [ 103, 110 ], [ 111, 116 ], [ 117, 124 ], [ 125, 132 ], [ 132, 133 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0019209", "CUI_LESS", "CUI_LESS", "C0038002", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0003962", "CUI_LESS" ]	[ 0, 0, 1, 6, 0, 0, 0, 0, 0, 1, 1, 0, 1, 0, 0, 1, 0, 0, 0, 3, 0, 1, 0 ]
Because of hepato-splenomegaly, pancytopenia, hyperferritinemia and hypofibrinogenemia the diagnosis of Macrophage activation syndrome was evoked indicating a bone marrow aspiration that showed numerous morphologically benign macrophages with haemophagocytic activity that comforting the diagnosis of a SAM according to Ravelli and HLH-2004 criteria.	[ "Because", "of", "hepato", "splenomegaly", ",", "pancytopenia", ",", "hyperferritinemia", "and", "hypofibrinogenemia", "the", "diagnosis", "of", "Macrophage", "activation", "syndrome", "was", "evoked", "indicating", "a", "bone", "marrow", "aspiration", "that", "showed", "numerous", "morphologically", "benign", "macrophages", "with", "haemophagocytic", "activity", "that", "comforting", "the", "diagnosis", "of", "a", "SAM", "according", "to", "Ravelli", "and", "HLH", "2004", "criteria", "." ]	[ [ 0, 7 ], [ 8, 10 ], [ 11, 17 ], [ 18, 30 ], [ 30, 31 ], [ 32, 44 ], [ 44, 45 ], [ 46, 63 ], [ 64, 67 ], [ 68, 86 ], [ 87, 90 ], [ 91, 100 ], [ 101, 103 ], [ 104, 114 ], [ 115, 125 ], [ 126, 134 ], [ 135, 138 ], [ 139, 145 ], [ 146, 156 ], [ 157, 158 ], [ 159, 163 ], [ 164, 170 ], [ 171, 181 ], [ 182, 186 ], [ 187, 193 ], [ 194, 202 ], [ 203, 218 ], [ 219, 225 ], [ 226, 237 ], [ 238, 242 ], [ 243, 258 ], [ 259, 267 ], [ 268, 272 ], [ 273, 283 ], [ 284, 287 ], [ 288, 297 ], [ 298, 300 ], [ 301, 302 ], [ 303, 306 ], [ 307, 316 ], [ 317, 319 ], [ 320, 327 ], [ 328, 331 ], [ 332, 335 ], [ 336, 340 ], [ 341, 349 ], [ 349, 350 ] ]	[ 0, 0, 1, 2, 0, 1, 0, 1, 0, 1, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "C0019214", "C0019214", "CUI_LESS", "C0030312", "CUI_LESS", "C3854388", "CUI_LESS", "C0553681", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1096155", "C1096155", "C1096155", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1096155", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 6, 0, 1, 0, 1, 0, 1, 0, 1, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 3, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Blood culture, urine examination, malarial serology, Kala Azar serology, viral serologies such as EBV, hepatitis A, B, C and human immunodeficiency virus HIV, serologies of rickettsia, syphilis and toxoplasmosa were negatives.	[ "Blood", "culture", ",", "urine", "examination", ",", "malarial", "serology", ",", "Kala", "Azar", "serology", ",", "viral", "serologies", "such", "as", "EBV", ",", "hepatitis", "A", ",", "B", ",", "C", "and", "human", "immunodeficiency", "virus", "HIV", ",", "serologies", "of", "rickettsia", ",", "syphilis", "and", "toxoplasmosa", "were", "negatives", "." ]	[ [ 0, 5 ], [ 6, 13 ], [ 13, 14 ], [ 15, 20 ], [ 21, 32 ], [ 32, 33 ], [ 34, 42 ], [ 43, 51 ], [ 51, 52 ], [ 53, 57 ], [ 58, 62 ], [ 63, 71 ], [ 71, 72 ], [ 73, 78 ], [ 79, 89 ], [ 90, 94 ], [ 95, 97 ], [ 98, 101 ], [ 101, 102 ], [ 103, 112 ], [ 113, 114 ], [ 114, 115 ], [ 116, 117 ], [ 117, 118 ], [ 119, 120 ], [ 121, 124 ], [ 125, 130 ], [ 131, 147 ], [ 148, 153 ], [ 154, 157 ], [ 157, 158 ], [ 159, 169 ], [ 170, 172 ], [ 173, 183 ], [ 183, 184 ], [ 185, 193 ], [ 194, 197 ], [ 198, 210 ], [ 211, 215 ], [ 216, 225 ], [ 225, 226 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 1, 0, 0, 1, 0, 0, 0, 1, 0, 0, 1, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 1, 0, 1, 0, 1, 0 ]
Serologies of CMV and rubella showed an old immunization.	[ "Serologies", "of", "CMV", "and", "rubella", "showed", "an", "old", "immunization", "." ]	[ [ 0, 10 ], [ 11, 13 ], [ 14, 17 ], [ 18, 21 ], [ 22, 29 ], [ 30, 36 ], [ 37, 39 ], [ 40, 43 ], [ 44, 56 ], [ 56, 57 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
The immunological tests such as antinuclear antibodies (ANA), anti-LKM1, anti-mitochondria and anti-smooth muscle antibodies were negatives.	[ "The", "immunological", "tests", "such", "as", "antinuclear", "antibodies", "(", "ANA", ")", ",", "anti", "LKM1", ",", "anti", "mitochondria", "and", "anti", "smooth", "muscle", "antibodies", "were", "negatives", "." ]	[ [ 0, 3 ], [ 4, 17 ], [ 18, 23 ], [ 24, 28 ], [ 29, 31 ], [ 32, 43 ], [ 44, 54 ], [ 55, 56 ], [ 56, 59 ], [ 59, 60 ], [ 60, 61 ], [ 62, 66 ], [ 67, 71 ], [ 71, 72 ], [ 73, 77 ], [ 78, 90 ], [ 91, 94 ], [ 95, 99 ], [ 100, 106 ], [ 107, 113 ], [ 114, 124 ], [ 125, 129 ], [ 130, 139 ], [ 139, 140 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Because of the consanguineous family, notion of recurrent infection and the presence of silvery-gray color of the hair and eyebrows, diagnosis of Griscelli Syndrome was evoked directing a light microscopy examination of the hair that showed a large, irregular clumps of pigments characteristic of Griscelli Syndrome.	[ "Because", "of", "the", "consanguineous", "family", ",", "notion", "of", "recurrent", "infection", "and", "the", "presence", "of", "silvery", "gray", "color", "of", "the", "hair", "and", "eyebrows", ",", "diagnosis", "of", "Griscelli", "Syndrome", "was", "evoked", "directing", "a", "light", "microscopy", "examination", "of", "the", "hair", "that", "showed", "a", "large", ",", "irregular", "clumps", "of", "pigments", "characteristic", "of", "Griscelli", "Syndrome", "." ]	[ [ 0, 7 ], [ 8, 10 ], [ 11, 14 ], [ 15, 29 ], [ 30, 36 ], [ 36, 37 ], [ 38, 44 ], [ 45, 47 ], [ 48, 57 ], [ 58, 67 ], [ 68, 71 ], [ 72, 75 ], [ 76, 84 ], [ 85, 87 ], [ 88, 95 ], [ 96, 100 ], [ 101, 106 ], [ 107, 109 ], [ 110, 113 ], [ 114, 118 ], [ 119, 122 ], [ 123, 131 ], [ 131, 132 ], [ 133, 142 ], [ 143, 145 ], [ 146, 155 ], [ 156, 164 ], [ 165, 168 ], [ 169, 175 ], [ 176, 185 ], [ 186, 187 ], [ 188, 193 ], [ 194, 204 ], [ 205, 216 ], [ 217, 219 ], [ 220, 223 ], [ 224, 228 ], [ 229, 233 ], [ 234, 240 ], [ 241, 242 ], [ 243, 248 ], [ 248, 249 ], [ 250, 259 ], [ 260, 266 ], [ 267, 269 ], [ 270, 278 ], [ 279, 293 ], [ 294, 296 ], [ 297, 306 ], [ 307, 315 ], [ 315, 316 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0398794", "C0398794", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0398794", "C0398794", "CUI_LESS" ]	[ 0, 0, 0, 2, 7, 0, 0, 0, 1, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 3, 0, 3, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 3, 8, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]
The molecular biology showed mutation in RAB27A gene confirming the diagnosis of a Griscelli syndrome type 2.	[ "The", "molecular", "biology", "showed", "mutation", "in", "RAB27A", "gene", "confirming", "the", "diagnosis", "of", "a", "Griscelli", "syndrome", "type", "2", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 21 ], [ 22, 28 ], [ 29, 37 ], [ 38, 40 ], [ 41, 47 ], [ 48, 52 ], [ 53, 63 ], [ 64, 67 ], [ 68, 77 ], [ 78, 80 ], [ 81, 82 ], [ 83, 92 ], [ 93, 101 ], [ 102, 106 ], [ 107, 108 ], [ 108, 109 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1868679", "C1868679", "C1868679", "C1868679", "CUI_LESS" ]	[ 0, 0, 1, 1, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]
The first-line therapy in management of Macrophage activation syndrome complicating Griscelli syndrome type 2 was based on the parenteral administration of high doses of corticosteroids (methylprednisolone pulses 1g/0.73m 2 /day for 3 days then 60mg/m 2) with poor response; persisting with involvement of the 3 cell lines in the blood count, elevated ferritin and triglycerides.	[ "The", "first", "line", "therapy", "in", "management", "of", "Macrophage", "activation", "syndrome", "complicating", "Griscelli", "syndrome", "type", "2", "was", "based", "on", "the", "parenteral", "administration", "of", "high", "doses", "of", "corticosteroids", "(", "methylprednisolone", "pulses", "1g/0.73m", "2", "/", "day", "for", "3", "days", "then", "60mg/m", "2", ")", "with", "poor", "response", ";", "persisting", "with", "involvement", "of", "the", "3", "cell", "lines", "in", "the", "blood", "count", ",", "elevated", "ferritin", "and", "triglycerides", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 14 ], [ 15, 22 ], [ 23, 25 ], [ 26, 36 ], [ 37, 39 ], [ 40, 50 ], [ 51, 61 ], [ 62, 70 ], [ 71, 83 ], [ 84, 93 ], [ 94, 102 ], [ 103, 107 ], [ 108, 109 ], [ 110, 113 ], [ 114, 119 ], [ 120, 122 ], [ 123, 126 ], [ 127, 137 ], [ 138, 152 ], [ 153, 155 ], [ 156, 160 ], [ 161, 166 ], [ 167, 169 ], [ 170, 185 ], [ 186, 187 ], [ 187, 205 ], [ 206, 212 ], [ 213, 221 ], [ 222, 223 ], [ 224, 225 ], [ 225, 228 ], [ 229, 232 ], [ 233, 234 ], [ 235, 239 ], [ 240, 244 ], [ 245, 251 ], [ 252, 253 ], [ 253, 254 ], [ 255, 259 ], [ 260, 264 ], [ 265, 273 ], [ 273, 274 ], [ 275, 285 ], [ 286, 290 ], [ 291, 302 ], [ 303, 305 ], [ 306, 309 ], [ 310, 311 ], [ 312, 316 ], [ 317, 322 ], [ 323, 325 ], [ 326, 329 ], [ 330, 335 ], [ 336, 341 ], [ 341, 342 ], [ 343, 351 ], [ 352, 360 ], [ 361, 364 ], [ 365, 378 ], [ 378, 379 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1096155", "C1096155", "C1096155", "CUI_LESS", "C1868679", "C1868679", "C1868679", "C1868679", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Given the lack of response to steroids, Etoposide was started for 3 days associated with cyclophosphamide, the evolution was good with improvement of count blood cells, ferritin was lessening while the bone marrow showed decreased numerous of macrophages with low haemophagocytic activity.	[ "Given", "the", "lack", "of", "response", "to", "steroids", ",", "Etoposide", "was", "started", "for", "3", "days", "associated", "with", "cyclophosphamide", ",", "the", "evolution", "was", "good", "with", "improvement", "of", "count", "blood", "cells", ",", "ferritin", "was", "lessening", "while", "the", "bone", "marrow", "showed", "decreased", "numerous", "of", "macrophages", "with", "low", "haemophagocytic", "activity", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 14 ], [ 15, 17 ], [ 18, 26 ], [ 27, 29 ], [ 30, 38 ], [ 38, 39 ], [ 40, 49 ], [ 50, 53 ], [ 54, 61 ], [ 62, 65 ], [ 66, 67 ], [ 68, 72 ], [ 73, 83 ], [ 84, 88 ], [ 89, 105 ], [ 105, 106 ], [ 107, 110 ], [ 111, 120 ], [ 121, 124 ], [ 125, 129 ], [ 130, 134 ], [ 135, 146 ], [ 147, 149 ], [ 150, 155 ], [ 156, 161 ], [ 162, 167 ], [ 167, 168 ], [ 169, 177 ], [ 178, 181 ], [ 182, 191 ], [ 192, 197 ], [ 198, 201 ], [ 202, 206 ], [ 207, 213 ], [ 214, 220 ], [ 221, 230 ], [ 231, 239 ], [ 240, 242 ], [ 243, 254 ], [ 255, 259 ], [ 260, 263 ], [ 264, 279 ], [ 280, 288 ], [ 288, 289 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 1, 4, 9, 9, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 3, 8, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
On the other side the infectious process was good managed by perfusion of Antibiotics such as Ceftazidim in combination with aminoside.	[ "On", "the", "other", "side", "the", "infectious", "process", "was", "good", "managed", "by", "perfusion", "of", "Antibiotics", "such", "as", "Ceftazidim", "in", "combination", "with", "aminoside", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 12 ], [ 13, 17 ], [ 18, 21 ], [ 22, 32 ], [ 33, 40 ], [ 41, 44 ], [ 45, 49 ], [ 50, 57 ], [ 58, 60 ], [ 61, 70 ], [ 71, 73 ], [ 74, 85 ], [ 86, 90 ], [ 91, 93 ], [ 94, 104 ], [ 105, 107 ], [ 108, 119 ], [ 120, 124 ], [ 125, 134 ], [ 134, 135 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
The patient was sent home with prednisone and cyclosporine, He was placed on the list of bone marrow transplantation (BMT).	[ "The", "patient", "was", "sent", "home", "with", "prednisone", "and", "cyclosporine", ",", "He", "was", "placed", "on", "the", "list", "of", "bone", "marrow", "transplantation", "(", "BMT", ")", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 20 ], [ 21, 25 ], [ 26, 30 ], [ 31, 41 ], [ 42, 45 ], [ 46, 58 ], [ 58, 59 ], [ 60, 62 ], [ 63, 66 ], [ 67, 73 ], [ 74, 76 ], [ 77, 80 ], [ 81, 85 ], [ 86, 88 ], [ 89, 93 ], [ 94, 100 ], [ 101, 116 ], [ 117, 118 ], [ 118, 121 ], [ 121, 122 ], [ 122, 123 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 0, 1, 0, 1, 0, 1, 0, 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
A 23-year-old previously healthy man, presented to the hospital's emergency department, with a 3-day history of high-grade fever up to 40°C and upper right abdominal pain.	[ "A", "23", "year", "old", "previously", "healthy", "man", ",", "presented", "to", "the", "hospital", "'s", "emergency", "department", ",", "with", "a", "3", "day", "history", "of", "high", "grade", "fever", "up", "to", "40°C", "and", "upper", "right", "abdominal", "pain", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 13 ], [ 14, 24 ], [ 25, 32 ], [ 33, 36 ], [ 36, 37 ], [ 38, 47 ], [ 48, 50 ], [ 51, 54 ], [ 55, 63 ], [ 63, 65 ], [ 66, 75 ], [ 76, 86 ], [ 86, 87 ], [ 88, 92 ], [ 93, 94 ], [ 95, 96 ], [ 97, 100 ], [ 101, 108 ], [ 109, 111 ], [ 112, 116 ], [ 117, 122 ], [ 123, 128 ], [ 129, 131 ], [ 132, 134 ], [ 135, 139 ], [ 140, 143 ], [ 144, 149 ], [ 150, 155 ], [ 156, 165 ], [ 166, 170 ], [ 170, 171 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 1, 2, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0239573", "C0239573", "C0239573", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0235299", "C0235299", "C0235299", "C0235299", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 7, 7, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 4, 9, 0, 0, 0, 0, 1, 0, 0, 5, 0, 0, 0, 0, 1, 0 ]
The patient's past medical history was non-significant.	[ "The", "patient", "'s", "past", "medical", "history", "was", "non", "significant", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 11, 13 ], [ 14, 18 ], [ 19, 26 ], [ 27, 34 ], [ 35, 38 ], [ 39, 42 ], [ 43, 54 ], [ 54, 55 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 0, 0, 1, 0, 1, 6, 0 ]
He was a student and had not received any medication.	[ "He", "was", "a", "student", "and", "had", "not", "received", "any", "medication", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 8 ], [ 9, 16 ], [ 17, 20 ], [ 21, 24 ], [ 25, 28 ], [ 29, 37 ], [ 38, 41 ], [ 42, 52 ], [ 52, 53 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0 ]
He had a pet dog and reported no recent travel.	[ "He", "had", "a", "pet", "dog", "and", "reported", "no", "recent", "travel", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 8 ], [ 9, 12 ], [ 13, 16 ], [ 17, 20 ], [ 21, 29 ], [ 30, 32 ], [ 33, 39 ], [ 40, 46 ], [ 46, 47 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 1, 2, 7, 7, 0, 1, 0, 0, 1, 0 ]
During physical examination on admission, vital signs were normal and he was febrile with a body temperature of 38°C.	[ "During", "physical", "examination", "on", "admission", ",", "vital", "signs", "were", "normal", "and", "he", "was", "febrile", "with", "a", "body", "temperature", "of", "38°C", "." ]	[ [ 0, 6 ], [ 7, 15 ], [ 16, 27 ], [ 28, 30 ], [ 31, 40 ], [ 40, 41 ], [ 42, 47 ], [ 48, 53 ], [ 54, 58 ], [ 59, 65 ], [ 66, 69 ], [ 70, 72 ], [ 73, 76 ], [ 77, 84 ], [ 85, 89 ], [ 90, 91 ], [ 92, 96 ], [ 97, 108 ], [ 109, 111 ], [ 112, 116 ], [ 116, 117 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0015967", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 1, 0, 5, 0, 2, 0, 1, 0, 0, 0, 1, 0, 5, 0 ]
Abdominal examination revealed a tender palpable liver, with no signs of peritoneal irritation.	[ "Abdominal", "examination", "revealed", "a", "tender", "palpable", "liver", ",", "with", "no", "signs", "of", "peritoneal", "irritation", "." ]	[ [ 0, 9 ], [ 10, 21 ], [ 22, 30 ], [ 31, 32 ], [ 33, 39 ], [ 40, 48 ], [ 49, 54 ], [ 54, 55 ], [ 56, 60 ], [ 61, 63 ], [ 64, 69 ], [ 70, 72 ], [ 73, 83 ], [ 84, 94 ], [ 94, 95 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0031142", "C1706307", "CUI_LESS" ]	[ 0, 1, 1, 3, 8, 8, 8, 0, 0, 0, 1, 0, 0, 1, 0 ]
The remainder of physical examination was unremarkable.	[ "The", "remainder", "of", "physical", "examination", "was", "unremarkable", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 16 ], [ 17, 25 ], [ 26, 37 ], [ 38, 41 ], [ 42, 54 ], [ 54, 55 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 1, 0 ]
Abnormal laboratory results on admission included a white blood cell count (WBC) of 20.830 (4-10.5x10³/μL), elevated C-reactive protein (CRP) level (28mg/dl, normal ≤0.5mg/dl), slightly elevated alanine aminotransferase (ALT) of 56 IU/L (normal 5-40 IU/L), and lactic dehydrogenase (LDH) of 255 IU/L (normal <225 IU/L).	[ "Abnormal", "laboratory", "results", "on", "admission", "included", "a", "white", "blood", "cell", "count", "(", "WBC", ")", "of", "20.830", "(", "4-10.5x10³/μ", "L", ")", ",", "elevated", "C", "reactive", "protein", "(", "CRP", ")", "level", "(", "28mg/dl", ",", "normal", "≤", "0.5mg/dl", ")", ",", "slightly", "elevated", "alanine", "aminotransferase", "(", "ALT", ")", "of", "56", "IU/L", "(", "normal", "5-40", "IU/L", ")", ",", "and", "lactic", "dehydrogenase", "(", "LDH", ")", "of", "255", "IU/L", "(", "normal", "<", "225", "IU/L", ")", "." ]	[ [ 0, 8 ], [ 9, 19 ], [ 20, 27 ], [ 28, 30 ], [ 31, 40 ], [ 41, 49 ], [ 50, 51 ], [ 52, 57 ], [ 58, 63 ], [ 64, 68 ], [ 69, 74 ], [ 75, 76 ], [ 76, 79 ], [ 79, 80 ], [ 81, 83 ], [ 84, 90 ], [ 91, 92 ], [ 92, 104 ], [ 104, 105 ], [ 105, 106 ], [ 106, 107 ], [ 108, 116 ], [ 117, 118 ], [ 119, 127 ], [ 128, 135 ], [ 136, 137 ], [ 137, 140 ], [ 140, 141 ], [ 142, 147 ], [ 148, 149 ], [ 149, 156 ], [ 156, 157 ], [ 158, 164 ], [ 165, 166 ], [ 166, 174 ], [ 174, 175 ], [ 175, 176 ], [ 177, 185 ], [ 186, 194 ], [ 195, 202 ], [ 203, 219 ], [ 220, 221 ], [ 221, 224 ], [ 224, 225 ], [ 226, 228 ], [ 229, 231 ], [ 232, 236 ], [ 237, 238 ], [ 238, 244 ], [ 245, 249 ], [ 250, 254 ], [ 254, 255 ], [ 255, 256 ], [ 257, 260 ], [ 261, 267 ], [ 268, 281 ], [ 282, 283 ], [ 283, 286 ], [ 286, 287 ], [ 288, 290 ], [ 291, 294 ], [ 295, 299 ], [ 300, 301 ], [ 301, 307 ], [ 308, 309 ], [ 309, 312 ], [ 313, 317 ], [ 317, 318 ], [ 318, 319 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 5, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 5, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 5, 10, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 5, 10, 0, 0, 0, 0, 0, 0, 0 ]
Alkaline phosphatase (ALP) was normal.	[ "Alkaline", "phosphatase", "(", "ALP", ")", "was", "normal", "." ]	[ [ 0, 8 ], [ 9, 20 ], [ 21, 22 ], [ 22, 25 ], [ 25, 26 ], [ 27, 30 ], [ 31, 37 ], [ 37, 38 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 1, 0, 0, 5, 0 ]
Abdominal ultrasonography on admission revealed a mildly enlarged liver and spleen and the presence of 2 sizable, hypoechoic lesions.	[ "Abdominal", "ultrasonography", "on", "admission", "revealed", "a", "mildly", "enlarged", "liver", "and", "spleen", "and", "the", "presence", "of", "2", "sizable", ",", "hypoechoic", "lesions", "." ]	[ [ 0, 9 ], [ 10, 25 ], [ 26, 28 ], [ 29, 38 ], [ 39, 47 ], [ 48, 49 ], [ 50, 56 ], [ 57, 65 ], [ 66, 71 ], [ 72, 75 ], [ 76, 82 ], [ 83, 86 ], [ 87, 90 ], [ 91, 99 ], [ 100, 102 ], [ 103, 104 ], [ 105, 112 ], [ 112, 113 ], [ 114, 124 ], [ 125, 132 ], [ 132, 133 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0019209", "C0019209", "C0038002", "C0038002", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 1, 3, 8, 8, 8, 0, 3, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]
Abdominal computed tomography (CT) scan revealed the 2 aforementioned lesions in diameter of 5.6cm at the left liver lobe and 5.2cm in the right lobe.	[ "Abdominal", "computed", "tomography", "(", "CT", ")", "scan", "revealed", "the", "2", "aforementioned", "lesions", "in", "diameter", "of", "5.6cm", "at", "the", "left", "liver", "lobe", "and", "5.2cm", "in", "the", "right", "lobe", "." ]	[ [ 0, 9 ], [ 10, 18 ], [ 19, 29 ], [ 30, 31 ], [ 31, 33 ], [ 33, 34 ], [ 35, 39 ], [ 40, 48 ], [ 49, 52 ], [ 53, 54 ], [ 55, 69 ], [ 70, 77 ], [ 78, 80 ], [ 81, 89 ], [ 90, 92 ], [ 93, 98 ], [ 99, 101 ], [ 102, 105 ], [ 106, 110 ], [ 111, 116 ], [ 117, 121 ], [ 122, 125 ], [ 126, 131 ], [ 132, 134 ], [ 135, 138 ], [ 139, 144 ], [ 145, 149 ], [ 149, 150 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0221198", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 1, 1, 0, 0, 0, 1, 0, 1, 0, 5, 0, 3, 8, 8, 8, 0, 5, 0, 3, 8, 8, 0 ]
The lesions were hypodense and presented peripheral enhancement after intravenous contrast, similar to the morphology of hepatic abscesses.	[ "The", "lesions", "were", "hypodense", "and", "presented", "peripheral", "enhancement", "after", "intravenous", "contrast", ",", "similar", "to", "the", "morphology", "of", "hepatic", "abscesses", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 16 ], [ 17, 26 ], [ 27, 30 ], [ 31, 40 ], [ 41, 51 ], [ 52, 63 ], [ 64, 69 ], [ 70, 81 ], [ 82, 90 ], [ 90, 91 ], [ 92, 99 ], [ 100, 102 ], [ 103, 106 ], [ 107, 117 ], [ 118, 120 ], [ 121, 128 ], [ 129, 138 ], [ 138, 139 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "C0221198", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0023885", "C0023885", "CUI_LESS" ]	[ 0, 1, 0, 1, 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]
The patient was admitted for further evaluation and treatment.	[ "The", "patient", "was", "admitted", "for", "further", "evaluation", "and", "treatment", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 24 ], [ 25, 28 ], [ 29, 36 ], [ 37, 47 ], [ 48, 51 ], [ 52, 61 ], [ 61, 62 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 1, 0, 0, 1, 0, 1, 0 ]
Culture guided antimicrobials and appropriate drainage was our first option.	[ "Culture", "guided", "antimicrobials", "and", "appropriate", "drainage", "was", "our", "first", "option", "." ]	[ [ 0, 7 ], [ 8, 14 ], [ 15, 29 ], [ 30, 33 ], [ 34, 45 ], [ 46, 54 ], [ 55, 58 ], [ 59, 62 ], [ 63, 68 ], [ 69, 75 ], [ 75, 76 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0 ]
Empiric antibiotic therapy with intravenous ciprofloxacin (400mg every 12 hours), and metronidazole (500mg every 8 hours) was initiated.	[ "Empiric", "antibiotic", "therapy", "with", "intravenous", "ciprofloxacin", "(", "400mg", "every", "12", "hours", ")", ",", "and", "metronidazole", "(", "500mg", "every", "8", "hours", ")", "was", "initiated", "." ]	[ [ 0, 7 ], [ 8, 18 ], [ 19, 26 ], [ 27, 31 ], [ 32, 43 ], [ 44, 57 ], [ 58, 59 ], [ 59, 64 ], [ 65, 70 ], [ 71, 73 ], [ 74, 79 ], [ 79, 80 ], [ 80, 81 ], [ 82, 85 ], [ 86, 99 ], [ 100, 101 ], [ 101, 106 ], [ 107, 112 ], [ 113, 114 ], [ 115, 120 ], [ 120, 121 ], [ 122, 125 ], [ 126, 135 ], [ 135, 136 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]
All cultures resulted negative.	[ "All", "cultures", "resulted", "negative", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 21 ], [ 22, 30 ], [ 30, 31 ] ]	[ 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 5, 0 ]
Initially, we performed percutaneous sonographic (U/S) guided aspiration into the left hepatic abscess cavity.	[ "Initially", ",", "we", "performed", "percutaneous", "sonographic", "(", "U/S", ")", "guided", "aspiration", "into", "the", "left", "hepatic", "abscess", "cavity", "." ]	[ [ 0, 9 ], [ 9, 10 ], [ 11, 13 ], [ 14, 23 ], [ 24, 36 ], [ 37, 48 ], [ 49, 50 ], [ 50, 53 ], [ 53, 54 ], [ 55, 61 ], [ 62, 72 ], [ 73, 77 ], [ 78, 81 ], [ 82, 86 ], [ 87, 94 ], [ 95, 102 ], [ 103, 109 ], [ 109, 110 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 2, 0, 0, 0, 0, 0, 0, 0, 1, 0, 3, 8, 8, 8, 8, 0 ]
A thick, purulent material of 40cc was drained and sent for culture.	[ "A", "thick", ",", "purulent", "material", "of", "40cc", "was", "drained", "and", "sent", "for", "culture", "." ]	[ [ 0, 1 ], [ 2, 7 ], [ 7, 8 ], [ 9, 17 ], [ 18, 26 ], [ 27, 29 ], [ 30, 34 ], [ 35, 38 ], [ 39, 46 ], [ 47, 50 ], [ 51, 55 ], [ 56, 59 ], [ 60, 67 ], [ 67, 68 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0 ]
Microbiology revealed a Gram-negative bacterium that presented slow growth.	[ "Microbiology", "revealed", "a", "Gram", "negative", "bacterium", "that", "presented", "slow", "growth", "." ]	[ [ 0, 12 ], [ 13, 21 ], [ 22, 23 ], [ 24, 28 ], [ 29, 37 ], [ 38, 47 ], [ 48, 52 ], [ 53, 62 ], [ 63, 67 ], [ 68, 74 ], [ 74, 75 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 1, 0, 0, 0, 1, 0, 0, 0, 1, 0 ]
On the 5th and 8th days of admission, we performed CT guided catheter drainage of both abscesses.	[ "On", "the", "5th", "and", "8th", "days", "of", "admission", ",", "we", "performed", "CT", "guided", "catheter", "drainage", "of", "both", "abscesses", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 10 ], [ 11, 14 ], [ 15, 18 ], [ 19, 23 ], [ 24, 26 ], [ 27, 36 ], [ 36, 37 ], [ 38, 40 ], [ 41, 50 ], [ 51, 53 ], [ 54, 60 ], [ 61, 69 ], [ 70, 78 ], [ 79, 81 ], [ 82, 86 ], [ 87, 96 ], [ 96, 97 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0000833", "CUI_LESS" ]	[ 0, 4, 9, 0, 4, 9, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
Meanwhile irregular spikes of fever with daytime variation accompanied by night sweats persisted.	[ "Meanwhile", "irregular", "spikes", "of", "fever", "with", "daytime", "variation", "accompanied", "by", "night", "sweats", "persisted", "." ]	[ [ 0, 9 ], [ 10, 19 ], [ 20, 26 ], [ 27, 29 ], [ 30, 35 ], [ 36, 40 ], [ 41, 48 ], [ 49, 58 ], [ 59, 70 ], [ 71, 73 ], [ 74, 79 ], [ 80, 86 ], [ 87, 96 ], [ 96, 97 ] ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 2, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0015967", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0028081", "C0028081", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 4, 1, 0, 0, 4, 1, 1, 0 ]
Ciprofloxacin discontinued and meropenem at a dose of 1gr every 8 hours administered.	[ "Ciprofloxacin", "discontinued", "and", "meropenem", "at", "a", "dose", "of", "1gr", "every", "8", "hours", "administered", "." ]	[ [ 0, 13 ], [ 14, 26 ], [ 27, 30 ], [ 31, 40 ], [ 41, 43 ], [ 44, 45 ], [ 46, 50 ], [ 51, 53 ], [ 54, 57 ], [ 58, 63 ], [ 64, 65 ], [ 66, 71 ], [ 72, 84 ], [ 84, 85 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]
Thorough screening for other possible sources of infection, resulted negative.	[ "Thorough", "screening", "for", "other", "possible", "sources", "of", "infection", ",", "resulted", "negative", "." ]	[ [ 0, 8 ], [ 9, 18 ], [ 19, 22 ], [ 23, 28 ], [ 29, 37 ], [ 38, 45 ], [ 46, 48 ], [ 49, 58 ], [ 58, 59 ], [ 60, 68 ], [ 69, 77 ], [ 77, 78 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3714514", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 5, 0 ]
Transthoracic echocardiography was negative for vegetations and showed mild mitral regurgitation.	[ "Transthoracic", "echocardiography", "was", "negative", "for", "vegetations", "and", "showed", "mild", "mitral", "regurgitation", "." ]	[ [ 0, 13 ], [ 14, 30 ], [ 31, 34 ], [ 35, 43 ], [ 44, 47 ], [ 48, 59 ], [ 60, 63 ], [ 64, 70 ], [ 71, 75 ], [ 76, 82 ], [ 83, 96 ], [ 96, 97 ] ]	[ 0, 0, 0, 0, 0, 1, 0, 0, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1285498", "CUI_LESS", "CUI_LESS", "C3551535", "C3551535", "C3551535", "CUI_LESS" ]	[ 0, 1, 0, 5, 0, 1, 0, 1, 0, 0, 1, 0 ]
Entamoeba histolytica Abs, echinococcus Abs, leismania Abs, brucella Abs were negative.	[ "Entamoeba", "histolytica", "Abs", ",", "echinococcus", "Abs", ",", "leismania", "Abs", ",", "brucella", "Abs", "were", "negative", "." ]	[ [ 0, 9 ], [ 10, 21 ], [ 22, 25 ], [ 25, 26 ], [ 27, 39 ], [ 40, 43 ], [ 43, 44 ], [ 45, 54 ], [ 55, 58 ], [ 58, 59 ], [ 60, 68 ], [ 69, 72 ], [ 73, 77 ], [ 78, 86 ], [ 86, 87 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 1, 0, 0, 0, 1, 0, 0, 1, 0, 0, 1, 0, 0, 5, 0 ]
Gastrointestinal endoscopic evaluation was unrevealing.	[ "Gastrointestinal", "endoscopic", "evaluation", "was", "unrevealing", "." ]	[ [ 0, 16 ], [ 17, 27 ], [ 28, 38 ], [ 39, 42 ], [ 43, 54 ], [ 54, 55 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 5, 0 ]
The patient was also HIV negative and no other immunodeficiency conditions were identified.	[ "The", "patient", "was", "also", "HIV", "negative", "and", "no", "other", "immunodeficiency", "conditions", "were", "identified", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 20 ], [ 21, 24 ], [ 25, 33 ], [ 34, 37 ], [ 38, 40 ], [ 41, 46 ], [ 47, 63 ], [ 64, 74 ], [ 75, 79 ], [ 80, 90 ], [ 90, 91 ] ]	[ 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0481430", "C0481430", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0 ]
Eventually, the isolate identified by the Vitek 2 automated system and classified as A. aphrophilus.	[ "Eventually", ",", "the", "isolate", "identified", "by", "the", "Vitek", "2", "automated", "system", "and", "classified", "as", "A", ".", "aphrophilus", "." ]	[ [ 0, 10 ], [ 10, 11 ], [ 12, 15 ], [ 16, 23 ], [ 24, 34 ], [ 35, 37 ], [ 38, 41 ], [ 42, 47 ], [ 48, 49 ], [ 50, 59 ], [ 60, 66 ], [ 67, 70 ], [ 71, 81 ], [ 82, 84 ], [ 85, 86 ], [ 86, 87 ], [ 88, 99 ], [ 99, 100 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
To confirm the identification of the strain we performed matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS).	[ "To", "confirm", "the", "identification", "of", "the", "strain", "we", "performed", "matrix", "assisted", "laser", "desorption", "ionization", "time", "of", "flight", "mass", "spectrometry", "(", "MALDI", "TOF", "MS", ")", "." ]	[ [ 0, 2 ], [ 3, 10 ], [ 11, 14 ], [ 15, 29 ], [ 30, 32 ], [ 33, 36 ], [ 37, 43 ], [ 44, 46 ], [ 47, 56 ], [ 57, 63 ], [ 64, 72 ], [ 73, 78 ], [ 79, 89 ], [ 90, 100 ], [ 101, 105 ], [ 106, 108 ], [ 109, 115 ], [ 116, 120 ], [ 121, 133 ], [ 134, 135 ], [ 135, 140 ], [ 141, 144 ], [ 145, 147 ], [ 147, 148 ], [ 148, 149 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUILESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]
The sensitivity test was performed with minimal inhibitory concentration (MIC) test strips; the isolate's susceptibility was to ceftriaxone ≤0.125 (S), cefepime ≤0.5 (S), ciprofloxacin ≤0.125 (S), gentamycin ≤0.5 (S), amikacin ≤0.125 (S) and to meropenem ≤0.032 (S).	[ "The", "sensitivity", "test", "was", "performed", "with", "minimal", "inhibitory", "concentration", "(", "MIC", ")", "test", "strips", ";", "the", "isolate", "'s", "susceptibility", "was", "to", "ceftriaxone", "≤", "0.125", "(", "S", ")", ",", "cefepime", "≤", "0.5", "(", "S", ")", ",", "ciprofloxacin", "≤", "0.125", "(", "S", ")", ",", "gentamycin", "≤", "0.5", "(", "S", ")", ",", "amikacin", "≤", "0.125", "(", "S", ")", "and", "to", "meropenem", "≤", "0.032", "(", "S", ")", "." ]	[ [ 0, 3 ], [ 4, 15 ], [ 16, 20 ], [ 21, 24 ], [ 25, 34 ], [ 35, 39 ], [ 40, 47 ], [ 48, 58 ], [ 59, 72 ], [ 73, 74 ], [ 74, 77 ], [ 77, 78 ], [ 79, 83 ], [ 84, 90 ], [ 90, 91 ], [ 92, 95 ], [ 96, 103 ], [ 103, 105 ], [ 106, 120 ], [ 121, 124 ], [ 125, 127 ], [ 128, 139 ], [ 140, 141 ], [ 141, 146 ], [ 147, 148 ], [ 148, 149 ], [ 149, 150 ], [ 150, 151 ], [ 152, 160 ], [ 161, 162 ], [ 162, 165 ], [ 166, 167 ], [ 167, 168 ], [ 168, 169 ], [ 169, 170 ], [ 171, 184 ], [ 185, 186 ], [ 186, 191 ], [ 192, 193 ], [ 193, 194 ], [ 194, 195 ], [ 195, 196 ], [ 197, 207 ], [ 208, 209 ], [ 209, 212 ], [ 213, 214 ], [ 214, 215 ], [ 215, 216 ], [ 216, 217 ], [ 218, 226 ], [ 227, 228 ], [ 228, 233 ], [ 234, 235 ], [ 235, 236 ], [ 236, 237 ], [ 238, 241 ], [ 242, 244 ], [ 245, 254 ], [ 255, 256 ], [ 256, 261 ], [ 262, 263 ], [ 263, 264 ], [ 264, 265 ], [ 265, 266 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 5, 10, 0, 0, 0, 0, 1, 5, 10, 0, 0, 0, 0, 1, 5, 10, 0, 0, 0, 0, 1, 5, 10, 0, 0, 0, 0, 1, 5, 10, 0, 0, 0, 0, 0, 1, 5, 10, 0, 0, 0, 0 ]
Percutaneous drainage of both abscesses, combined with antimicrobial treatment, was successful and the patient's clinical condition improved.	[ "Percutaneous", "drainage", "of", "both", "abscesses", ",", "combined", "with", "antimicrobial", "treatment", ",", "was", "successful", "and", "the", "patient", "'s", "clinical", "condition", "improved", "." ]	[ [ 0, 12 ], [ 13, 21 ], [ 22, 24 ], [ 25, 29 ], [ 30, 39 ], [ 39, 40 ], [ 41, 49 ], [ 50, 54 ], [ 55, 68 ], [ 69, 78 ], [ 78, 79 ], [ 80, 83 ], [ 84, 94 ], [ 95, 98 ], [ 99, 102 ], [ 103, 110 ], [ 110, 112 ], [ 113, 121 ], [ 122, 131 ], [ 132, 140 ], [ 140, 141 ] ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0000833", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0, 2, 7, 7, 0, 1, 1, 0 ]
Thankfully, no surgical procedure was required.	[ "Thankfully", ",", "no", "surgical", "procedure", "was", "required", "." ]	[ [ 0, 10 ], [ 10, 11 ], [ 12, 14 ], [ 15, 23 ], [ 24, 33 ], [ 34, 37 ], [ 38, 46 ], [ 46, 47 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 0, 0 ]
The drains were removed immediately the fluid from the abscess cavities became clear.	[ "The", "drains", "were", "removed", "immediately", "the", "fluid", "from", "the", "abscess", "cavities", "became", "clear", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 15 ], [ 16, 23 ], [ 24, 35 ], [ 36, 39 ], [ 40, 45 ], [ 46, 50 ], [ 51, 54 ], [ 55, 62 ], [ 63, 71 ], [ 72, 78 ], [ 79, 84 ], [ 84, 85 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0000833", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 0, 0, 3, 8, 8, 0, 1, 0 ]
Meropenem was administered for a total of 2 weeks.	[ "Meropenem", "was", "administered", "for", "a", "total", "of", "2", "weeks", "." ]	[ [ 0, 9 ], [ 10, 13 ], [ 14, 26 ], [ 27, 30 ], [ 31, 32 ], [ 33, 38 ], [ 39, 41 ], [ 42, 43 ], [ 44, 49 ], [ 49, 50 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 4, 9, 9, 9, 9, 0 ]

However, the general and mental condition was relatively better.

[ "However", ",", "the", "general", "and", "mental", "condition", "was", "relatively", "better", "." ]

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[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0 ]

The patient was discharged from the hospital.

[ "The", "patient", "was", "discharged", "from", "the", "hospital", "." ]

[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 26 ], [ 27, 31 ], [ 32, 35 ], [ 36, 44 ], [ 44, 45 ] ]

[ 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

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A 57 year old lady presented to a peripheral hospital with complaints of penetrating epigastric pain of a week’s duration.

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There was no vomiting or weight loss.

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Bowel movements were normal.

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Clinical examination at the time was unrevealing.

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An abdominal ultrasound examination was reported as normal.

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The patient’s insistence on full investigation of the persistent epigastric pain led to a computed tomographic examination and discovery of a pancreatic tumour subsequent to which she was referred to our institution.

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The CT scan showed a large tumour (6cm in largest diameter) in the body and tail of pancreas with no evidence of metastasis.

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She was prepared for exploratory laparotomy.

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The pancreas was explored through the gastrocolic omentum.

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The body and tail of the pancreas including the tumour were resected.

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The spleen was also removed.

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The end of the pancreas was suture ligated.

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Her post-operative recovery was uneventful.

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Histological examination of the specimen showed a well circumscribed ovoid tumour 60mm x 50mm across.

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Sections revealed islands and trabeculae of regular cells with variable amounts of eosinophilic cytoplasm, mostly regular nuclei with indistinct nucleoli.

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Areas of necrosis were present with hemorrhage.

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A fibrous pseudo-capsule was noted around the tumour and the resection of the tumour appeared complete.

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No capsular of vascular invasion was seen.

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Immuno-peroxidase staining was positive for chromogranin A.

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Synaptophysin was strongly positive, CD10 was negative, Ki-67 was less than 2% positive and the mitotic count was between 2-20 per 10 hpf.

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The staining reactions were confirmatory of a neuroendocrine carcinoma of the pancreas.

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The final staging of the completely excised tumour was T3 N0 M0.

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Following discharge, she was followed up regularly and remains symptom free.

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A CT Scan performed 2 years after surgery showed no evidence of tumour recurrence.

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A 3-day-old boy from Kosovo with dextro-transposition of the great arteries who developed progressive heart failure required an emergency arterial switch operation.

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Because of persistent pulmonary edema after completion of the arterial switch operation at our institution, the patient could not be weaned off mechanical ventilation.

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Transthoracic echocardiography revealed an anomalous accelerated flow, indicating an anomalous systemic pulmonary shunt.

[ "Transthoracic", "echocardiography", "revealed", "an", "anomalous", "accelerated", "flow", ",", "indicating", "an", "anomalous", "systemic", "pulmonary", "shunt", "." ]

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Arterial catheterization revealed an abnormal bronchial artery originating from the left subclavian artery and bifurcating to both lungs.

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The anomalous ectatic bronchial artery was successfully occluded by coil embolization.

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The improvement of the patient's hemodynamic status resulted in an uneventful post-operative course.

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A 49-year-old white Caucasian woman presented with vaginal bleeding.

[ "A", "49", "year", "old", "white", "Caucasian", "woman", "presented", "with", "vaginal", "bleeding", "." ]

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A pelvic examination revealed a cystic lesion arising from her cervix.

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Examination of a biopsy specimen revealed a poorly differentiated neoplasm, with sheets of small hyperchromatic cells, staining weakly for neuroendocrine markers.

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She was diagnosed with small cell carcinoma and started on concurrent chemotherapy and radiation.

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However, additional positive immunostaining for CD99 was strongly suggestive of Ewing's sarcoma.

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Fluorescence in situ hybridization revealed ESWR1 gene rearrangement, confirming Ewing's sarcoma.

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Our patient underwent surgery, which confirmed stage IIB Ewing's sarcoma.

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She received adjuvant chemotherapy but died from progressive metastatic disease after four cycles.

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This case report describes the condition of a 30-year-old man involved in a motor vehicle collision.

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Clinical examination, X-rays, and computed tomography scan revealed a posterior hip dislocation with an ipsilateral femoral head and mid-shaft fractures.

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The patient was treated by closed reduction of hip dislocation using a temporarily applied external fixator followed by intramedullary nailing of the femoral shaft.

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Achieving a closed reduction is a challenge with ipsilateral fractures but it should be favored over open reduction due to a lower risk of complications.

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The type of femoral head fracture, in this case, may have aided in an easier reduction.

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We present here a case of Macrophage activation syndrome associated with Griscelli syndrome type 2 in a 3-years-old male born of consanguineous parentage.

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His birth histories, his familie social history and developmental milestones were unremarkable.

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He was born at full term with no antenatal or perinatal complications, He was on exclusively breast-fed, food diversification was started at 6 months old, his weight, length and psychomotor development were within the normal range, the child was described as a good eater, was on a normal diet and was thriving appropriately.

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Furthermore the boy presented a progressive abdominal distension since birth, progressive pallor and recurrent episodes of fever since 1 year of age.

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There was history of blood transfusions for last 2 months.

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On the other side there was no history of jaundice, vomiting, urinary or bowel complaints, bleeding from any site or neurological complaints.

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On admission, he was very pale with silvery gray scalp hair, white eyelashes, he was hypotonic, tachycardic, fever of 40°C, lymphoadenopathy and hepato-splenomegaly.

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The blood count showed pancytopenia; 1980 white blood cells/µL (VN 4000-13 500/µL), neutrophils 820/µL, 910 cells/µL, hemoglobin (Hb) 6.3 g/dL (11.5-14 VN, 5 g/dL), platelets 44 000/µL (VN 150 000-400 000/µL), There were no giant cytoplasmic granules in leucocytes.

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The liver function tests were normal expect low albumin (2.1 mg/dL) and increased alkaline phosphatase (1196 mg/dL) with low fibrinogen (1.7g/l).

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Serum triglycerides, ferrintin and lactic dehydrogenase were very high; respectively 4.75g/L; 2763µg/L and 597U/L. the C reactive protein (CRP) was elevated at 83mg/l.

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A chest X-ray was normal while the abdominal ultrasound showed a hepatomegaly and a splenomegaly, free biliary ducts without ascites.

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Because of hepato-splenomegaly, pancytopenia, hyperferritinemia and hypofibrinogenemia the diagnosis of Macrophage activation syndrome was evoked indicating a bone marrow aspiration that showed numerous morphologically benign macrophages with haemophagocytic activity that comforting the diagnosis of a SAM according to Ravelli and HLH-2004 criteria.

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Blood culture, urine examination, malarial serology, Kala Azar serology, viral serologies such as EBV, hepatitis A, B, C and human immunodeficiency virus HIV, serologies of rickettsia, syphilis and toxoplasmosa were negatives.

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Serologies of CMV and rubella showed an old immunization.

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The immunological tests such as antinuclear antibodies (ANA), anti-LKM1, anti-mitochondria and anti-smooth muscle antibodies were negatives.

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Because of the consanguineous family, notion of recurrent infection and the presence of silvery-gray color of the hair and eyebrows, diagnosis of Griscelli Syndrome was evoked directing a light microscopy examination of the hair that showed a large, irregular clumps of pigments characteristic of Griscelli Syndrome.

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The molecular biology showed mutation in RAB27A gene confirming the diagnosis of a Griscelli syndrome type 2.

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The first-line therapy in management of Macrophage activation syndrome complicating Griscelli syndrome type 2 was based on the parenteral administration of high doses of corticosteroids (methylprednisolone pulses 1g/0.73m 2 /day for 3 days then 60mg/m 2) with poor response; persisting with involvement of the 3 cell lines in the blood count, elevated ferritin and triglycerides.

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Given the lack of response to steroids, Etoposide was started for 3 days associated with cyclophosphamide, the evolution was good with improvement of count blood cells, ferritin was lessening while the bone marrow showed decreased numerous of macrophages with low haemophagocytic activity.

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On the other side the infectious process was good managed by perfusion of Antibiotics such as Ceftazidim in combination with aminoside.

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The patient was sent home with prednisone and cyclosporine, He was placed on the list of bone marrow transplantation (BMT).

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A 23-year-old previously healthy man, presented to the hospital's emergency department, with a 3-day history of high-grade fever up to 40°C and upper right abdominal pain.

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The patient's past medical history was non-significant.

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He was a student and had not received any medication.

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He had a pet dog and reported no recent travel.

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During physical examination on admission, vital signs were normal and he was febrile with a body temperature of 38°C.

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Abdominal examination revealed a tender palpable liver, with no signs of peritoneal irritation.

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The remainder of physical examination was unremarkable.

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Abnormal laboratory results on admission included a white blood cell count (WBC) of 20.830 (4-10.5x10³/μL), elevated C-reactive protein (CRP) level (28mg/dl, normal ≤0.5mg/dl), slightly elevated alanine aminotransferase (ALT) of 56 IU/L (normal 5-40 IU/L), and lactic dehydrogenase (LDH) of 255 IU/L (normal <225 IU/L).

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Alkaline phosphatase (ALP) was normal.

[ "Alkaline", "phosphatase", "(", "ALP", ")", "was", "normal", "." ]

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Abdominal ultrasonography on admission revealed a mildly enlarged liver and spleen and the presence of 2 sizable, hypoechoic lesions.

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Abdominal computed tomography (CT) scan revealed the 2 aforementioned lesions in diameter of 5.6cm at the left liver lobe and 5.2cm in the right lobe.

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The lesions were hypodense and presented peripheral enhancement after intravenous contrast, similar to the morphology of hepatic abscesses.

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The patient was admitted for further evaluation and treatment.

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Culture guided antimicrobials and appropriate drainage was our first option.

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Empiric antibiotic therapy with intravenous ciprofloxacin (400mg every 12 hours), and metronidazole (500mg every 8 hours) was initiated.

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All cultures resulted negative.

[ "All", "cultures", "resulted", "negative", "." ]

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[ 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 0, 1, 0, 5, 0 ]

Initially, we performed percutaneous sonographic (U/S) guided aspiration into the left hepatic abscess cavity.

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[ 0, 0, 2, 0, 0, 0, 0, 0, 0, 0, 1, 0, 3, 8, 8, 8, 8, 0 ]

A thick, purulent material of 40cc was drained and sent for culture.

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Microbiology revealed a Gram-negative bacterium that presented slow growth.

[ "Microbiology", "revealed", "a", "Gram", "negative", "bacterium", "that", "presented", "slow", "growth", "." ]

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[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

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On the 5th and 8th days of admission, we performed CT guided catheter drainage of both abscesses.

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[ 0, 4, 9, 0, 4, 9, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]

Meanwhile irregular spikes of fever with daytime variation accompanied by night sweats persisted.

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[ 0, 0, 0, 0, 1, 0, 4, 1, 0, 0, 4, 1, 1, 0 ]

Ciprofloxacin discontinued and meropenem at a dose of 1gr every 8 hours administered.

[ "Ciprofloxacin", "discontinued", "and", "meropenem", "at", "a", "dose", "of", "1gr", "every", "8", "hours", "administered", "." ]

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[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 1, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]

Thorough screening for other possible sources of infection, resulted negative.

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[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3714514", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 5, 0 ]

Transthoracic echocardiography was negative for vegetations and showed mild mitral regurgitation.

[ "Transthoracic", "echocardiography", "was", "negative", "for", "vegetations", "and", "showed", "mild", "mitral", "regurgitation", "." ]

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[ 0, 0, 0, 0, 0, 1, 0, 0, 1, 2, 2, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1285498", "CUI_LESS", "CUI_LESS", "C3551535", "C3551535", "C3551535", "CUI_LESS" ]

[ 0, 1, 0, 5, 0, 1, 0, 1, 0, 0, 1, 0 ]

Entamoeba histolytica Abs, echinococcus Abs, leismania Abs, brucella Abs were negative.

[ "Entamoeba", "histolytica", "Abs", ",", "echinococcus", "Abs", ",", "leismania", "Abs", ",", "brucella", "Abs", "were", "negative", "." ]

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[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 1, 0, 0, 0, 1, 0, 0, 1, 0, 0, 1, 0, 0, 5, 0 ]

Gastrointestinal endoscopic evaluation was unrevealing.

[ "Gastrointestinal", "endoscopic", "evaluation", "was", "unrevealing", "." ]

[ [ 0, 16 ], [ 17, 27 ], [ 28, 38 ], [ 39, 42 ], [ 43, 54 ], [ 54, 55 ] ]

[ 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 0, 0, 1, 0, 5, 0 ]

The patient was also HIV negative and no other immunodeficiency conditions were identified.

[ "The", "patient", "was", "also", "HIV", "negative", "and", "no", "other", "immunodeficiency", "conditions", "were", "identified", "." ]

[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 20 ], [ 21, 24 ], [ 25, 33 ], [ 34, 37 ], [ 38, 40 ], [ 41, 46 ], [ 47, 63 ], [ 64, 74 ], [ 75, 79 ], [ 80, 90 ], [ 90, 91 ] ]

[ 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0481430", "C0481430", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 2, 7, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 1, 0 ]

Eventually, the isolate identified by the Vitek 2 automated system and classified as A. aphrophilus.

[ "Eventually", ",", "the", "isolate", "identified", "by", "the", "Vitek", "2", "automated", "system", "and", "classified", "as", "A", ".", "aphrophilus", "." ]

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[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]

[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]

To confirm the identification of the strain we performed matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS).

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The sensitivity test was performed with minimal inhibitory concentration (MIC) test strips; the isolate's susceptibility was to ceftriaxone ≤0.125 (S), cefepime ≤0.5 (S), ciprofloxacin ≤0.125 (S), gentamycin ≤0.5 (S), amikacin ≤0.125 (S) and to meropenem ≤0.032 (S).

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Percutaneous drainage of both abscesses, combined with antimicrobial treatment, was successful and the patient's clinical condition improved.

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Thankfully, no surgical procedure was required.

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The drains were removed immediately the fluid from the abscess cavities became clear.

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Meropenem was administered for a total of 2 weeks.

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