rntc/legacy_e3c · Datasets at Hugging Face

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In the context of the child's nephrotic status and focal neurological signs, we had a high suspicion of cerebral venous thrombosis, and made a presumptive diagnosis.	[ "In", "the", "context", "of", "the", "child", "'s", "nephrotic", "status", "and", "focal", "neurological", "signs", ",", "we", "had", "a", "high", "suspicion", "of", "cerebral", "venous", "thrombosis", ",", "and", "made", "a", "presumptive", "diagnosis", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 14 ], [ 15, 17 ], [ 18, 21 ], [ 22, 27 ], [ 27, 29 ], [ 30, 39 ], [ 40, 46 ], [ 47, 50 ], [ 51, 56 ], [ 57, 69 ], [ 70, 75 ], [ 75, 76 ], [ 77, 79 ], [ 80, 83 ], [ 84, 85 ], [ 86, 90 ], [ 91, 100 ], [ 101, 103 ], [ 104, 112 ], [ 113, 119 ], [ 120, 130 ], [ 130, 131 ], [ 132, 135 ], [ 136, 140 ], [ 141, 142 ], [ 143, 154 ], [ 155, 164 ], [ 164, 165 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 1, 2, 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", "C1392298", "C1392298", "C1392298", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0151945", "C0151945", "C0151945", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 2, 7, 7, 0, 1, 0, 0, 0, 1, 0, 2, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
The child was started on high dose subcutaneous unfractionated heparin daily.	[ "The", "child", "was", "started", "on", "high", "dose", "subcutaneous", "unfractionated", "heparin", "daily", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 13 ], [ 14, 21 ], [ 22, 24 ], [ 25, 29 ], [ 30, 34 ], [ 35, 47 ], [ 48, 62 ], [ 63, 70 ], [ 71, 76 ], [ 76, 77 ] ]	[ 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" ]	[ 2, 7, 0, 1, 0, 0, 0, 0, 0, 1, 4, 0 ]
This decision was made cautiously, but it was felt that the advantages surpassed the risks.	[ "This", "decision", "was", "made", "cautiously", ",", "but", "it", "was", "felt", "that", "the", "advantages", "surpassed", "the", "risks", "." ]	[ [ 0, 4 ], [ 5, 13 ], [ 14, 17 ], [ 18, 22 ], [ 23, 33 ], [ 33, 34 ], [ 35, 38 ], [ 39, 41 ], [ 42, 45 ], [ 46, 50 ], [ 51, 55 ], [ 56, 59 ], [ 60, 70 ], [ 71, 80 ], [ 81, 84 ], [ 85, 90 ], [ 90, 91 ] ]	[ 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" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0 ]
He also received dexamethasone, high flow oxygen, and elevation of the head to 45 degrees, in order to treat features of raised intracranial pressure.	[ "He", "also", "received", "dexamethasone", ",", "high", "flow", "oxygen", ",", "and", "elevation", "of", "the", "head", "to", "45", "degrees", ",", "in", "order", "to", "treat", "features", "of", "raised", "intracranial", "pressure", "." ]	[ [ 0, 2 ], [ 3, 7 ], [ 8, 16 ], [ 17, 30 ], [ 30, 31 ], [ 32, 36 ], [ 37, 41 ], [ 42, 48 ], [ 48, 49 ], [ 50, 53 ], [ 54, 63 ], [ 64, 66 ], [ 67, 70 ], [ 71, 75 ], [ 76, 78 ], [ 79, 81 ], [ 82, 89 ], [ 89, 90 ], [ 91, 93 ], [ 94, 99 ], [ 100, 102 ], [ 103, 108 ], [ 109, 117 ], [ 118, 120 ], [ 121, 127 ], [ 128, 140 ], [ 141, 149 ], [ 149, 150 ] ]	[ 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, 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", "C0151740", "C0151740", "C0151740", "CUI_LESS" ]	[ 2, 0, 0, 1, 0, 0, 0, 1, 0, 0, 1, 0, 3, 8, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0 ]
On day 6 of admission his headache had improved and his focal neurological signs began to resolve.	[ "On", "day", "6", "of", "admission", "his", "headache", "had", "improved", "and", "his", "focal", "neurological", "signs", "began", "to", "resolve", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 8 ], [ 9, 11 ], [ 12, 21 ], [ 22, 25 ], [ 26, 34 ], [ 35, 38 ], [ 39, 47 ], [ 48, 51 ], [ 52, 55 ], [ 56, 61 ], [ 62, 74 ], [ 75, 80 ], [ 81, 86 ], [ 87, 89 ], [ 90, 97 ], [ 97, 98 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0018681", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1392298", "C1392298", "C1392298", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 4, 9, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 1, 1, 0, 1, 0 ]
He still had a partial right VI nerve palsy and a convergent squint.	[ "He", "still", "had", "a", "partial", "right", "VI", "nerve", "palsy", "and", "a", "convergent", "squint", "." ]	[ [ 0, 2 ], [ 3, 8 ], [ 9, 12 ], [ 13, 14 ], [ 15, 22 ], [ 23, 28 ], [ 29, 31 ], [ 32, 37 ], [ 38, 43 ], [ 44, 47 ], [ 48, 49 ], [ 50, 60 ], [ 61, 67 ], [ 67, 68 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 1, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4551519", "C4551519", "C4551519", "CUI_LESS", "CUI_LESS", "C0014877", "C0014877", "CUI_LESS" ]	[ 2, 0, 0, 0, 0, 3, 8, 8, 1, 0, 0, 0, 1, 0 ]
His oedema resolved completely by day 10 of treatment, and he was discharged on day 18.	[ "His", "oedema", "resolved", "completely", "by", "day", "10", "of", "treatment", ",", "and", "he", "was", "discharged", "on", "day", "18", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 19 ], [ 20, 30 ], [ 31, 33 ], [ 34, 37 ], [ 38, 40 ], [ 41, 43 ], [ 44, 53 ], [ 53, 54 ], [ 55, 58 ], [ 59, 61 ], [ 62, 65 ], [ 66, 76 ], [ 77, 79 ], [ 80, 83 ], [ 84, 86 ], [ 86, 87 ] ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0013604", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "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, 4, 9, 0, 1, 0, 0, 2, 0, 1, 0, 4, 9, 0 ]
He continued prednisolone 60mg daily for a total of 6 weeks, followed by a reduced dose of 40mg on alternate days for 6 weeks.	[ "He", "continued", "prednisolone", "60mg", "daily", "for", "a", "total", "of", "6", "weeks", ",", "followed", "by", "a", "reduced", "dose", "of", "40mg", "on", "alternate", "days", "for", "6", "weeks", "." ]	[ [ 0, 2 ], [ 3, 12 ], [ 13, 25 ], [ 26, 30 ], [ 31, 36 ], [ 37, 40 ], [ 41, 42 ], [ 43, 48 ], [ 49, 51 ], [ 52, 53 ], [ 54, 59 ], [ 59, 60 ], [ 61, 69 ], [ 70, 72 ], [ 73, 74 ], [ 75, 82 ], [ 83, 87 ], [ 88, 90 ], [ 91, 95 ], [ 96, 98 ], [ 99, 108 ], [ 109, 113 ], [ 114, 117 ], [ 118, 119 ], [ 120, 125 ], [ 125, 126 ] ]	[ 0, 0, 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" ]	[ 2, 1, 1, 0, 4, 0, 0, 0, 0, 4, 9, 0, 0, 0, 0, 0, 1, 0, 0, 0, 4, 9, 0, 4, 9, 0 ]
At 12 weeks follow-up, his urinalysis showed a trace proteinurea but he remained in remission.	[ "At", "12", "weeks", "follow", "up", ",", "his", "urinalysis", "showed", "a", "trace", "proteinurea", "but", "he", "remained", "in", "remission", "." ]	[ [ 0, 2 ], [ 3, 5 ], [ 6, 11 ], [ 12, 18 ], [ 19, 21 ], [ 21, 22 ], [ 23, 26 ], [ 27, 37 ], [ 38, 44 ], [ 45, 46 ], [ 47, 52 ], [ 53, 64 ], [ 65, 68 ], [ 69, 71 ], [ 72, 80 ], [ 81, 83 ], [ 84, 93 ], [ 93, 94 ] ]	[ 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, 4, 9, 1, 6, 0, 0, 1, 1, 0, 0, 1, 0, 2, 0, 0, 1, 0 ]
A 43-year-old non-diabetic Indian male reported to our outpatient department with chief complaints of cough with expectoration, chest pain, reduced appetite, fever with chills, and night sweats for two weeks.	[ "A", "43", "year", "old", "non", "diabetic", "Indian", "male", "reported", "to", "our", "outpatient", "department", "with", "chief", "complaints", "of", "cough", "with", "expectoration", ",", "chest", "pain", ",", "reduced", "appetite", ",", "fever", "with", "chills", ",", "and", "night", "sweats", "for", "two", "weeks", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 13 ], [ 14, 17 ], [ 18, 26 ], [ 27, 33 ], [ 34, 38 ], [ 39, 47 ], [ 48, 50 ], [ 51, 54 ], [ 55, 65 ], [ 66, 76 ], [ 77, 81 ], [ 82, 87 ], [ 88, 98 ], [ 99, 101 ], [ 102, 107 ], [ 108, 112 ], [ 113, 126 ], [ 126, 127 ], [ 128, 133 ], [ 134, 138 ], [ 138, 139 ], [ 140, 147 ], [ 148, 156 ], [ 156, 157 ], [ 158, 163 ], [ 164, 168 ], [ 169, 175 ], [ 175, 176 ], [ 177, 180 ], [ 181, 186 ], [ 187, 193 ], [ 194, 197 ], [ 198, 201 ], [ 202, 207 ], [ 207, 208 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 1, 2, 0, 1, 2, 0, 1, 2, 2, 0, 0, 1, 2, 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", "C0010200", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0008031", "C0008031", "CUI_LESS", "C0232462", "C0232462", "CUI_LESS", "C0085594", "C0085594", "C0085594", "CUI_LESS", "CUI_LESS", "C0028081", "C0028081", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 7, 7, 7, 1, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 3, 1, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 1, 0, 4, 9, 0 ]
He also complained of breathlessness on exertion and had two episodes of blood in his sputum.	[ "He", "also", "complained", "of", "breathlessness", "on", "exertion", "and", "had", "two", "episodes", "of", "blood", "in", "his", "sputum", "." ]	[ [ 0, 2 ], [ 3, 7 ], [ 8, 18 ], [ 19, 21 ], [ 22, 36 ], [ 37, 39 ], [ 40, 48 ], [ 49, 52 ], [ 53, 56 ], [ 57, 60 ], [ 61, 69 ], [ 70, 72 ], [ 73, 78 ], [ 79, 81 ], [ 82, 85 ], [ 86, 92 ], [ 92, 93 ] ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0013404", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0019079", "C0019079", "C0019079", "C0019079", "CUI_LESS" ]	[ 2, 0, 1, 0, 1, 0, 0, 0, 0, 0, 1, 0, 3, 0, 3, 8, 0 ]
The patient explained that the cough was continuous and was relieved after taking cough syrup.	[ "The", "patient", "explained", "that", "the", "cough", "was", "continuous", "and", "was", "relieved", "after", "taking", "cough", "syrup", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 21 ], [ 22, 26 ], [ 27, 30 ], [ 31, 36 ], [ 37, 40 ], [ 41, 51 ], [ 52, 55 ], [ 56, 59 ], [ 60, 68 ], [ 69, 74 ], [ 75, 81 ], [ 82, 87 ], [ 88, 93 ], [ 93, 94 ] ]	[ 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0010200", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 1, 0, 0, 1, 0, 1, 0, 0, 1, 0, 1, 0, 0, 0 ]
He also mentioned that the episodes of fever were initially intermittent and then daily for the last two weeks and were relieved after taking Paracetamol.	[ "He", "also", "mentioned", "that", "the", "episodes", "of", "fever", "were", "initially", "intermittent", "and", "then", "daily", "for", "the", "last", "two", "weeks", "and", "were", "relieved", "after", "taking", "Paracetamol", "." ]	[ [ 0, 2 ], [ 3, 7 ], [ 8, 17 ], [ 18, 22 ], [ 23, 26 ], [ 27, 35 ], [ 36, 38 ], [ 39, 44 ], [ 45, 49 ], [ 50, 59 ], [ 60, 72 ], [ 73, 76 ], [ 77, 81 ], [ 82, 87 ], [ 88, 91 ], [ 92, 95 ], [ 96, 100 ], [ 101, 104 ], [ 105, 110 ], [ 111, 114 ], [ 115, 119 ], [ 120, 128 ], [ 129, 134 ], [ 135, 141 ], [ 142, 153 ], [ 153, 154 ] ]	[ 0, 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", "CUI_LESS", "C0015967", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "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, 1, 0, 0, 0, 0, 0, 4, 0, 4, 9, 9, 9, 0, 0, 1, 0, 1, 0, 0 ]
The chest pain was localized to the middle of the chest and was aggravated on exertion.	[ "The", "chest", "pain", "was", "localized", "to", "the", "middle", "of", "the", "chest", "and", "was", "aggravated", "on", "exertion", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 14 ], [ 15, 18 ], [ 19, 28 ], [ 29, 31 ], [ 32, 35 ], [ 36, 42 ], [ 43, 45 ], [ 46, 49 ], [ 50, 55 ], [ 56, 59 ], [ 60, 63 ], [ 64, 74 ], [ 75, 77 ], [ 78, 86 ], [ 86, 87 ] ]	[ 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "C0008031", "C0008031", "CUI_LESS", "CUI_LESS", "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, 3, 1, 0, 1, 0, 0, 0, 0, 3, 8, 0, 0, 1, 0, 1, 0 ]
He was a businessman by profession with no history of smoking, alcoholism, or any other substance abuse.	[ "He", "was", "a", "businessman", "by", "profession", "with", "no", "history", "of", "smoking", ",", "alcoholism", ",", "or", "any", "other", "substance", "abuse", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 8 ], [ 9, 20 ], [ 21, 23 ], [ 24, 34 ], [ 35, 39 ], [ 40, 42 ], [ 43, 50 ], [ 51, 53 ], [ 54, 61 ], [ 61, 62 ], [ 63, 73 ], [ 73, 74 ], [ 75, 77 ], [ 78, 81 ], [ 82, 87 ], [ 88, 97 ], [ 98, 103 ], [ 103, 104 ] ]	[ 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" ]	[ 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
Also, there was no history of any contact of TB or COVID-19 in the family or close contacts.	[ "Also", ",", "there", "was", "no", "history", "of", "any", "contact", "of", "TB", "or", "COVID", "19", "in", "the", "family", "or", "close", "contacts", "." ]	[ [ 0, 4 ], [ 4, 5 ], [ 6, 11 ], [ 12, 15 ], [ 16, 18 ], [ 19, 26 ], [ 27, 29 ], [ 30, 33 ], [ 34, 41 ], [ 42, 44 ], [ 45, 47 ], [ 48, 50 ], [ 51, 56 ], [ 57, 59 ], [ 60, 62 ], [ 63, 66 ], [ 67, 73 ], [ 74, 76 ], [ 77, 82 ], [ 83, 91 ], [ 91, 92 ] ]	[ 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" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 2, 7, 0, 0, 0, 0 ]
And there was no history of foreign travel in the recent past.	[ "And", "there", "was", "no", "history", "of", "foreign", "travel", "in", "the", "recent", "past", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 13 ], [ 14, 16 ], [ 17, 24 ], [ 25, 27 ], [ 28, 35 ], [ 36, 42 ], [ 43, 45 ], [ 46, 49 ], [ 50, 56 ], [ 57, 61 ], [ 61, 62 ] ]	[ 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, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
But he had reported having traveled by a domestic airline about twenty days back.	[ "But", "he", "had", "reported", "having", "traveled", "by", "a", "domestic", "airline", "about", "twenty", "days", "back", "." ]	[ [ 0, 3 ], [ 4, 6 ], [ 7, 10 ], [ 11, 19 ], [ 20, 26 ], [ 27, 35 ], [ 36, 38 ], [ 39, 40 ], [ 41, 49 ], [ 50, 57 ], [ 58, 63 ], [ 64, 70 ], [ 71, 75 ], [ 76, 80 ], [ 80, 81 ] ]	[ 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, 2, 0, 1, 0, 1, 0, 0, 0, 0, 0, 4, 9, 9, 0 ]
There was no history of weight loss or any other major illness in the past.	[ "There", "was", "no", "history", "of", "weight", "loss", "or", "any", "other", "major", "illness", "in", "the", "past", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 12 ], [ 13, 20 ], [ 21, 23 ], [ 24, 30 ], [ 31, 35 ], [ 36, 38 ], [ 39, 42 ], [ 43, 48 ], [ 49, 54 ], [ 55, 62 ], [ 63, 65 ], [ 66, 69 ], [ 70, 74 ], [ 74, 75 ] ]	[ 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, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
On examination his vitals were-pulse-108/minute, arterial BP-130/80 mm of Hg, respiratory rate of 30 breaths/minute, Sp02-899% on room air, temperature- 101-degree centigrade.	[ "On", "examination", "his", "vitals", "were", "pulse", "108/minute", ",", "arterial", "BP", "130/80", "mm", "of", "Hg", ",", "respiratory", "rate", "of", "30", "breaths/minute", ",", "Sp02-899", "%", "on", "room", "air", ",", "temperature", "-", "101", "degree", "centigrade", "." ]	[ [ 0, 2 ], [ 3, 14 ], [ 15, 18 ], [ 19, 25 ], [ 26, 30 ], [ 31, 36 ], [ 37, 47 ], [ 47, 48 ], [ 49, 57 ], [ 58, 60 ], [ 61, 67 ], [ 68, 70 ], [ 71, 73 ], [ 74, 76 ], [ 76, 77 ], [ 78, 89 ], [ 90, 94 ], [ 95, 97 ], [ 98, 100 ], [ 101, 115 ], [ 115, 116 ], [ 117, 125 ], [ 125, 126 ], [ 127, 129 ], [ 130, 134 ], [ 135, 138 ], [ 138, 139 ], [ 140, 151 ], [ 151, 152 ], [ 153, 156 ], [ 157, 163 ], [ 164, 174 ], [ 174, 175 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 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" ]	[ 0, 1, 0, 1, 1, 6, 5, 0, 0, 1, 5, 10, 10, 10, 0, 0, 1, 0, 5, 10, 0, 0, 5, 0, 0, 0, 0, 1, 0, 5, 10, 10, 0 ]
His Sp02 fell by 70% on room air after waking.	[ "His", "Sp02", "fell", "by", "70", "%", "on", "room", "air", "after", "waking", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 13 ], [ 14, 16 ], [ 17, 19 ], [ 19, 20 ], [ 21, 23 ], [ 24, 28 ], [ 29, 32 ], [ 33, 38 ], [ 39, 45 ], [ 45, 46 ] ]	[ 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" ]	[ 0, 1, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0 ]
On auscultation, there was crepitation on the bilateral middle lobes of the lungs.	[ "On", "auscultation", ",", "there", "was", "crepitation", "on", "the", "bilateral", "middle", "lobes", "of", "the", "lungs", "." ]	[ [ 0, 2 ], [ 3, 15 ], [ 15, 16 ], [ 17, 22 ], [ 23, 26 ], [ 27, 38 ], [ 39, 41 ], [ 42, 45 ], [ 46, 55 ], [ 56, 62 ], [ 63, 68 ], [ 69, 71 ], [ 72, 75 ], [ 76, 81 ], [ 81, 82 ] ]	[ 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", "C0034642", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 0, 0, 0, 1, 0, 3, 8, 8, 8, 8, 8, 8, 0 ]
Also, dyspnea on exertion was noted.	[ "Also", ",", "dyspnea", "on", "exertion", "was", "noted", "." ]	[ [ 0, 4 ], [ 4, 5 ], [ 6, 13 ], [ 14, 16 ], [ 17, 25 ], [ 26, 29 ], [ 30, 35 ], [ 35, 36 ] ]	[ 0, 0, 1, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "C0013404", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 1, 0, 1, 0 ]
The rest of the systemic examination was within normal limits.	[ "The", "rest", "of", "the", "systemic", "examination", "was", "within", "normal", "limits", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 11 ], [ 12, 15 ], [ 16, 24 ], [ 25, 36 ], [ 37, 40 ], [ 41, 47 ], [ 48, 54 ], [ 55, 61 ], [ 61, 62 ] ]	[ 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, 0, 5, 10, 0 ]
Considering this as a probable case of TB with COVID-19 he was advised a chest radiograph with sputum microscopy (Ziehl Neelsen (ZN) staining for acid-fast bacilli), Cartridge-based nucleic acid amplification test (CBNAAT) of the sputum and other routine investigations.	[ "Considering", "this", "as", "a", "probable", "case", "of", "TB", "with", "COVID", "19", "he", "was", "advised", "a", "chest", "radiograph", "with", "sputum", "microscopy", "(", "Ziehl", "Neelsen", "(", "ZN", ")", "staining", "for", "acid", "fast", "bacilli", ")", ",", "Cartridge", "based", "nucleic", "acid", "amplification", "test", "(", "CBNAAT", ")", "of", "the", "sputum", "and", "other", "routine", "investigations", "." ]	[ [ 0, 11 ], [ 12, 16 ], [ 17, 19 ], [ 20, 21 ], [ 22, 30 ], [ 31, 35 ], [ 36, 38 ], [ 39, 41 ], [ 42, 46 ], [ 47, 52 ], [ 53, 55 ], [ 56, 58 ], [ 59, 62 ], [ 63, 70 ], [ 71, 72 ], [ 73, 78 ], [ 79, 89 ], [ 90, 94 ], [ 95, 101 ], [ 102, 112 ], [ 113, 114 ], [ 114, 119 ], [ 120, 127 ], [ 128, 129 ], [ 129, 131 ], [ 131, 132 ], [ 133, 141 ], [ 142, 145 ], [ 146, 150 ], [ 151, 155 ], [ 156, 163 ], [ 163, 164 ], [ 164, 165 ], [ 166, 175 ], [ 176, 181 ], [ 182, 189 ], [ 190, 194 ], [ 195, 208 ], [ 209, 213 ], [ 214, 215 ], [ 215, 221 ], [ 221, 222 ], [ 223, 225 ], [ 226, 229 ], [ 230, 236 ], [ 237, 240 ], [ 241, 246 ], [ 247, 254 ], [ 255, 269 ], [ 269, 270 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 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 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0041296", "CUI_LESS", "C5203670", "C5203670", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "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, 1, 0, 0, 0, 3, 0, 1, 0, 3, 1, 0, 3, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 3, 8, 0, 0, 0, 1, 0 ]
To check for the COVID-19 he was advised qualitative polymerase chain reaction (PCR) test from the oropharyngeal swab.	[ "To", "check", "for", "the", "COVID", "19", "he", "was", "advised", "qualitative", "polymerase", "chain", "reaction", "(", "PCR", ")", "test", "from", "the", "oropharyngeal", "swab", "." ]	[ [ 0, 2 ], [ 3, 8 ], [ 9, 12 ], [ 13, 16 ], [ 17, 22 ], [ 23, 25 ], [ 26, 28 ], [ 29, 32 ], [ 33, 40 ], [ 41, 52 ], [ 53, 63 ], [ 64, 69 ], [ 70, 78 ], [ 79, 80 ], [ 80, 83 ], [ 83, 84 ], [ 85, 89 ], [ 90, 94 ], [ 95, 98 ], [ 99, 112 ], [ 113, 117 ], [ 117, 118 ] ]	[ 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C5203670", "C5203670", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "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, 6, 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
The results were surprising with Mycobacterium tuberculosis detected on sputum fluorescent microscopy and were also confirmed by the CBNAAT.	[ "The", "results", "were", "surprising", "with", "Mycobacterium", "tuberculosis", "detected", "on", "sputum", "fluorescent", "microscopy", "and", "were", "also", "confirmed", "by", "the", "CBNAAT", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 16 ], [ 17, 27 ], [ 28, 32 ], [ 33, 46 ], [ 47, 59 ], [ 60, 68 ], [ 69, 71 ], [ 72, 78 ], [ 79, 90 ], [ 91, 101 ], [ 102, 105 ], [ 106, 110 ], [ 111, 115 ], [ 116, 125 ], [ 126, 128 ], [ 129, 132 ], [ 133, 139 ], [ 139, 140 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0041296", "C0041296", "CUI_LESS", "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, 1, 0, 3, 0, 1, 0, 0, 0, 1, 0, 0, 1, 0 ]
However, there was no resistance to Rifampicin.	[ "However", ",", "there", "was", "no", "resistance", "to", "Rifampicin", "." ]	[ [ 0, 7 ], [ 7, 8 ], [ 9, 14 ], [ 15, 18 ], [ 19, 21 ], [ 22, 32 ], [ 33, 35 ], [ 36, 46 ], [ 46, 47 ] ]	[ 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, 0, 0, 1, 0, 0, 0 ]
The results of the PCR were positive for RNA specific to SARS-CoV-2.	[ "The", "results", "of", "the", "PCR", "were", "positive", "for", "RNA", "specific", "to", "SARS", "Co", "V", "2", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 14 ], [ 15, 18 ], [ 19, 22 ], [ 23, 27 ], [ 28, 36 ], [ 37, 40 ], [ 41, 44 ], [ 45, 53 ], [ 54, 56 ], [ 57, 61 ], [ 62, 64 ], [ 64, 65 ], [ 66, 67 ], [ 67, 68 ] ]	[ 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", "C5400365", "C5400365", "C5400365", "C5400365", "CUI_LESS" ]	[ 0, 0, 0, 0, 1, 0, 5, 0, 0, 0, 0, 1, 6, 6, 6, 0 ]
Besides, the chest radiograph PA-view was suggestive of bilateral consolidations on the middle lobes of lungs with ill-defined borders.	[ "Besides", ",", "the", "chest", "radiograph", "PA", "view", "was", "suggestive", "of", "bilateral", "consolidations", "on", "the", "middle", "lobes", "of", "lungs", "with", "ill", "defined", "borders", "." ]	[ [ 0, 7 ], [ 7, 8 ], [ 9, 12 ], [ 13, 18 ], [ 19, 29 ], [ 30, 32 ], [ 33, 37 ], [ 38, 41 ], [ 42, 52 ], [ 53, 55 ], [ 56, 65 ], [ 66, 80 ], [ 81, 83 ], [ 84, 87 ], [ 88, 94 ], [ 95, 100 ], [ 101, 103 ], [ 104, 109 ], [ 110, 114 ], [ 115, 118 ], [ 119, 126 ], [ 127, 134 ], [ 134, 135 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 2, 2, 2, 2, 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", "C0521530", "C0521530", "C0521530", "C0521530", "C0521530", "C0521530", "C0521530", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 3, 0, 1, 6, 0, 1, 0, 0, 1, 0, 3, 8, 8, 8, 8, 0, 0, 0, 0, 0 ]
The other investigations revealed a low lymphocyte count (1x 10 9 /L) and increased levels of C-reactive protein (CRP) (57 mg/L), lactate dehydrogenase (LDH) (580 U/L), and erythrocyte sedimentation rate (ESR) (70 mm in the 1 st hour).	[ "The", "other", "investigations", "revealed", "a", "low", "lymphocyte", "count", "(", "1x", "10", "9", "/", "L", ")", "and", "increased", "levels", "of", "C", "reactive", "protein", "(", "CRP", ")", "(", "57", "mg/L", ")", ",", "lactate", "dehydrogenase", "(", "LDH", ")", "(", "580", "U/L", ")", ",", "and", "erythrocyte", "sedimentation", "rate", "(", "ESR", ")", "(", "70", "mm", "in", "the", "1", "st", "hour", ")", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 24 ], [ 25, 33 ], [ 34, 35 ], [ 36, 39 ], [ 40, 50 ], [ 51, 56 ], [ 57, 58 ], [ 58, 60 ], [ 61, 63 ], [ 64, 65 ], [ 66, 67 ], [ 67, 68 ], [ 68, 69 ], [ 70, 73 ], [ 74, 83 ], [ 84, 90 ], [ 91, 93 ], [ 94, 95 ], [ 96, 104 ], [ 105, 112 ], [ 113, 114 ], [ 114, 117 ], [ 117, 118 ], [ 119, 120 ], [ 120, 122 ], [ 123, 127 ], [ 127, 128 ], [ 128, 129 ], [ 130, 137 ], [ 138, 151 ], [ 152, 153 ], [ 153, 156 ], [ 156, 157 ], [ 158, 159 ], [ 159, 162 ], [ 163, 166 ], [ 166, 167 ], [ 167, 168 ], [ 169, 172 ], [ 173, 184 ], [ 185, 198 ], [ 199, 203 ], [ 204, 205 ], [ 205, 208 ], [ 208, 209 ], [ 210, 211 ], [ 211, 213 ], [ 214, 216 ], [ 217, 219 ], [ 220, 223 ], [ 224, 225 ], [ 226, 228 ], [ 229, 233 ], [ 233, 234 ], [ 234, 235 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 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" ]	[ 0, 0, 1, 1, 0, 0, 0, 1, 0, 5, 10, 10, 10, 10, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 5, 10, 0, 0, 0, 1, 0, 1, 0, 0, 5, 10, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 5, 10, 0, 4, 9, 9, 9, 0, 0 ]
Also, a sample for liquid culture (MGIT BACTEC) was sent to the Intermediate Reference Laboratory (IRL) which revealed the growth of Mycobacterium tuberculosis.	[ "Also", ",", "a", "sample", "for", "liquid", "culture", "(", "MGIT", "BACTEC", ")", "was", "sent", "to", "the", "Intermediate", "Reference", "Laboratory", "(", "IRL", ")", "which", "revealed", "the", "growth", "of", "Mycobacterium", "tuberculosis", "." ]	[ [ 0, 4 ], [ 4, 5 ], [ 6, 7 ], [ 8, 14 ], [ 15, 18 ], [ 19, 25 ], [ 26, 33 ], [ 34, 35 ], [ 35, 39 ], [ 40, 46 ], [ 46, 47 ], [ 48, 51 ], [ 52, 56 ], [ 57, 59 ], [ 60, 63 ], [ 64, 76 ], [ 77, 86 ], [ 87, 97 ], [ 98, 99 ], [ 99, 102 ], [ 102, 103 ], [ 104, 109 ], [ 110, 118 ], [ 119, 122 ], [ 123, 129 ], [ 130, 132 ], [ 133, 146 ], [ 147, 159 ], [ 159, 160 ] ]	[ 0, 0, 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 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0041296", "C0041296", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0 ]
Computed tomography was not performed as the diagnosis was established by other cheaper and faster methods and also the patient was unwilling for the same.	[ "Computed", "tomography", "was", "not", "performed", "as", "the", "diagnosis", "was", "established", "by", "other", "cheaper", "and", "faster", "methods", "and", "also", "the", "patient", "was", "unwilling", "for", "the", "same", "." ]	[ [ 0, 8 ], [ 9, 19 ], [ 20, 23 ], [ 24, 27 ], [ 28, 37 ], [ 38, 40 ], [ 41, 44 ], [ 45, 54 ], [ 55, 58 ], [ 59, 70 ], [ 71, 73 ], [ 74, 79 ], [ 80, 87 ], [ 88, 91 ], [ 92, 98 ], [ 99, 106 ], [ 107, 110 ], [ 111, 115 ], [ 116, 119 ], [ 120, 127 ], [ 128, 131 ], [ 132, 141 ], [ 142, 145 ], [ 146, 149 ], [ 150, 154 ], [ 154, 155 ] ]	[ 0, 0, 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, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 2, 7, 0, 1, 0, 0, 0, 0 ]
All the other routine investigations were within normal limits.	[ "All", "the", "other", "routine", "investigations", "were", "within", "normal", "limits", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 13 ], [ 14, 21 ], [ 22, 36 ], [ 37, 41 ], [ 42, 48 ], [ 49, 55 ], [ 56, 62 ], [ 62, 63 ] ]	[ 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, 0, 0, 1, 0, 0, 5, 10, 0 ]
He was referred to the nearest designated COVID-19 management center, where he was managed as per national guidelines.	[ "He", "was", "referred", "to", "the", "nearest", "designated", "COVID", "19", "management", "center", ",", "where", "he", "was", "managed", "as", "per", "national", "guidelines", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 15 ], [ 16, 18 ], [ 19, 22 ], [ 23, 30 ], [ 31, 41 ], [ 42, 47 ], [ 48, 50 ], [ 51, 61 ], [ 62, 68 ], [ 68, 69 ], [ 70, 75 ], [ 76, 78 ], [ 79, 82 ], [ 83, 90 ], [ 91, 93 ], [ 94, 97 ], [ 98, 106 ], [ 107, 117 ], [ 117, 118 ] ]	[ 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" ]	[ 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 2, 0, 1, 0, 0, 0, 0, 0 ]
Besides, he was also started on an antitubercular treatment of four drugs as per the National Tuberculosis Elimination Program (NTEP) guidelines.	[ "Besides", ",", "he", "was", "also", "started", "on", "an", "antitubercular", "treatment", "of", "four", "drugs", "as", "per", "the", "National", "Tuberculosis", "Elimination", "Program", "(", "NTEP", ")", "guidelines", "." ]	[ [ 0, 7 ], [ 7, 8 ], [ 9, 11 ], [ 12, 15 ], [ 16, 20 ], [ 21, 28 ], [ 29, 31 ], [ 32, 34 ], [ 35, 49 ], [ 50, 59 ], [ 60, 62 ], [ 63, 67 ], [ 68, 73 ], [ 74, 76 ], [ 77, 80 ], [ 81, 84 ], [ 85, 93 ], [ 94, 106 ], [ 107, 118 ], [ 119, 126 ], [ 127, 128 ], [ 128, 132 ], [ 132, 133 ], [ 134, 144 ], [ 144, 145 ] ]	[ 0, 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" ]	[ 0, 0, 2, 0, 0, 1, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]
He was advised follow-up post completion of his stay at the designated COVID-19 center, but he has not yet reported back for follow-up.	[ "He", "was", "advised", "follow", "up", "post", "completion", "of", "his", "stay", "at", "the", "designated", "COVID", "19", "center", ",", "but", "he", "has", "not", "yet", "reported", "back", "for", "follow", "up", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 14 ], [ 15, 21 ], [ 22, 24 ], [ 25, 29 ], [ 30, 40 ], [ 41, 43 ], [ 44, 47 ], [ 48, 52 ], [ 53, 55 ], [ 56, 59 ], [ 60, 70 ], [ 71, 76 ], [ 77, 79 ], [ 80, 86 ], [ 86, 87 ], [ 88, 91 ], [ 92, 94 ], [ 95, 98 ], [ 99, 102 ], [ 103, 106 ], [ 107, 115 ], [ 116, 120 ], [ 121, 124 ], [ 125, 131 ], [ 132, 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, 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" ]	[ 2, 0, 1, 1, 6, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 2, 0, 0, 0, 1, 0, 0, 1, 6, 0 ]
Written informed consent was obtained from the patient for using clinical data and images for publication in this study.	[ "Written", "informed", "consent", "was", "obtained", "from", "the", "patient", "for", "using", "clinical", "data", "and", "images", "for", "publication", "in", "this", "study", "." ]	[ [ 0, 7 ], [ 8, 16 ], [ 17, 24 ], [ 25, 28 ], [ 29, 37 ], [ 38, 42 ], [ 43, 46 ], [ 47, 54 ], [ 55, 58 ], [ 59, 64 ], [ 65, 73 ], [ 74, 78 ], [ 79, 82 ], [ 83, 89 ], [ 90, 93 ], [ 94, 105 ], [ 106, 108 ], [ 109, 113 ], [ 114, 119 ], [ 119, 120 ] ]	[ 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" ]	[ 0, 0, 0, 0, 1, 0, 2, 7, 0, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
We report a case of a male near-term neonate with gestational age of 35 weeks.	[ "We", "report", "a", "case", "of", "a", "male", "near", "term", "neonate", "with", "gestational", "age", "of", "35", "weeks", "." ]	[ [ 0, 2 ], [ 3, 9 ], [ 10, 11 ], [ 12, 16 ], [ 17, 19 ], [ 20, 21 ], [ 22, 26 ], [ 27, 31 ], [ 32, 36 ], [ 37, 44 ], [ 45, 49 ], [ 50, 61 ], [ 62, 65 ], [ 66, 68 ], [ 69, 71 ], [ 72, 77 ], [ 77, 78 ] ]	[ 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" ]	[ 2, 1, 0, 0, 0, 2, 7, 7, 7, 7, 7, 7, 7, 7, 7, 7, 0 ]
He was the third born child to a 27-year-old mother with no significant past history.	[ "He", "was", "the", "third", "born", "child", "to", "a", "27", "year", "old", "mother", "with", "no", "significant", "past", "history", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 10 ], [ 11, 16 ], [ 17, 21 ], [ 22, 27 ], [ 28, 30 ], [ 31, 32 ], [ 33, 35 ], [ 36, 40 ], [ 41, 44 ], [ 45, 51 ], [ 52, 56 ], [ 57, 59 ], [ 60, 71 ], [ 72, 76 ], [ 77, 84 ], [ 84, 85 ] ]	[ 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" ]	[ 2, 0, 0, 0, 0, 1, 0, 2, 7, 7, 7, 7, 0, 0, 0, 0, 1, 0 ]
He was derived from a third degree consanguineous marriage.	[ "He", "was", "derived", "from", "a", "third", "degree", "consanguineous", "marriage", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 14 ], [ 15, 19 ], [ 20, 21 ], [ 22, 27 ], [ 28, 34 ], [ 35, 49 ], [ 50, 58 ], [ 58, 59 ] ]	[ 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, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
He was born by means of normal vaginal delivery with a normal extra-uterine adaptation.	[ "He", "was", "born", "by", "means", "of", "normal", "vaginal", "delivery", "with", "a", "normal", "extra", "uterine", "adaptation", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 11 ], [ 12, 14 ], [ 15, 20 ], [ 21, 23 ], [ 24, 30 ], [ 31, 38 ], [ 39, 47 ], [ 48, 52 ], [ 53, 54 ], [ 55, 61 ], [ 62, 67 ], [ 68, 75 ], [ 76, 86 ], [ 86, 87 ] ]	[ 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" ]	[ 2, 0, 1, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0 ]
Meconium-stained amniotic fluid was noted.	[ "Meconium", "stained", "amniotic", "fluid", "was", "noted", "." ]	[ [ 0, 8 ], [ 9, 16 ], [ 17, 25 ], [ 26, 31 ], [ 32, 35 ], [ 36, 41 ], [ 41, 42 ] ]	[ 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 3, 8, 8, 8, 0, 1, 0 ]
His birth weight was 3030g (75 th Percentile).	[ "His", "birth", "weight", "was", "3030g", "(", "75", "th", "Percentile", ")", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 16 ], [ 17, 20 ], [ 21, 26 ], [ 27, 28 ], [ 28, 30 ], [ 31, 33 ], [ 34, 44 ], [ 44, 45 ], [ 45, 46 ] ]	[ 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, 5, 0, 0, 0, 0, 0, 0 ]
The baby had normal physical examination at birth aside transitory respiratory distress.	[ "The", "baby", "had", "normal", "physical", "examination", "at", "birth", "aside", "transitory", "respiratory", "distress", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 12 ], [ 13, 19 ], [ 20, 28 ], [ 29, 40 ], [ 41, 43 ], [ 44, 49 ], [ 50, 55 ], [ 56, 66 ], [ 67, 78 ], [ 79, 87 ], [ 87, 88 ] ]	[ 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", "C0476273", "C0476273", "CUI_LESS" ]	[ 2, 7, 0, 0, 0, 1, 0, 1, 0, 0, 0, 1, 0 ]
He had been hospitalized for four days in a private clinic, for the suspicion of materno-foetal infection, where he had antibiotics for 48 hours.	[ "He", "had", "been", "hospitalized", "for", "four", "days", "in", "a", "private", "clinic", ",", "for", "the", "suspicion", "of", "materno", "foetal", "infection", ",", "where", "he", "had", "antibiotics", "for", "48", "hours", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 11 ], [ 12, 24 ], [ 25, 28 ], [ 29, 33 ], [ 34, 38 ], [ 39, 41 ], [ 42, 43 ], [ 44, 51 ], [ 52, 58 ], [ 58, 59 ], [ 60, 63 ], [ 64, 67 ], [ 68, 77 ], [ 78, 80 ], [ 81, 88 ], [ 89, 95 ], [ 96, 105 ], [ 105, 106 ], [ 107, 112 ], [ 113, 115 ], [ 116, 119 ], [ 120, 131 ], [ 132, 135 ], [ 136, 138 ], [ 139, 144 ], [ 144, 145 ] ]	[ 0, 0, 0, 0, 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" ]	[ 2, 0, 0, 1, 0, 4, 9, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 2, 0, 1, 0, 4, 9, 0 ]
He had developed no symptoms during his hospitalization.	[ "He", "had", "developed", "no", "symptoms", "during", "his", "hospitalization", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 16 ], [ 17, 19 ], [ 20, 28 ], [ 29, 35 ], [ 36, 39 ], [ 40, 55 ], [ 55, 56 ] ]	[ 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" ]	[ 2, 0, 0, 0, 1, 0, 0, 1, 0 ]
The output's weight was 2400g which signify the loss of 630g.	[ "The", "output", "'s", "weight", "was", "2400g", "which", "signify", "the", "loss", "of", "630g", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 10, 12 ], [ 13, 19 ], [ 20, 23 ], [ 24, 29 ], [ 30, 35 ], [ 36, 43 ], [ 44, 47 ], [ 48, 52 ], [ 53, 55 ], [ 56, 60 ], [ 60, 61 ] ]	[ 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, 0, 1, 0, 5, 0, 0, 0, 1, 0, 0, 0 ]
Back home, he received exclusive maternal breastfeeding.	[ "Back", "home", ",", "he", "received", "exclusive", "maternal", "breastfeeding", "." ]	[ [ 0, 4 ], [ 5, 9 ], [ 9, 10 ], [ 11, 13 ], [ 14, 22 ], [ 23, 32 ], [ 33, 41 ], [ 42, 55 ], [ 55, 56 ] ]	[ 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, 2, 0, 0, 0, 1, 0 ]
On his fifth day of life, he presented multiple yellowish-watery stools (ab 12 times) and refuse feeding with apyrexia context.	[ "On", "his", "fifth", "day", "of", "life", ",", "he", "presented", "multiple", "yellowish", "watery", "stools", "(", "ab", "12", "times", ")", "and", "refuse", "feeding", "with", "apyrexia", "context", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 12 ], [ 13, 16 ], [ 17, 19 ], [ 20, 24 ], [ 24, 25 ], [ 26, 28 ], [ 29, 38 ], [ 39, 47 ], [ 48, 57 ], [ 58, 64 ], [ 65, 71 ], [ 72, 73 ], [ 73, 75 ], [ 76, 78 ], [ 79, 84 ], [ 84, 85 ], [ 86, 89 ], [ 90, 96 ], [ 97, 104 ], [ 105, 109 ], [ 110, 118 ], [ 119, 126 ], [ 126, 127 ] ]	[ 0, 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" ]	[ 0, 4, 9, 9, 9, 9, 0, 0, 0, 0, 0, 0, 1, 0, 0, 4, 9, 0, 0, 1, 1, 0, 1, 0, 0 ]
He had clinical signs of severe dehydration without fever or vomiting.	[ "He", "had", "clinical", "signs", "of", "severe", "dehydration", "without", "fever", "or", "vomiting", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 15 ], [ 16, 21 ], [ 22, 24 ], [ 25, 31 ], [ 32, 43 ], [ 44, 51 ], [ 52, 57 ], [ 58, 60 ], [ 61, 69 ], [ 69, 70 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0011175", "CUI_LESS", "C0015967", "CUI_LESS", "C0042963", "CUI_LESS" ]	[ 2, 0, 0, 1, 0, 0, 1, 0, 1, 0, 1, 0 ]
He lost 930g relative to the birth's weight.	[ "He", "lost", "930g", "relative", "to", "the", "birth", "'s", "weight", "." ]	[ [ 0, 2 ], [ 3, 7 ], [ 8, 12 ], [ 13, 21 ], [ 22, 24 ], [ 25, 28 ], [ 29, 34 ], [ 34, 36 ], [ 37, 43 ], [ 43, 44 ] ]	[ 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, 1, 0, 0, 0, 0, 0, 0, 1, 0 ]
The abdomen appeared neither tender nor distended, and the rest of his physical examination was normal.	[ "The", "abdomen", "appeared", "neither", "tender", "nor", "distended", ",", "and", "the", "rest", "of", "his", "physical", "examination", "was", "normal", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 20 ], [ 21, 28 ], [ 29, 35 ], [ 36, 39 ], [ 40, 49 ], [ 49, 50 ], [ 51, 54 ], [ 55, 58 ], [ 59, 63 ], [ 64, 66 ], [ 67, 70 ], [ 71, 79 ], [ 80, 91 ], [ 92, 95 ], [ 96, 102 ], [ 102, 103 ] ]	[ 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" ]	[ 3, 8, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 5, 0 ]
The laboratory findings revealed hypernatremia of 152mEq/L, hyperkalemia of 7,8mEq/L and severe metabolic acidosis: blood PH: 7,1, HCO3:4mEq/L.	[ "The", "laboratory", "findings", "revealed", "hypernatremia", "of", "152m", "Eq/L", ",", "hyperkalemia", "of", "7,8m", "Eq/L", "and", "severe", "metabolic", "acidosis", ":", "blood", "PH", ":", "7,1", ",", "HCO3:4m", "Eq/L", "." ]	[ [ 0, 3 ], [ 4, 14 ], [ 15, 23 ], [ 24, 32 ], [ 33, 46 ], [ 47, 49 ], [ 50, 54 ], [ 54, 58 ], [ 58, 59 ], [ 60, 72 ], [ 73, 75 ], [ 76, 80 ], [ 80, 84 ], [ 85, 88 ], [ 89, 95 ], [ 96, 105 ], [ 106, 114 ], [ 114, 115 ], [ 116, 121 ], [ 122, 124 ], [ 124, 125 ], [ 126, 129 ], [ 129, 130 ], [ 131, 138 ], [ 138, 142 ], [ 142, 143 ] ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0020488", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0020461", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1836805", "C1836805", "C1836805", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 1, 1, 0, 5, 10, 0, 1, 0, 5, 10, 0, 0, 0, 1, 0, 3, 1, 0, 5, 0, 0, 5, 0 ]
The osmotic gap was 45.	[ "The", "osmotic", "gap", "was", "45", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 15 ], [ 16, 19 ], [ 20, 22 ], [ 22, 23 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 5, 0 ]
There was no leukocytosis, and the serum level of C-reactive protein was normal.	[ "There", "was", "no", "leukocytosis", ",", "and", "the", "serum", "level", "of", "C", "reactive", "protein", "was", "normal", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 12 ], [ 13, 25 ], [ 25, 26 ], [ 27, 30 ], [ 31, 34 ], [ 35, 40 ], [ 41, 46 ], [ 47, 49 ], [ 50, 51 ], [ 52, 60 ], [ 61, 68 ], [ 69, 72 ], [ 73, 79 ], [ 79, 80 ] ]	[ 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0023518", "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, 1, 0, 0, 0, 0, 0, 5, 0 ]
The infant was treated with intravenous fluids and electrolytes as well as antibiotics after obtaining blood and stool cultures, assuming an infectious etiology.	[ "The", "infant", "was", "treated", "with", "intravenous", "fluids", "and", "electrolytes", "as", "well", "as", "antibiotics", "after", "obtaining", "blood", "and", "stool", "cultures", ",", "assuming", "an", "infectious", "etiology", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 14 ], [ 15, 22 ], [ 23, 27 ], [ 28, 39 ], [ 40, 46 ], [ 47, 50 ], [ 51, 63 ], [ 64, 66 ], [ 67, 71 ], [ 72, 74 ], [ 75, 86 ], [ 87, 92 ], [ 93, 102 ], [ 103, 108 ], [ 109, 112 ], [ 113, 118 ], [ 119, 127 ], [ 127, 128 ], [ 129, 137 ], [ 138, 140 ], [ 141, 151 ], [ 152, 160 ], [ 160, 161 ] ]	[ 0, 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, 0, 0, 0, 0, 0, 0, 0, 0, 1, 3, 0, 3, 1, 0, 0, 0, 0, 1, 0 ]
After 26 hours of rehydration therapy, the dehydration resolved, however, a functional acute renal failure complicated by acidosis and hyperkalemia appeared.	[ "After", "26", "hours", "of", "rehydration", "therapy", ",", "the", "dehydration", "resolved", ",", "however", ",", "a", "functional", "acute", "renal", "failure", "complicated", "by", "acidosis", "and", "hyperkalemia", "appeared", "." ]	[ [ 0, 5 ], [ 6, 8 ], [ 9, 14 ], [ 15, 17 ], [ 18, 29 ], [ 30, 37 ], [ 37, 38 ], [ 39, 42 ], [ 43, 54 ], [ 55, 63 ], [ 63, 64 ], [ 65, 72 ], [ 72, 73 ], [ 74, 75 ], [ 76, 86 ], [ 87, 92 ], [ 93, 98 ], [ 99, 106 ], [ 107, 118 ], [ 119, 121 ], [ 122, 130 ], [ 131, 134 ], [ 135, 147 ], [ 148, 156 ], [ 156, 157 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 1, 2, 2, 2, 0, 0, 1, 0, 1, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0011175", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C3854676", "C3854676", "C3854676", "C3854676", "CUI_LESS", "CUI_LESS", "C0001122", "CUI_LESS", "C0020461", "CUI_LESS", "CUI_LESS" ]	[ 0, 4, 9, 0, 0, 1, 0, 0, 1, 1, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0, 1, 0, 0 ]
The chest radiograph showed "bat wings" pattern and the cardiothoracic index was 0, 45.	[ "The", "chest", "radiograph", "showed", "\"", "bat", "wings", "\"", "pattern", "and", "the", "cardiothoracic", "index", "was", "0", ",", "45", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 20 ], [ 21, 27 ], [ 28, 29 ], [ 29, 32 ], [ 33, 38 ], [ 38, 39 ], [ 40, 47 ], [ 48, 51 ], [ 52, 55 ], [ 56, 70 ], [ 71, 76 ], [ 77, 80 ], [ 81, 82 ], [ 82, 83 ], [ 84, 86 ], [ 86, 87 ] ]	[ 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, 3, 1, 1, 0, 0, 0, 0, 1, 0, 0, 0, 1, 0, 5, 10, 10, 0 ]
The renal ultrasound showed discretely hyperechoic kidneys cortex and the absence of renal malformations.	[ "The", "renal", "ultrasound", "showed", "discretely", "hyperechoic", "kidneys", "cortex", "and", "the", "absence", "of", "renal", "malformations", "." ]	[ [ 0, 3 ], [ 4, 9 ], [ 10, 20 ], [ 21, 27 ], [ 28, 38 ], [ 39, 50 ], [ 51, 58 ], [ 59, 65 ], [ 66, 69 ], [ 70, 73 ], [ 74, 81 ], [ 82, 84 ], [ 85, 90 ], [ 91, 104 ], [ 104, 105 ] ]	[ 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, 1, 3, 8, 8, 8, 0, 0, 0, 0, 0, 1, 0 ]
On the 11 th day of life, he was transferred to the pediatric intensive care unit.	[ "On", "the", "11", "th", "day", "of", "life", ",", "he", "was", "transferred", "to", "the", "pediatric", "intensive", "care", "unit", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 9 ], [ 10, 12 ], [ 13, 16 ], [ 17, 19 ], [ 20, 24 ], [ 24, 25 ], [ 26, 28 ], [ 29, 32 ], [ 33, 44 ], [ 45, 47 ], [ 48, 51 ], [ 52, 61 ], [ 62, 71 ], [ 72, 76 ], [ 77, 81 ], [ 81, 82 ] ]	[ 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, 4, 9, 9, 9, 9, 9, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0 ]
He needed mechanical ventilation for three days and exclusive parenteral feeding by central catheter.	[ "He", "needed", "mechanical", "ventilation", "for", "three", "days", "and", "exclusive", "parenteral", "feeding", "by", "central", "catheter", "." ]	[ [ 0, 2 ], [ 3, 9 ], [ 10, 20 ], [ 21, 32 ], [ 33, 36 ], [ 37, 42 ], [ 43, 47 ], [ 48, 51 ], [ 52, 61 ], [ 62, 72 ], [ 73, 80 ], [ 81, 83 ], [ 84, 91 ], [ 92, 100 ], [ 100, 101 ] ]	[ 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" ]	[ 2, 1, 0, 1, 0, 4, 9, 0, 0, 0, 1, 0, 0, 0, 0 ]
The evolution was burdened by cholestasis due to the prolonged parenteral feeding and nosocomial infection by staphylococcus epidermidis.	[ "The", "evolution", "was", "burdened", "by", "cholestasis", "due", "to", "the", "prolonged", "parenteral", "feeding", "and", "nosocomial", "infection", "by", "staphylococcus", "epidermidis", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 17 ], [ 18, 26 ], [ 27, 29 ], [ 30, 41 ], [ 42, 45 ], [ 46, 48 ], [ 49, 52 ], [ 53, 62 ], [ 63, 73 ], [ 74, 81 ], [ 82, 85 ], [ 86, 96 ], [ 97, 106 ], [ 107, 109 ], [ 110, 124 ], [ 125, 136 ], [ 136, 137 ] ]	[ 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, 1, 0, 1, 0, 1, 0, 0, 0, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0 ]
Since his admission, he had developed a slimy diarrhea with 3 to 4 stools per day.	[ "Since", "his", "admission", ",", "he", "had", "developed", "a", "slimy", "diarrhea", "with", "3", "to", "4", "stools", "per", "day", "." ]	[ [ 0, 5 ], [ 6, 9 ], [ 10, 19 ], [ 19, 20 ], [ 21, 23 ], [ 24, 27 ], [ 28, 37 ], [ 38, 39 ], [ 40, 45 ], [ 46, 54 ], [ 55, 59 ], [ 60, 61 ], [ 62, 64 ], [ 65, 66 ], [ 67, 73 ], [ 74, 77 ], [ 78, 81 ], [ 81, 82 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 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", "C0011991", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 2, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 4, 9, 0 ]
He presented a profuse diarrhea during each attempt to introduce enteral feeding by hydrolyzed milk formula.	[ "He", "presented", "a", "profuse", "diarrhea", "during", "each", "attempt", "to", "introduce", "enteral", "feeding", "by", "hydrolyzed", "milk", "formula", "." ]	[ [ 0, 2 ], [ 3, 12 ], [ 13, 14 ], [ 15, 22 ], [ 23, 31 ], [ 32, 38 ], [ 39, 43 ], [ 44, 51 ], [ 52, 54 ], [ 55, 64 ], [ 65, 72 ], [ 73, 80 ], [ 81, 83 ], [ 84, 94 ], [ 95, 99 ], [ 100, 107 ], [ 107, 108 ] ]	[ 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0011991", "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, 0, 0, 1, 0, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 0 ]
He was discharged after 32 days with output's weight 3250g.	[ "He", "was", "discharged", "after", "32", "days", "with", "output", "'s", "weight", "3250g", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 17 ], [ 18, 23 ], [ 24, 26 ], [ 27, 31 ], [ 32, 36 ], [ 37, 43 ], [ 43, 45 ], [ 46, 52 ], [ 53, 58 ], [ 58, 59 ] ]	[ 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" ]	[ 2, 0, 1, 0, 4, 9, 0, 0, 0, 1, 5, 0 ]
The oesophago-gastro-duodenoscopy and duodenal biopsy showed partial villous atrophy associated to the brush border abnormalities.	[ "The", "oesophago", "gastro", "duodenoscopy", "and", "duodenal", "biopsy", "showed", "partial", "villous", "atrophy", "associated", "to", "the", "brush", "border", "abnormalities", "." ]	[ [ 0, 3 ], [ 4, 13 ], [ 14, 20 ], [ 21, 33 ], [ 34, 37 ], [ 38, 46 ], [ 47, 53 ], [ 54, 60 ], [ 61, 68 ], [ 69, 76 ], [ 77, 84 ], [ 85, 95 ], [ 96, 98 ], [ 99, 102 ], [ 103, 108 ], [ 109, 115 ], [ 116, 129 ], [ 129, 130 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0554100", "C0554100", "C0554100", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 6, 6, 0, 0, 1, 1, 0, 0, 1, 0, 0, 0, 3, 8, 1, 0 ]
The periodic acid Schiff (PAS) stain revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with double contours pattern.	[ "The", "periodic", "acid", "Schiff", "(", "PAS", ")", "stain", "revealed", "abnormalities", "in", "the", "brush", "border", "characterized", "by", "loss", "of", "the", "linear", "part", "of", "enterocytes", "with", "the", "presence", "of", "intra", "cytoplasmic", "PAS", "+", "band", "in", "the", "apical", "pole", "of", "enterocytes", "uneven", "thickness", "and", "sometimes", "with", "double", "contours", "pattern", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 17 ], [ 18, 24 ], [ 25, 26 ], [ 26, 29 ], [ 29, 30 ], [ 31, 36 ], [ 37, 45 ], [ 46, 59 ], [ 60, 62 ], [ 63, 66 ], [ 67, 72 ], [ 73, 79 ], [ 80, 93 ], [ 94, 96 ], [ 97, 101 ], [ 102, 104 ], [ 105, 108 ], [ 109, 115 ], [ 116, 120 ], [ 121, 123 ], [ 124, 135 ], [ 136, 140 ], [ 141, 144 ], [ 145, 153 ], [ 154, 156 ], [ 157, 162 ], [ 163, 174 ], [ 175, 178 ], [ 179, 180 ], [ 181, 185 ], [ 186, 188 ], [ 189, 192 ], [ 193, 199 ], [ 200, 204 ], [ 205, 207 ], [ 208, 219 ], [ 220, 226 ], [ 227, 236 ], [ 237, 240 ], [ 241, 250 ], [ 251, 255 ], [ 256, 262 ], [ 263, 271 ], [ 272, 279 ], [ 279, 280 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 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" ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 1, 1, 0, 3, 8, 8, 0, 0, 1, 0, 0, 0, 0, 0, 3, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 3, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
In the submucosa, there were numerous Brunner glands.	[ "In", "the", "submucosa", ",", "there", "were", "numerous", "Brunner", "glands", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 16 ], [ 16, 17 ], [ 18, 23 ], [ 24, 28 ], [ 29, 37 ], [ 38, 45 ], [ 46, 52 ], [ 52, 53 ] ]	[ 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, 3, 8, 0, 0, 0, 3, 8, 8, 0 ]
We find the existence of numerous hemorrhagic suffusions.	[ "We", "find", "the", "existence", "of", "numerous", "hemorrhagic", "suffusions", "." ]	[ [ 0, 2 ], [ 3, 7 ], [ 8, 11 ], [ 12, 21 ], [ 22, 24 ], [ 25, 33 ], [ 34, 45 ], [ 46, 56 ], [ 56, 57 ] ]	[ 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" ]	[ 2, 1, 0, 0, 0, 0, 0, 1, 0 ]
The CD10 immunostain was positive.	[ "The", "CD10", "immunostain", "was", "positive", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 20 ], [ 21, 24 ], [ 25, 33 ], [ 33, 34 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 1, 0, 5, 0 ]
Thus, a diagnosis hypothesis of MVID was raised.	[ "Thus", ",", "a", "diagnosis", "hypothesis", "of", "MVID", "was", "raised", "." ]	[ [ 0, 4 ], [ 4, 5 ], [ 6, 7 ], [ 8, 17 ], [ 18, 28 ], [ 29, 31 ], [ 32, 36 ], [ 37, 40 ], [ 41, 47 ], [ 47, 48 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0341306", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 0, 0, 0, 1, 0, 0, 0 ]
The electron microscopic examination confirmed the diagnosis.	[ "The", "electron", "microscopic", "examination", "confirmed", "the", "diagnosis", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 24 ], [ 25, 36 ], [ 37, 46 ], [ 47, 50 ], [ 51, 60 ], [ 60, 61 ] ]	[ 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, 1, 1, 0, 1, 0 ]
Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO5B gene.	[ "Mutation", "analysis", "of", "peripheral", "blood", "samples", "of", "the", "neonate", "revealed", "a", "mutation", "at", "the", "homozygous", "status", "of", "MYO5B", "gene", "." ]	[ [ 0, 8 ], [ 9, 17 ], [ 18, 20 ], [ 21, 31 ], [ 32, 37 ], [ 38, 45 ], [ 46, 48 ], [ 49, 52 ], [ 53, 60 ], [ 61, 69 ], [ 70, 71 ], [ 72, 80 ], [ 81, 83 ], [ 84, 87 ], [ 88, 98 ], [ 99, 105 ], [ 106, 108 ], [ 109, 114 ], [ 115, 119 ], [ 119, 120 ] ]	[ 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" ]	[ 0, 1, 0, 3, 8, 0, 0, 2, 7, 1, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0 ]
The baby died, after 97 days of life, of septic shock and multiple organ failure.	[ "The", "baby", "died", ",", "after", "97", "days", "of", "life", ",", "of", "septic", "shock", "and", "multiple", "organ", "failure", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 13 ], [ 13, 14 ], [ 15, 20 ], [ 21, 23 ], [ 24, 28 ], [ 29, 31 ], [ 32, 36 ], [ 36, 37 ], [ 38, 40 ], [ 41, 47 ], [ 48, 53 ], [ 54, 57 ], [ 58, 66 ], [ 67, 72 ], [ 73, 80 ], [ 80, 81 ] ]	[ 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" ]	[ 2, 7, 1, 0, 0, 4, 9, 0, 1, 0, 0, 0, 1, 0, 3, 8, 1, 0 ]
A 20 years old man presented with fever, myalgias, arthralgias, retro-orbital pain, vomiting and gum bleeding during a large dengue outbreak in Lahore, Pakistan.	[ "A", "20", "years", "old", "man", "presented", "with", "fever", ",", "myalgias", ",", "arthralgias", ",", "retro", "orbital", "pain", ",", "vomiting", "and", "gum", "bleeding", "during", "a", "large", "dengue", "outbreak", "in", "Lahore", ",", "Pakistan", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 10 ], [ 11, 14 ], [ 15, 18 ], [ 19, 28 ], [ 29, 33 ], [ 34, 39 ], [ 39, 40 ], [ 41, 49 ], [ 49, 50 ], [ 51, 62 ], [ 62, 63 ], [ 64, 69 ], [ 70, 77 ], [ 78, 82 ], [ 82, 83 ], [ 84, 92 ], [ 93, 96 ], [ 97, 100 ], [ 101, 109 ], [ 110, 116 ], [ 117, 118 ], [ 119, 124 ], [ 125, 131 ], [ 132, 140 ], [ 141, 143 ], [ 144, 150 ], [ 150, 151 ], [ 152, 160 ], [ 160, 161 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 0, 1, 0, 1, 2, 2, 0, 1, 0, 1, 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", "C0015967", "CUI_LESS", "C0231528", "CUI_LESS", "C0003862", "CUI_LESS", "C0743724", "C0743724", "C0743724", "CUI_LESS", "C0042963", "CUI_LESS", null, null, "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 7, 7, 7, 1, 0, 1, 0, 1, 0, 1, 0, 0, 0, 1, 0, 1, 0, 3, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0 ]
On 7th day of illness patient became afebrile, but he developed severe headaches, unconsciousness followed by altered behavior.	[ "On", "7th", "day", "of", "illness", "patient", "became", "afebrile", ",", "but", "he", "developed", "severe", "headaches", ",", "unconsciousness", "followed", "by", "altered", "behavior", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 10 ], [ 11, 13 ], [ 14, 21 ], [ 22, 29 ], [ 30, 36 ], [ 37, 45 ], [ 45, 46 ], [ 47, 50 ], [ 51, 53 ], [ 54, 63 ], [ 64, 70 ], [ 71, 80 ], [ 80, 81 ], [ 82, 97 ], [ 98, 106 ], [ 107, 109 ], [ 110, 117 ], [ 118, 126 ], [ 126, 127 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 1, 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", "C0018681", "CUI_LESS", "C0041657", "CUI_LESS", "CUI_LESS", "CUILESS", "CUILESS", "CUI_LESS" ]	[ 0, 4, 9, 0, 1, 2, 0, 1, 0, 0, 2, 0, 0, 1, 0, 1, 0, 0, 0, 1, 0 ]
On 9th day of illness patient developed painful neck swelling accompanied by fever, tremors, palpitations, hoarseness of voice and odynophagia.	[ "On", "9th", "day", "of", "illness", "patient", "developed", "painful", "neck", "swelling", "accompanied", "by", "fever", ",", "tremors", ",", "palpitations", ",", "hoarseness", "of", "voice", "and", "odynophagia", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 10 ], [ 11, 13 ], [ 14, 21 ], [ 22, 29 ], [ 30, 39 ], [ 40, 47 ], [ 48, 52 ], [ 53, 61 ], [ 62, 73 ], [ 74, 76 ], [ 77, 82 ], [ 82, 83 ], [ 84, 91 ], [ 91, 92 ], [ 93, 105 ], [ 105, 106 ], [ 107, 117 ], [ 118, 120 ], [ 121, 126 ], [ 127, 130 ], [ 131, 142 ], [ 142, 143 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 0, 1, 0, 0, 0, 1, 0, 1, 2, 2, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0578454", "C0578454", "CUI_LESS", "CUI_LESS", "C0015967", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0030252", "CUI_LESS", "C0019825", "C0019825", "C0019825", "CUI_LESS", "C0221150", "CUI_LESS" ]	[ 0, 4, 9, 0, 1, 2, 0, 0, 3, 1, 0, 0, 1, 0, 1, 0, 1, 0, 1, 0, 0, 0, 1, 0 ]
Examination revealed acutely swollen, tender thyroid gland along with features of hyperthyroidism.	[ "Examination", "revealed", "acutely", "swollen", ",", "tender", "thyroid", "gland", "along", "with", "features", "of", "hyperthyroidism", "." ]	[ [ 0, 11 ], [ 12, 20 ], [ 21, 28 ], [ 29, 36 ], [ 36, 37 ], [ 38, 44 ], [ 45, 52 ], [ 53, 58 ], [ 59, 64 ], [ 65, 69 ], [ 70, 78 ], [ 79, 81 ], [ 82, 97 ], [ 97, 98 ] ]	[ 0, 0, 0, 1, 0, 1, 2, 2, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0038999", "CUI_LESS", "C0578750", "C0578750", "C0578750", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0020550", "CUI_LESS" ]	[ 1, 1, 3, 8, 8, 8, 8, 8, 0, 0, 0, 0, 1, 0 ]
Laboratory evaluation revealed stable hematocrit, thrombocytopenia and leukopenia.	[ "Laboratory", "evaluation", "revealed", "stable", "hematocrit", ",", "thrombocytopenia", "and", "leukopenia", "." ]	[ [ 0, 10 ], [ 11, 21 ], [ 22, 30 ], [ 31, 37 ], [ 38, 48 ], [ 48, 49 ], [ 50, 66 ], [ 67, 70 ], [ 71, 81 ], [ 81, 82 ] ]	[ 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, 1, 1, 0, 1, 0, 1, 0, 1, 0 ]
Patient had seroconverted for anti-dengue IgM antibodies on the 10th day of illness.	[ "Patient", "had", "seroconverted", "for", "anti", "dengue", "Ig", "M", "antibodies", "on", "the", "10th", "day", "of", "illness", "." ]	[ [ 0, 7 ], [ 8, 11 ], [ 12, 25 ], [ 26, 29 ], [ 30, 34 ], [ 35, 41 ], [ 42, 44 ], [ 44, 45 ], [ 46, 56 ], [ 57, 59 ], [ 60, 63 ], [ 64, 68 ], [ 69, 72 ], [ 73, 75 ], [ 76, 83 ], [ 83, 84 ] ]	[ 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" ]	[ 2, 0, 1, 0, 0, 0, 0, 0, 0, 0, 4, 9, 9, 0, 1, 0 ]
A non-contrast Computed Tomogram (CT) of the brain showed right frontal lobe hematoma.	[ "A", "non", "contrast", "Computed", "Tomogram", "(", "CT", ")", "of", "the", "brain", "showed", "right", "frontal", "lobe", "hematoma", "." ]	[ [ 0, 1 ], [ 2, 5 ], [ 6, 14 ], [ 15, 23 ], [ 24, 32 ], [ 33, 34 ], [ 34, 36 ], [ 36, 37 ], [ 38, 40 ], [ 41, 44 ], [ 45, 50 ], [ 51, 57 ], [ 58, 63 ], [ 64, 71 ], [ 72, 76 ], [ 77, 85 ], [ 85, 86 ] ]	[ 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" ]	[ 0, 0, 0, 0, 1, 0, 1, 0, 0, 3, 8, 1, 3, 8, 8, 1, 0 ]
Thyroid profile showed increased free T3 and T4 and low TSH.	[ "Thyroid", "profile", "showed", "increased", "free", "T3", "and", "T4", "and", "low", "TSH", "." ]	[ [ 0, 7 ], [ 8, 15 ], [ 16, 22 ], [ 23, 32 ], [ 33, 37 ], [ 38, 40 ], [ 41, 44 ], [ 45, 47 ], [ 48, 51 ], [ 52, 55 ], [ 56, 59 ], [ 59, 60 ] ]	[ 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" ]	[ 3, 1, 1, 5, 0, 1, 0, 1, 0, 5, 1, 0 ]
Technetium thyroid scan showed reduced tracer uptake.	[ "Technetium", "thyroid", "scan", "showed", "reduced", "tracer", "uptake", "." ]	[ [ 0, 10 ], [ 11, 18 ], [ 19, 23 ], [ 24, 30 ], [ 31, 38 ], [ 39, 45 ], [ 46, 52 ], [ 52, 53 ] ]	[ 0, 0, 0, 0, 1, 2, 2, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUILESS", "CUILESS", "CUILESS", "CUI_LESS" ]	[ 0, 3, 1, 1, 0, 0, 1, 0 ]
He was diagnosed as having subacute thyroiditis and treated with oral prednisolone and propranolol.	[ "He", "was", "diagnosed", "as", "having", "subacute", "thyroiditis", "and", "treated", "with", "oral", "prednisolone", "and", "propranolol", "." ]	[ [ 0, 2 ], [ 3, 6 ], [ 7, 16 ], [ 17, 19 ], [ 20, 26 ], [ 27, 35 ], [ 36, 47 ], [ 48, 51 ], [ 52, 59 ], [ 60, 64 ], [ 65, 69 ], [ 70, 82 ], [ 83, 86 ], [ 87, 98 ], [ 98, 99 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0040149", "C0040149", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 0, 1, 0, 0, 0, 1, 0, 1, 0, 0, 0, 0, 0, 0 ]
Follow up CT brain showed resolving hematoma.	[ "Follow", "up", "CT", "brain", "showed", "resolving", "hematoma", "." ]	[ [ 0, 6 ], [ 7, 9 ], [ 10, 12 ], [ 13, 18 ], [ 19, 25 ], [ 26, 35 ], [ 36, 44 ], [ 44, 45 ] ]	[ 0, 0, 0, 0, 0, 0, 1, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0018944", "CUI_LESS" ]	[ 0, 0, 1, 3, 1, 0, 1, 0 ]
Patient's recovery was uneventful.	[ "Patient", "'s", "recovery", "was", "uneventful", "." ]	[ [ 0, 7 ], [ 7, 9 ], [ 10, 18 ], [ 19, 22 ], [ 23, 33 ], [ 33, 34 ] ]	[ 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 2, 7, 1, 0, 1, 0 ]
A 17 year-old woman with a history of moderate persistent allergic asthma has benefited from a first desensitization protocol at age 3.	[ "A", "17", "year", "old", "woman", "with", "a", "history", "of", "moderate", "persistent", "allergic", "asthma", "has", "benefited", "from", "a", "first", "desensitization", "protocol", "at", "age", "3", "." ]	[ [ 0, 1 ], [ 2, 4 ], [ 5, 9 ], [ 10, 13 ], [ 14, 19 ], [ 20, 24 ], [ 25, 26 ], [ 27, 34 ], [ 35, 37 ], [ 38, 46 ], [ 47, 57 ], [ 58, 66 ], [ 67, 73 ], [ 74, 77 ], [ 78, 87 ], [ 88, 92 ], [ 93, 94 ], [ 95, 100 ], [ 101, 116 ], [ 117, 125 ], [ 126, 128 ], [ 129, 132 ], [ 133, 134 ], [ 134, 135 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 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", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C4039651", "C4039651", "C4039651", "C4039651", "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, 7, 7, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 1, 0, 0, 0, 0 ]
The protocol has been interrupted 4 years later because of a mild skin reaction.	[ "The", "protocol", "has", "been", "interrupted", "4", "years", "later", "because", "of", "a", "mild", "skin", "reaction", "." ]	[ [ 0, 3 ], [ 4, 12 ], [ 13, 16 ], [ 17, 21 ], [ 22, 33 ], [ 34, 35 ], [ 36, 41 ], [ 42, 47 ], [ 48, 55 ], [ 56, 58 ], [ 59, 60 ], [ 61, 65 ], [ 66, 70 ], [ 71, 79 ], [ 79, 80 ] ]	[ 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, 0, 0, 1, 4, 9, 0, 0, 0, 0, 0, 0, 1, 0 ]
Her doctor decided to stop the specific immunotherapy.	[ "Her", "doctor", "decided", "to", "stop", "the", "specific", "immunotherapy", "." ]	[ [ 0, 3 ], [ 4, 10 ], [ 11, 18 ], [ 19, 21 ], [ 22, 26 ], [ 27, 30 ], [ 31, 39 ], [ 40, 53 ], [ 53, 54 ] ]	[ 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" ]	[ 2, 7, 0, 0, 1, 0, 0, 1, 0 ]
But another doctor restarted a new protocol of desensitization at age 16 against pollens because of a lack of control of his condition.	[ "But", "another", "doctor", "restarted", "a", "new", "protocol", "of", "desensitization", "at", "age", "16", "against", "pollens", "because", "of", "a", "lack", "of", "control", "of", "his", "condition", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 18 ], [ 19, 28 ], [ 29, 30 ], [ 31, 34 ], [ 35, 43 ], [ 44, 46 ], [ 47, 62 ], [ 63, 65 ], [ 66, 69 ], [ 70, 72 ], [ 73, 80 ], [ 81, 88 ], [ 89, 96 ], [ 97, 99 ], [ 100, 101 ], [ 102, 106 ], [ 107, 109 ], [ 110, 117 ], [ 118, 120 ], [ 121, 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, 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, 2, 7, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
She was never hospitalized, she was receiving no medication and she was doing well one year after she received a new regimen of pneumallergens (Alustal® Stallergenes SA, France).	[ "She", "was", "never", "hospitalized", ",", "she", "was", "receiving", "no", "medication", "and", "she", "was", "doing", "well", "one", "year", "after", "she", "received", "a", "new", "regimen", "of", "pneumallergens", "(", "Alustal", "®", "Stallergenes", "SA", ",", "France", ")", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 13 ], [ 14, 26 ], [ 26, 27 ], [ 28, 31 ], [ 32, 35 ], [ 36, 45 ], [ 46, 48 ], [ 49, 59 ], [ 60, 63 ], [ 64, 67 ], [ 68, 71 ], [ 72, 77 ], [ 78, 82 ], [ 83, 86 ], [ 87, 91 ], [ 92, 97 ], [ 98, 101 ], [ 102, 110 ], [ 111, 112 ], [ 113, 116 ], [ 117, 124 ], [ 125, 127 ], [ 128, 142 ], [ 143, 144 ], [ 144, 151 ], [ 151, 152 ], [ 153, 165 ], [ 166, 168 ], [ 168, 169 ], [ 170, 176 ], [ 176, 177 ], [ 177, 178 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 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, 0, 0, 1, 0, 2, 0, 0, 0, 1, 0, 2, 0, 0, 0, 0, 0, 0, 2, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
Indeed, 12 hours after initiation of treatment, she complained of abdominal pain, vomiting and diarrhea without fever.	[ "Indeed", ",", "12", "hours", "after", "initiation", "of", "treatment", ",", "she", "complained", "of", "abdominal", "pain", ",", "vomiting", "and", "diarrhea", "without", "fever", "." ]	[ [ 0, 6 ], [ 6, 7 ], [ 8, 10 ], [ 11, 16 ], [ 17, 22 ], [ 23, 33 ], [ 34, 36 ], [ 37, 46 ], [ 46, 47 ], [ 48, 51 ], [ 52, 62 ], [ 63, 65 ], [ 66, 75 ], [ 76, 80 ], [ 80, 81 ], [ 82, 90 ], [ 91, 94 ], [ 95, 103 ], [ 104, 111 ], [ 112, 117 ], [ 117, 118 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 2, 0, 1, 0, 1, 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", "C0000737", "C0000737", "CUI_LESS", "C0042963", "CUI_LESS", "C0011991", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 4, 9, 0, 1, 0, 1, 0, 2, 0, 0, 0, 1, 0, 1, 0, 1, 0, 1, 0 ]
Several hours after, she consulted to the emergency department where a surgical emergency was ruled out.	[ "Several", "hours", "after", ",", "she", "consulted", "to", "the", "emergency", "department", "where", "a", "surgical", "emergency", "was", "ruled", "out", "." ]	[ [ 0, 7 ], [ 8, 13 ], [ 14, 19 ], [ 19, 20 ], [ 21, 24 ], [ 25, 34 ], [ 35, 37 ], [ 38, 41 ], [ 42, 51 ], [ 52, 62 ], [ 63, 68 ], [ 69, 70 ], [ 71, 79 ], [ 80, 89 ], [ 90, 93 ], [ 94, 99 ], [ 100, 103 ], [ 103, 104 ] ]	[ 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" ]	[ 4, 9, 0, 0, 2, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
She was then admitted to the internal medicine ward.	[ "She", "was", "then", "admitted", "to", "the", "internal", "medicine", "ward", "." ]	[ [ 0, 3 ], [ 4, 7 ], [ 8, 12 ], [ 13, 21 ], [ 22, 24 ], [ 25, 28 ], [ 29, 37 ], [ 38, 46 ], [ 47, 51 ], [ 51, 52 ] ]	[ 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, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]
Two days later, she developed an acute respiratory failure and was referred to the intensive care unit where laboratory tests revealed multiorgan failure: liver enzymes, 5000U/L (normal level, 0-37U/L); creatine phosphokinase, 59000U/L (normal level, 10-200U/L); cardiac troponin T, 21ng/ml (normal level, under 0,01ng/ml); leucopenia, 2600/mm 3 (normal level, 4000-9000/ mm 3); thrombocytopenia, 13000/ mm 3 (normal level, 150000-400000/ mm 3); prothrombin time, 38% (normal level, 70-100%).	[ "Two", "days", "later", ",", "she", "developed", "an", "acute", "respiratory", "failure", "and", "was", "referred", "to", "the", "intensive", "care", "unit", "where", "laboratory", "tests", "revealed", "multiorgan", "failure", ":", "liver", "enzymes", ",", "5000U/L", "(", "normal", "level", ",", "0-37U/L", ")", ";", "creatine", "phosphokinase", ",", "59000U/L", "(", "normal", "level", ",", "10-200U/L", ")", ";", "cardiac", "troponin", "T", ",", "21ng/ml", "(", "normal", "level", ",", "under", "0,01ng/ml", ")", ";", "leucopenia", ",", "2600/mm", "3", "(", "normal", "level", ",", "4000-9000", "/", "mm", "3", ")", ";", "thrombocytopenia", ",", "13000", "/", "mm", "3", "(", "normal", "level", ",", "150000-400000", "/", "mm", "3", ")", ";", "prothrombin", "time", ",", "38", "%", "(", "normal", "level", ",", "70-100", "%", ")", "." ]	[ [ 0, 3 ], [ 4, 8 ], [ 9, 14 ], [ 14, 15 ], [ 16, 19 ], [ 20, 29 ], [ 30, 32 ], [ 33, 38 ], [ 39, 50 ], [ 51, 58 ], [ 59, 62 ], [ 63, 66 ], [ 67, 75 ], [ 76, 78 ], [ 79, 82 ], [ 83, 92 ], [ 93, 97 ], [ 98, 102 ], [ 103, 108 ], [ 109, 119 ], [ 120, 125 ], [ 126, 134 ], [ 135, 145 ], [ 146, 153 ], [ 153, 154 ], [ 155, 160 ], [ 161, 168 ], [ 168, 169 ], [ 170, 177 ], [ 178, 179 ], [ 179, 185 ], [ 186, 191 ], [ 191, 192 ], [ 193, 200 ], [ 200, 201 ], [ 201, 202 ], [ 203, 211 ], [ 212, 225 ], [ 225, 226 ], [ 227, 235 ], [ 236, 237 ], [ 237, 243 ], [ 244, 249 ], [ 249, 250 ], [ 251, 260 ], [ 260, 261 ], [ 261, 262 ], [ 263, 270 ], [ 271, 279 ], [ 280, 281 ], [ 281, 282 ], [ 283, 290 ], [ 291, 292 ], [ 292, 298 ], [ 299, 304 ], [ 304, 305 ], [ 306, 311 ], [ 312, 321 ], [ 321, 322 ], [ 322, 323 ], [ 324, 334 ], [ 334, 335 ], [ 336, 343 ], [ 344, 345 ], [ 346, 347 ], [ 347, 353 ], [ 354, 359 ], [ 359, 360 ], [ 361, 370 ], [ 370, 371 ], [ 372, 374 ], [ 375, 376 ], [ 376, 377 ], [ 377, 378 ], [ 379, 395 ], [ 395, 396 ], [ 397, 402 ], [ 402, 403 ], [ 404, 406 ], [ 407, 408 ], [ 409, 410 ], [ 410, 416 ], [ 417, 422 ], [ 422, 423 ], [ 424, 437 ], [ 437, 438 ], [ 439, 441 ], [ 442, 443 ], [ 443, 444 ], [ 444, 445 ], [ 446, 457 ], [ 458, 462 ], [ 462, 463 ], [ 464, 466 ], [ 466, 467 ], [ 468, 469 ], [ 469, 475 ], [ 476, 481 ], [ 481, 482 ], [ 483, 489 ], [ 489, 490 ], [ 490, 491 ], [ 491, 492 ] ]	[ 0, 0, 0, 0, 0, 0, 0, 1, 2, 2, 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, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 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", "C0264490", "C0264490", "C0264490", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C0026766", "C0026766", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 4, 9, 9, 0, 2, 0, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 1, 0, 1, 0, 0, 1, 0, 5, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 5, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 0, 5, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 5, 10, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 5, 10, 10, 10, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 0, 5, 10, 0, 0, 0, 0, 0, 0, 0, 0 ]
Chest X-ray demonstrated bilateral interstitial markings with a normal cardiac silhouette.	[ "Chest", "X", "ray", "demonstrated", "bilateral", "interstitial", "markings", "with", "a", "normal", "cardiac", "silhouette", "." ]	[ [ 0, 5 ], [ 6, 7 ], [ 8, 11 ], [ 12, 24 ], [ 25, 34 ], [ 35, 47 ], [ 48, 56 ], [ 57, 61 ], [ 62, 63 ], [ 64, 70 ], [ 71, 78 ], [ 79, 89 ], [ 89, 90 ] ]	[ 0, 0, 0, 0, 0, 1, 2, 0, 0, 0, 0, 0, 0 ]	[ "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "C1849561", "C1849561", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 1, 6, 1, 0, 0, 1, 0, 0, 0, 0, 0, 0 ]
Viral serology was normal for hepatitis A, B, C, D, and E, Epstein-Barr virus and Cytomegalovirus.	[ "Viral", "serology", "was", "normal", "for", "hepatitis", "A", ",", "B", ",", "C", ",", "D", ",", "and", "E", ",", "Epstein", "Barr", "virus", "and", "Cytomegalovirus", "." ]	[ [ 0, 5 ], [ 6, 14 ], [ 15, 18 ], [ 19, 25 ], [ 26, 29 ], [ 30, 39 ], [ 40, 41 ], [ 41, 42 ], [ 43, 44 ], [ 44, 45 ], [ 46, 47 ], [ 47, 48 ], [ 49, 50 ], [ 50, 51 ], [ 52, 55 ], [ 56, 57 ], [ 57, 58 ], [ 59, 66 ], [ 67, 71 ], [ 72, 77 ], [ 78, 81 ], [ 82, 97 ], [ 97, 98 ] ]	[ 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" ]	[ 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]
A skin morbilliform rash and facial edema appeared later.	[ "A", "skin", "morbilliform", "rash", "and", "facial", "edema", "appeared", "later", "." ]	[ [ 0, 1 ], [ 2, 6 ], [ 7, 19 ], [ 20, 24 ], [ 25, 28 ], [ 29, 35 ], [ 36, 41 ], [ 42, 50 ], [ 51, 56 ], [ 56, 57 ] ]	[ 0, 1, 2, 2, 0, 1, 2, 0, 0, 0 ]	[ "CUI_LESS", "C0234918", "C0234918", "C0234918", "CUI_LESS", "C0542571", "C0542571", "CUI_LESS", "CUI_LESS", "CUI_LESS" ]	[ 0, 0, 0, 1, 0, 0, 1, 0, 0, 0 ]
The patient received a fluid resuscitation, platelet and erythrocyte transfusion, steroids and antibiotics.	[ "The", "patient", "received", "a", "fluid", "resuscitation", ",", "platelet", "and", "erythrocyte", "transfusion", ",", "steroids", "and", "antibiotics", "." ]	[ [ 0, 3 ], [ 4, 11 ], [ 12, 20 ], [ 21, 22 ], [ 23, 28 ], [ 29, 42 ], [ 42, 43 ], [ 44, 52 ], [ 53, 56 ], [ 57, 68 ], [ 69, 80 ], [ 80, 81 ], [ 82, 90 ], [ 91, 94 ], [ 95, 106 ], [ 106, 107 ] ]	[ 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" ]	[ 2, 7, 0, 0, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 ]

In the context of the child's nephrotic status and focal neurological signs, we had a high suspicion of cerebral venous thrombosis, and made a presumptive diagnosis.

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The child was started on high dose subcutaneous unfractionated heparin daily.

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This decision was made cautiously, but it was felt that the advantages surpassed the risks.

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He also received dexamethasone, high flow oxygen, and elevation of the head to 45 degrees, in order to treat features of raised intracranial pressure.

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On day 6 of admission his headache had improved and his focal neurological signs began to resolve.

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He still had a partial right VI nerve palsy and a convergent squint.

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His oedema resolved completely by day 10 of treatment, and he was discharged on day 18.

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He continued prednisolone 60mg daily for a total of 6 weeks, followed by a reduced dose of 40mg on alternate days for 6 weeks.

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At 12 weeks follow-up, his urinalysis showed a trace proteinurea but he remained in remission.

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A 43-year-old non-diabetic Indian male reported to our outpatient department with chief complaints of cough with expectoration, chest pain, reduced appetite, fever with chills, and night sweats for two weeks.

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He also complained of breathlessness on exertion and had two episodes of blood in his sputum.

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The patient explained that the cough was continuous and was relieved after taking cough syrup.

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He also mentioned that the episodes of fever were initially intermittent and then daily for the last two weeks and were relieved after taking Paracetamol.

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The chest pain was localized to the middle of the chest and was aggravated on exertion.

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He was a businessman by profession with no history of smoking, alcoholism, or any other substance abuse.

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Also, there was no history of any contact of TB or COVID-19 in the family or close contacts.

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And there was no history of foreign travel in the recent past.

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But he had reported having traveled by a domestic airline about twenty days back.

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There was no history of weight loss or any other major illness in the past.

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On examination his vitals were-pulse-108/minute, arterial BP-130/80 mm of Hg, respiratory rate of 30 breaths/minute, Sp02-899% on room air, temperature- 101-degree centigrade.

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His Sp02 fell by 70% on room air after waking.

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On auscultation, there was crepitation on the bilateral middle lobes of the lungs.

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Also, dyspnea on exertion was noted.

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The rest of the systemic examination was within normal limits.

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Considering this as a probable case of TB with COVID-19 he was advised a chest radiograph with sputum microscopy (Ziehl Neelsen (ZN) staining for acid-fast bacilli), Cartridge-based nucleic acid amplification test (CBNAAT) of the sputum and other routine investigations.

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To check for the COVID-19 he was advised qualitative polymerase chain reaction (PCR) test from the oropharyngeal swab.

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The results were surprising with Mycobacterium tuberculosis detected on sputum fluorescent microscopy and were also confirmed by the CBNAAT.

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However, there was no resistance to Rifampicin.

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The results of the PCR were positive for RNA specific to SARS-CoV-2.

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Besides, the chest radiograph PA-view was suggestive of bilateral consolidations on the middle lobes of lungs with ill-defined borders.

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The other investigations revealed a low lymphocyte count (1x 10 9 /L) and increased levels of C-reactive protein (CRP) (57 mg/L), lactate dehydrogenase (LDH) (580 U/L), and erythrocyte sedimentation rate (ESR) (70 mm in the 1 st hour).

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Also, a sample for liquid culture (MGIT BACTEC) was sent to the Intermediate Reference Laboratory (IRL) which revealed the growth of Mycobacterium tuberculosis.

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Computed tomography was not performed as the diagnosis was established by other cheaper and faster methods and also the patient was unwilling for the same.

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All the other routine investigations were within normal limits.

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He was referred to the nearest designated COVID-19 management center, where he was managed as per national guidelines.

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Besides, he was also started on an antitubercular treatment of four drugs as per the National Tuberculosis Elimination Program (NTEP) guidelines.

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He was advised follow-up post completion of his stay at the designated COVID-19 center, but he has not yet reported back for follow-up.

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Written informed consent was obtained from the patient for using clinical data and images for publication in this study.

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We report a case of a male near-term neonate with gestational age of 35 weeks.

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He was the third born child to a 27-year-old mother with no significant past history.

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He was derived from a third degree consanguineous marriage.

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He was born by means of normal vaginal delivery with a normal extra-uterine adaptation.

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Meconium-stained amniotic fluid was noted.

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His birth weight was 3030g (75 th Percentile).

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The baby had normal physical examination at birth aside transitory respiratory distress.

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He had been hospitalized for four days in a private clinic, for the suspicion of materno-foetal infection, where he had antibiotics for 48 hours.

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He had developed no symptoms during his hospitalization.

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The output's weight was 2400g which signify the loss of 630g.

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

Back home, he received exclusive maternal breastfeeding.

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

On his fifth day of life, he presented multiple yellowish-watery stools (ab 12 times) and refuse feeding with apyrexia context.

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

He had clinical signs of severe dehydration without fever or vomiting.

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

He lost 930g relative to the birth's weight.

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

The abdomen appeared neither tender nor distended, and the rest of his physical examination was normal.

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The laboratory findings revealed hypernatremia of 152mEq/L, hyperkalemia of 7,8mEq/L and severe metabolic acidosis: blood PH: 7,1, HCO3:4mEq/L.

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The osmotic gap was 45.

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

There was no leukocytosis, and the serum level of C-reactive protein was normal.

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The infant was treated with intravenous fluids and electrolytes as well as antibiotics after obtaining blood and stool cultures, assuming an infectious etiology.

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[ 2, 7, 0, 1, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 1, 3, 0, 3, 1, 0, 0, 0, 0, 1, 0 ]

After 26 hours of rehydration therapy, the dehydration resolved, however, a functional acute renal failure complicated by acidosis and hyperkalemia appeared.

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The chest radiograph showed "bat wings" pattern and the cardiothoracic index was 0, 45.

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The renal ultrasound showed discretely hyperechoic kidneys cortex and the absence of renal malformations.

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On the 11 th day of life, he was transferred to the pediatric intensive care unit.

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He needed mechanical ventilation for three days and exclusive parenteral feeding by central catheter.

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The evolution was burdened by cholestasis due to the prolonged parenteral feeding and nosocomial infection by staphylococcus epidermidis.

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

Since his admission, he had developed a slimy diarrhea with 3 to 4 stools per day.

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[ 0, 0, 1, 0, 2, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 4, 9, 0 ]

He presented a profuse diarrhea during each attempt to introduce enteral feeding by hydrolyzed milk formula.

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He was discharged after 32 days with output's weight 3250g.

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The oesophago-gastro-duodenoscopy and duodenal biopsy showed partial villous atrophy associated to the brush border abnormalities.

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The periodic acid Schiff (PAS) stain revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with double contours pattern.

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In the submucosa, there were numerous Brunner glands.

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We find the existence of numerous hemorrhagic suffusions.

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The CD10 immunostain was positive.

[ "The", "CD10", "immunostain", "was", "positive", "." ]

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Thus, a diagnosis hypothesis of MVID was raised.

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The electron microscopic examination confirmed the diagnosis.

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Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO5B gene.

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The baby died, after 97 days of life, of septic shock and multiple organ failure.

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A 20 years old man presented with fever, myalgias, arthralgias, retro-orbital pain, vomiting and gum bleeding during a large dengue outbreak in Lahore, Pakistan.

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On 7th day of illness patient became afebrile, but he developed severe headaches, unconsciousness followed by altered behavior.

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On 9th day of illness patient developed painful neck swelling accompanied by fever, tremors, palpitations, hoarseness of voice and odynophagia.

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Examination revealed acutely swollen, tender thyroid gland along with features of hyperthyroidism.

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Laboratory evaluation revealed stable hematocrit, thrombocytopenia and leukopenia.

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Patient had seroconverted for anti-dengue IgM antibodies on the 10th day of illness.

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A non-contrast Computed Tomogram (CT) of the brain showed right frontal lobe hematoma.

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Thyroid profile showed increased free T3 and T4 and low TSH.

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Technetium thyroid scan showed reduced tracer uptake.

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He was diagnosed as having subacute thyroiditis and treated with oral prednisolone and propranolol.

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Follow up CT brain showed resolving hematoma.

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Patient's recovery was uneventful.

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A 17 year-old woman with a history of moderate persistent allergic asthma has benefited from a first desensitization protocol at age 3.

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The protocol has been interrupted 4 years later because of a mild skin reaction.

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Her doctor decided to stop the specific immunotherapy.

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But another doctor restarted a new protocol of desensitization at age 16 against pollens because of a lack of control of his condition.

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She was never hospitalized, she was receiving no medication and she was doing well one year after she received a new regimen of pneumallergens (Alustal® Stallergenes SA, France).

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Indeed, 12 hours after initiation of treatment, she complained of abdominal pain, vomiting and diarrhea without fever.

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Several hours after, she consulted to the emergency department where a surgical emergency was ruled out.

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She was then admitted to the internal medicine ward.

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Two days later, she developed an acute respiratory failure and was referred to the intensive care unit where laboratory tests revealed multiorgan failure: liver enzymes, 5000U/L (normal level, 0-37U/L); creatine phosphokinase, 59000U/L (normal level, 10-200U/L); cardiac troponin T, 21ng/ml (normal level, under 0,01ng/ml); leucopenia, 2600/mm 3 (normal level, 4000-9000/ mm 3); thrombocytopenia, 13000/ mm 3 (normal level, 150000-400000/ mm 3); prothrombin time, 38% (normal level, 70-100%).

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Chest X-ray demonstrated bilateral interstitial markings with a normal cardiac silhouette.

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Viral serology was normal for hepatitis A, B, C, D, and E, Epstein-Barr virus and Cytomegalovirus.

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A skin morbilliform rash and facial edema appeared later.

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The patient received a fluid resuscitation, platelet and erythrocyte transfusion, steroids and antibiotics.

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