PMC:7253233 / 4888-8341 JSONTXT 11 Projects

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Id Subject Object Predicate Lexical cue
T40 0-7 Sentence denotes Case #1
T41 8-352 Sentence denotes A 76-year-old male with history of chronic asthma on benralizumab, hypertension, chronic kidney disease, hyperlipidemia, left bundle branch block, diastolic dysfunction, and cervical fusion presented to the emergency department with the chief complaint of severe right lower extremity pain, fever (102.5 °F on presentation), and encephalopathy.
T42 353-462 Sentence denotes He was status post recent L3-S1 laminectomy for acute lumbosacral radiculopathy 5 days prior to presentation.
T43 463-533 Sentence denotes Laboratory workup showed neutrophilic leukocytosis (17,200 cells/mm3).
T44 534-688 Sentence denotes He had a Glasgow coma scale of 14, was oriented to name only, and exhibited exaggerated deep tendon reflexes but had no other focal neurological deficits.
T45 689-755 Sentence denotes A computerized tomography (CT) scan of the brain was unremarkable.
T46 756-845 Sentence denotes Magnetic resonance imaging (MRI) of the spine revealed an epidural abscess between L4-S1.
T47 846-961 Sentence denotes Surgical drainage was performed, and the patient was started empirically on vancomycin and piperacillin–tazobactam.
T48 962-1005 Sentence denotes Wound cultures grew Pseudomonas aeruginosa.
T49 1006-1202 Sentence denotes Despite antibiotic therapy, and improved leukocytosis, he continued to have high-grade fevers and acute hypoxemic respiratory failure requiring intensive care unit transfer on postoperative day 1.
T50 1203-1401 Sentence denotes He was initially managed conservatively with diuresis, preload, and afterload optimization; however, his chest X-ray rapidly progressed to bilateral interstitial and airspace opacification (Fig. 1).
T51 1402-1488 Sentence denotes Fig. 1 Chest X-ray showing bilateral lung infiltrates (a) compared to his baseline (b)
T52 1489-1731 Sentence denotes On postoperative day two, the patient suffered several episodes of left upper extremity clonic activity and worsening encephalopathy with decline in level of consciousness as evidenced by increased drowsiness and inability to follow commands.
T53 1732-1889 Sentence denotes Continuous electroencephalography (EEG) confirmed three focal seizures lasting approximately 30 s each arising from the right centroparietal region (Fig. 2).
T54 1890-1981 Sentence denotes Levetiracetam was initiated and both clinical and electrographic seizure activity subsided.
T55 1982-2072 Sentence denotes Antibiotic regimen was broadened to Vancomycin, Meropenem, and Acyclovir for CSF coverage.
T56 2073-2321 Sentence denotes MRI of the brain and cervical spine with and without contrast was remarkable only for chronic white matter hyperintensities, without acute intracranial lesions, meningeal enhancement or venous sinus thrombosis, and C5–C6 myelomalacia, respectively.
T57 2322-2408 Sentence denotes Lumbar puncture was not performed due to the risk of seeding infection into neuroaxis.
T58 2409-2733 Sentence denotes Given persistent high-grade fevers, worsening respiratory status requiring intubation, and recent possible exposures, a respiratory viral panel was sent in addition to separate rapid testing for COVID-19 polymerase chain reaction on postoperative day 4 and COVID-19 testing was confirmed as positive twenty-four hours later.
T59 2734-2878 Sentence denotes His fibrinogen level was elevated at 631 mg/dL (normal range 200–400 mg/dL) and continued to increase to over 860 mg/dL over the following days.
T60 2879-3008 Sentence denotes C-reactive protein increased from 1.7 mg/dL on prior admission to 27.3 mg/dL and remained elevated despite antimicrobial therapy.
T61 3009-3111 Sentence denotes White blood cell count steadily improved over his hospitalization, and platelet count remained stable.
T62 3112-3273 Sentence denotes Our patient ultimately received a tracheostomy and after 30 days of ICU stay was discharged to a long-term acute care hospital for further ventilator management.
T63 3274-3304 Sentence denotes Fig. 2 Electroencephalography.
T64 3305-3453 Sentence denotes Rhythmic discharges noted in the right frontocentral/vertex region (red box) corresponding to clonic movements of the left arm (Color figure online)