PMC:7780584 / 2077-5803 JSONTXT 3 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T17 0-17 Sentence denotes Case presentation
T18 18-194 Sentence denotes A 13-month-old male presented to our pediatric emergency department (ED) in early April 2020 with the chief complaint of fussiness, decreased appetite, and fever for five days.
T19 195-289 Sentence denotes His mother reported that there was no resolution of his fever despite the use of antipyretics.
T20 290-415 Sentence denotes At the presentation time, his mother denied cough, runny nose, ear pulling, shortness of breath, rash, vomiting, or diarrhea.
T21 416-472 Sentence denotes She reported no recent travel nor sick contacts at home.
T22 473-607 Sentence denotes Social history was remarkable for crowded and close living conditions, with five other family members sharing a two-bedroom apartment.
T23 608-738 Sentence denotes The patient remained isolated at home since the pandemic began, but other family members had been out of the house for groceries. 
T24 739-845 Sentence denotes He was nontoxic on physical exam, appearing but fussy and febrile with a temperature of 102.7°F (Table 1).
T25 846-957 Sentence denotes Physical exam was remarkable for dry, cracked lips with fissuring along the vermilion border and labial mucosa.
T26 958-1065 Sentence denotes His mucous membranes were dry, and there was pharyngeal erythema without exudates or tonsillar hypertrophy.
T27 1066-1114 Sentence denotes The chest was clear to auscultation bilaterally.
T28 1115-1236 Sentence denotes The patient had no conjunctivitis, lymphadenopathy, hepatosplenomegaly, nor edema or rash on the trunk, hands, and feet. 
T29 1237-1285 Sentence denotes Table 1 Vital signs of the patient on admission
T30 1286-1328 Sentence denotes Vital signs Patient Normal range for age
T31 1329-1363 Sentence denotes Temperature 102.7° F 95-100.3° F
T32 1364-1421 Sentence denotes Heart rate 172 beats per minute 80-130 beats per minute
T33 1422-1473 Sentence denotes Respiratory rate 32 breaths/min 40-60 breaths/min
T34 1474-1707 Sentence denotes Oxygen saturation on room air 98% 94-100% Laboratory findings showed a negative respiratory viral panel, a normal complete blood count (CBC) with lymphocytic predominance (Table 2), elevated C-reactive protein (CRP) of 25.81 mg/dL.
T35 1708-1839 Sentence denotes The comprehensive metabolic panel (CMP) revealed metabolic acidosis with a normal anion gap with ketones present in the urinalysis.
T36 1840-1985 Sentence denotes We obtained blood and urine cultures, and the patient was admitted and started empirically on ceftriaxone, antipyretics, and intravenous fluids. 
T37 1986-2030 Sentence denotes Table 2 Complete blood count of the patient
T38 2031-2264 Sentence denotes WBC - white blood cells; RBC - red blood cells; Hgb - hemoglobin; Hct - hematocrit; MCV - mean corpuscular volume; MCH - mean corpuscular hemoglobin; MCHC - mean corpuscular hemoglobin concentration; RDW - red cell distribution width
T39 2265-2334 Sentence denotes Complete blood count Result Reference range (for patient age) Unit
T40 2335-2362 Sentence denotes WBC 7.7 6.0-17.5 x 109/L
T41 2363-2391 Sentence denotes RBC 4.46 3.8-5.4 x 10¹²/L
T42 2392-2417 Sentence denotes Hgb 11.4 13.1-15.5 g/L
T43 2418-2437 Sentence denotes Hct 35 39-47 L/L
T44 2438-2460 Sentence denotes MCV 77 72.0-88.0 fL
T45 2461-2479 Sentence denotes MCH 26 26-34 ρg
T46 2480-2503 Sentence denotes MCHC 329 320-360 g/L
T47 2504-2527 Sentence denotes RDW 12.9 11.5-16.0 %
T48 2528-2559 Sentence denotes Platelet 357 130-400 x 109/L
T49 2560-2593 Sentence denotes Neutrophil 2.5 1.5-8.5 x 109/L
T50 2594-2627 Sentence denotes Lymphocytes 3.9 3-13.0 x 109/L
T51 2628-2660 Sentence denotes Monocytes 1.1 0.1-1.9 x 109/L
T52 2661-2693 Sentence denotes Basophils 0.2 0.0-0.3 x 109/L
T53 2694-2930 Sentence denotes Eosinophils 0 0.0-1.5 x 109/L Due to persistent fever, a chest X-ray (CXR) was ordered, which showed bilateral interstitial infiltrates more prominent on the right peri-hilar area, which could represent atypical pneumonia (Figure 1).
T54 2931-2970 Sentence denotes Urine and blood cultures were negative.
T55 2971-3131 Sentence denotes However, the severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) polymerase chain reaction (PCR) was positive 24 hours after admission to the hospital.
T56 3132-3285 Sentence denotes The patient was subsequently started on azithromycin for clinical suspicion of atypical pneumonia related to COVID-19, correlating with the CXR findings.
T57 3286-3389 Sentence denotes The fever subsided after the first day of antibiotics, and the cheilitis improved during the admission.
T58 3390-3564 Sentence denotes The patient was discharged home with isolation guidelines and completed five days of azithromycin and seven days of amoxicillin clavulanate for suspected clinical pneumonia. 
T59 3565-3708 Sentence denotes Figure 1 Portable CXR: bilateral interstitial infiltrates more prominent on the right perihilar area, which could represent atypical pneumonia
T60 3709-3726 Sentence denotes CXR - chest X-ray