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T1	Age 2 13	23-year-old
T2	Sex 14 17	man
T3	Disease_disorder 36 58	severe aplastic anemia
E1	Disease_disorder:T3 
T4	Disease_disorder 60 63	SAA
E2	Disease_disorder:T4 
R1	IDENTICAL Arg1:E2 Arg2:E1	
T5	History 36 58	severe aplastic anemia
T6	Date 141 153	January 2014
E3	Date:T6 
T7	Subject 131 137	mother
T8	Therapeutic_procedure 75 102	bone marrow transplantation
E4	Therapeutic_procedure:T8 
T9	Detailed_description 112 130	HLA-haploidentical
R2	MODIFY Arg1:T9 Arg2:T7	
T10	Medication 194 220	busulphan cyclophosphamide
E5	Medication:T10 
T11	Medication 225 247	antithymocyte globulin
E6	Medication:T11 
T12	Medication 265 279	Cyclosporine A
E7	Medication:T12 
T13	Medication 301 313	methotrexate
E8	Medication:T13 
T14	Detailed_description 290 300	short-term
R3	MODIFY Arg1:T14 Arg2:E8	
T15	Medication 315 318	MTX
E9	Medication:T15 
T16	Medication 281 284	CsA
E10	Medication:T16 
R4	IDENTICAL Arg1:E9 Arg2:E8	
R5	IDENTICAL Arg1:E10 Arg2:E7	
T17	Medication 249 253	BUCY
E11	Medication:T17 
T18	Medication 254 257	ATG
E12	Medication:T18 
R6	IDENTICAL Arg1:E11 Arg2:E5	
R7	IDENTICAL Arg1:E12 Arg2:E6	
T19	Medication 325 346	mycophenolate mofetil
E13	Medication:T19 
T20	Medication 348 351	MMF
E14	Medication:T20 
R8	IDENTICAL Arg1:E14 Arg2:E13	
T21	Disease_disorder 386 411	graft-versus-host disease
E15	Disease_disorder:T21 
A1	POLARITY E15 UNCERTAIN
T22	Disease_disorder 413 417	GVHD
E16	Disease_disorder:T22 
R9	IDENTICAL Arg1:E16 Arg2:E15	
T23	Disease_disorder 478 502	infectious complications
E17	Disease_disorder:T23 
A2	POLARITY E17 UNCERTAIN
T24	Medication 519 530	fluconazole
E18	Medication:T24 
T25	Therapeutic_procedure 546 557	prophylaxis
E19	Therapeutic_procedure:T25 
T26	Detailed_description 535 545	antifungal
R10	MODIFY Arg1:T26 Arg2:E19	
R11	SUB_PROCEDURE Arg1:E18 Arg2:E19	
T27	Medication 562 571	acyclovir
E20	Medication:T27 
T28	Disease_disorder 598 608	infections
E21	Disease_disorder:T28 
T29	Detailed_description 583 597	herpes-related
R12	MODIFY Arg1:T29 Arg2:E21	
A3	POLARITY E21 UNCERTAIN
T30	Diagnostic_procedure 612 620	hemogram
E22	Diagnostic_procedure:T30 
T31	Disease_disorder 751 755	GVHD
E23	Disease_disorder:T31 
T32	Detailed_description 745 750	acute
R13	MODIFY Arg1:T32 Arg2:E23	
T33	Detailed_description 736 744	grade II
R14	MODIFY Arg1:T33 Arg2:E23	
R15	MODIFY Arg1:T7 Arg2:E4	
T34	Diagnostic_procedure 666 669	ANC
E24	Diagnostic_procedure:T34 
T35	Clinical_event 3642 3650	followed
E25	Clinical_event:T35 
T36	Disease_disorder 3705 3714	infection
E26	Disease_disorder:T36 
A4	POLARITY E26 NEG
T37	Detailed_description 3698 3704	fungal
T38	Detailed_description 3689 3697	invasive
R16	MODIFY Arg1:T37 Arg2:E26	
R17	MODIFY Arg1:T38 Arg2:E26	
T39	Lab_value 669 679	>0.5×109/L
E27	Lab_value:T39 
R18	MODIFY Arg1:E27 Arg2:E24	
T40	Date 684 691	day +12
E28	Date:T40 
T41	Therapeutic_procedure 697 712	transplantation
E29	Therapeutic_procedure:T41 
T42	Sign_symptom 634 664	reconstruction of granulocytes
E30	Sign_symptom:T42 
R19	SUB_PROCEDURE Arg1:E24 Arg2:E22	
T43	Biological_structure 763 767	skin
R20	MODIFY Arg1:T43 Arg2:E23	
T44	Date 771 778	day +42
E31	Date:T44 
T45	Therapeutic_procedure 784 799	transplantation
E32	Therapeutic_procedure:T45 
T46	Medication 855 874	methyl-prednisolone
E33	Medication:T46 
T47	Sign_symptom 893 910	complete response
E34	Sign_symptom:T47 
T48	Sign_symptom 912 914	CR
E35	Sign_symptom:T48 
R21	IDENTICAL Arg1:E35 Arg2:E34	
T49	Dosage 838 851	standard-dose
R22	MODIFY Arg1:T49 Arg2:E33	
T50	Disease_disorder 931 943	chronic GVHD
E36	Disease_disorder:T50 
T51	Disease_disorder 945 950	cGVHD
E37	Disease_disorder:T51 
R23	IDENTICAL Arg1:E37 Arg2:E36	
T52	Biological_structure 959 963	skin
R24	MODIFY Arg1:T52 Arg2:E36	
T53	Date 990 998	day +100
E38	Date:T53 
T54	Therapeutic_procedure 1004 1019	transplantation
E39	Therapeutic_procedure:T54 
T55	Medication 1044 1056	prednisolone
E40	Medication:T55 
T56	Medication 1061 1064	CsA
E41	Medication:T56 
#1	AnnotatorNotes E41	Cyclosporin A
T57	Date 1069 1076	day 120
E42	Date:T57 
T58	Therapeutic_procedure 1082 1097	transplantation
E43	Therapeutic_procedure:T58 
T59	Sign_symptom 1118 1123	cough
E44	Sign_symptom:T59 
T60	Medication 1128 1139	antibiotics
E45	Medication:T60 
T61	Diagnostic_procedure 1161 1175	blood analysis
E46	Diagnostic_procedure:T61 
T62	Diagnostic_procedure 1200 1203	WBC
E47	Diagnostic_procedure:T62 
T63	Diagnostic_procedure 1217 1220	ANC
E48	Diagnostic_procedure:T63 
T64	Diagnostic_procedure 1234 1244	hemoglobin
E49	Diagnostic_procedure:T64 
T65	Diagnostic_procedure 1258 1267	platelets
E50	Diagnostic_procedure:T65 
T66	Lab_value 1205 1215	2.34×109/L
E51	Lab_value:T66 
T67	Lab_value 1222 1232	1.72×109/L
E52	Lab_value:T67 
T68	Lab_value 1246 1252	85 g/L
E53	Lab_value:T68 
T69	Lab_value 1269 1277	72×109/L
E54	Lab_value:T69 
R25	MODIFY Arg1:E51 Arg2:E47	
R26	MODIFY Arg1:E52 Arg2:E48	
R27	MODIFY Arg1:E53 Arg2:E49	
R28	MODIFY Arg1:E54 Arg2:E50	
R29	SUB_PROCEDURE Arg1:E47 Arg2:E46	
R30	SUB_PROCEDURE Arg1:E48 Arg2:E46	
R31	SUB_PROCEDURE Arg1:E49 Arg2:E46	
R32	SUB_PROCEDURE Arg1:E50 Arg2:E46	
T70	Diagnostic_procedure 1301 1320	computed tomography
E55	Diagnostic_procedure:T70 
T71	Diagnostic_procedure 1322 1324	CT
E56	Diagnostic_procedure:T71 
T72	Biological_structure 1295 1300	chest
R33	MODIFY Arg1:T72 Arg2:E55	
R34	IDENTICAL Arg1:E56 Arg2:E55	
T73	Diagnostic_procedure 1335 1354	tests for pathogens
E57	Diagnostic_procedure:T73 
T74	Detailed_description 1355 1376	via routine culturing
R35	MODIFY Arg1:T74 Arg2:E57	
T75	Diagnostic_procedure 1404 1417	Beta-D glucan
E58	Diagnostic_procedure:T75 
T76	Diagnostic_procedure 1419 1425	G-test
E59	Diagnostic_procedure:T76 
R36	IDENTICAL Arg1:E59 Arg2:E58	
T77	Diagnostic_procedure 1431 1444	Galactomannan
E60	Diagnostic_procedure:T77 
T78	Diagnostic_procedure 1446 1453	GM-test
E61	Diagnostic_procedure:T78 
R37	IDENTICAL Arg1:E61 Arg2:E60	
T79	Lab_value 1464 1472	negative
E62	Lab_value:T79 
T80	Detailed_description 1388 1393	blood
R38	MODIFY Arg1:T80 Arg2:E58	
R39	MODIFY Arg1:T80 Arg2:E60	
R40	MODIFY Arg1:E62 Arg2:E60	
R41	MODIFY Arg1:E62 Arg2:E58	
T81	Sign_symptom 1488 1493	cough
E63	Sign_symptom:T81 
A5	TREND E63 STAY
T82	Medication 1513 1524	antibiotics
E64	Medication:T82 
T83	Medication 1569 1581	voriconazole
E65	Medication:T83 
T84	Dosage 1583 1612	6 mg/kg/12h for the first day
T85	Dosage 1626 1637	4 mg/kg/12h
R42	MODIFY Arg1:T84 Arg2:E65	
R43	MODIFY Arg1:T85 Arg2:E65	
T86	Sign_symptom 1646 1654	toxicity
E66	Sign_symptom:T86 
T87	Biological_structure 1640 1645	Liver
R44	MODIFY Arg1:T87 Arg2:E66	
T88	Medication 1671 1683	voriconazole
E67	Medication:T88 
T89	Therapeutic_procedure 1704 1723	anti-fungal regimen
E68	Therapeutic_procedure:T89 
T90	Medication 1739 1749	micafungin
E69	Medication:T90 
R45	SUB_PROCEDURE Arg1:E69 Arg2:E68	
T91	Dosage 1751 1759	100 mg/d
R46	MODIFY Arg1:T91 Arg2:E69	
T92	Sign_symptom 1786 1791	cough
E70	Sign_symptom:T92 
A6	TREND E70 STAY
T93	Detailed_description 1775 1785	persistent
R47	MODIFY Arg1:T93 Arg2:E70	
T94	Sign_symptom 1812 1822	hoarseness
E71	Sign_symptom:T94 
T95	Date 1833 1848	after two weeks
E72	Date:T95 
T96	Sign_symptom 1864 1870	ulcers
E73	Sign_symptom:T96 
T97	Biological_structure 1897 1903	throat
R48	MODIFY Arg1:T97 Arg2:E73	
T98	Diagnostic_procedure 1907 1919	laryngoscopy
E74	Diagnostic_procedure:T98 
T99	Sign_symptom 1959 1966	dyspnea
E75	Sign_symptom:T99 
T100	Severity 1952 1958	severe
R49	MODIFY Arg1:T100 Arg2:E75	
T101	Date 1967 1988	in the following week
E76	Date:T101 
T102	Therapeutic_procedure 2021 2031	treatments
E77	Therapeutic_procedure:T102 
T103	Detailed_description 2013 2020	topical
T104	Detailed_description 1994 2008	anti-infection
R50	MODIFY Arg1:T103 Arg2:E77	
R51	MODIFY Arg1:T104 Arg2:E77	
T105	Diagnostic_procedure 2057 2069	bronchoscopy
E78	Diagnostic_procedure:T105 
T106	Detailed_description 2046 2056	Fiberoptic
R52	MODIFY Arg1:T106 Arg2:E78	
T107	Sign_symptom 2101 2109	material
E79	Sign_symptom:T107 
T108	Sign_symptom 2140 2150	obstructed
E80	Sign_symptom:T108 
T109	Detailed_description 2133 2139	nearly
R53	MODIFY Arg1:T109 Arg2:E80	
T110	Biological_structure 2155 2163	bronchus
R54	MODIFY Arg1:T110 Arg2:E80	
T111	Shape 2093 2100	nodular
T112	Detailed_description 2082 2091	irregular
R55	MODIFY Arg1:T111 Arg2:E79	
R56	MODIFY Arg1:T112 Arg2:E79	
T113	Detailed_description 2115 2125	white moss
R57	MODIFY Arg1:T113 Arg2:E79	
T114	Diagnostic_procedure 2180 2182	CT
E81	Diagnostic_procedure:T114 
T115	Biological_structure 2174 2179	chest
R58	MODIFY Arg1:T115 Arg2:E81	
T116	Lab_value 2195 2203	negative
E82	Lab_value:T116 
R59	MODIFY Arg1:E82 Arg2:E81	
T117	Diagnostic_procedure 2224 2253	histopathological examination
E83	Diagnostic_procedure:T117 
T118	Diagnostic_procedure 2257 2263	biopsy
E84	Diagnostic_procedure:T118 
T119	Disease_disorder 2286 2297	Aspergillus
E85	Disease_disorder:T119 
T120	Disease_disorder 2376 2393	tracheobronchitis
E86	Disease_disorder:T120 
T121	Disease_disorder 2364 2375	Aspergillus
E87	Disease_disorder:T121 
T122	Detailed_description 2347 2363	pseudomembranous
R60	CAUSE Arg1:E87 Arg2:E86	
R61	MODIFY Arg1:T122 Arg2:E86	
T123	Detailed_description 2394 2403	type ITBA
R62	MODIFY Arg1:T123 Arg2:E86	
T124	Diagnostic_procedure 2428 2440	bronchoscopy
E88	Diagnostic_procedure:T124 
T125	Diagnostic_procedure 2447 2471	pathological examination
E89	Diagnostic_procedure:T125 
T126	Medication 2482 2492	antibiotic
E90	Medication:T126 
T127	Medication 2497 2507	micafungin
E91	Medication:T127 
A7	POLARITY E90 NEG
A8	POLARITY E91 NEG
T128	Medication 2545 2559	amphotericin B
E92	Medication:T128 
T129	Detailed_description 2535 2544	liposomal
R63	MODIFY Arg1:T129 Arg2:E92	
T130	Medication 2571 2574	AmB
E93	Medication:T130 
T131	Detailed_description 2561 2570	liposomal
R64	MODIFY Arg1:T131 Arg2:E93	
R65	IDENTICAL Arg1:E93 Arg2:E92	
T132	Dosage 2593 2598	daily
T133	Dosage 2619 2626	3 mg/kg
R66	MODIFY Arg1:T133 Arg2:E92	
R67	MODIFY Arg1:T132 Arg2:E92	
T134	Diagnostic_procedure 2648 2658	creatinine
E94	Diagnostic_procedure:T134 
T135	Detailed_description 2642 2647	serum
R68	MODIFY Arg1:T135 Arg2:E94	
T136	Lab_value 2675 2686	60.4 μmol/L
E95	Lab_value:T136 
T137	Lab_value 2665 2669	rose
E96	Lab_value:T137 
T138	Lab_value 2690 2700	168 μmol/L
E97	Lab_value:T138 
R69	MODIFY Arg1:E96 Arg2:E94	
R70	MODIFY Arg1:E95 Arg2:E94	
R71	MODIFY Arg1:E97 Arg2:E94	
T139	Date 2701 2724	during the first 7 days
E98	Date:T139 
T140	Medication 2738 2741	AmB
E99	Medication:T140 
T141	Detailed_description 2728 2737	liposomal
R72	MODIFY Arg1:T141 Arg2:E99	
T142	Disease_disorder 2772 2789	renal dysfunction
E100	Disease_disorder:T142 
T143	Severity 2760 2771	progressive
R73	MODIFY Arg1:T143 Arg2:E100	
T144	Medication 2795 2806	anti-fungal
E101	Medication:T144 
T145	Medication 2848 2860	posaconazole
E102	Medication:T145 
T146	Medication 2879 2890	caspofungin
E103	Medication:T146 
R74	SUB_PROCEDURE Arg1:E102 Arg2:E101	
R75	SUB_PROCEDURE Arg1:E103 Arg2:E101	
T147	Dosage 2862 2873	400 mg/12 h
T148	Dosage 2892 2904	50 mg, daily
T149	Dosage 2906 2930	70 mg for the first dose
R76	MODIFY Arg1:T147 Arg2:E102	
R77	MODIFY Arg1:T148 Arg2:E103	
R78	MODIFY Arg1:T149 Arg2:E103	
T150	Duration 2972 2979	2 weeks
E104	Duration:T150 
T151	Medication 2938 2957	combination therapy
E105	Medication:T151 
R79	SUB_PROCEDURE Arg1:E102 Arg2:E105	
R80	SUB_PROCEDURE Arg1:E103 Arg2:E105	
T152	Sign_symptom 3000 3007	nodules
E106	Sign_symptom:T152 
A9	POLARITY E106 NEG
T153	Biological_structure 3015 3021	throat
R81	MODIFY Arg1:T153 Arg2:E106	
T154	Diagnostic_procedure 3051 3063	bronchoscopy
E107	Diagnostic_procedure:T154 
T155	Diagnostic_procedure 3098 3100	CT
E108	Diagnostic_procedure:T155 
T156	Biological_structure 3092 3097	chest
R82	MODIFY Arg1:T156 Arg2:E108	
T157	Sign_symptom 3113 3124	progression
E109	Sign_symptom:T157 
T158	Sign_symptom 3150 3157	dyspnea
E110	Sign_symptom:T158 
A10	TREND E110 INC
T159	Diagnostic_procedure 3196 3208	bronchoscopy
E111	Diagnostic_procedure:T159 
T160	Detailed_description 3185 3195	fiberoptic
R83	MODIFY Arg1:T160 Arg2:E111	
T161	Therapeutic_procedure 3226 3232	remove
E112	Therapeutic_procedure:T161 
T162	Sign_symptom 3237 3257	obstructive material
E113	Sign_symptom:T162 
T163	Biological_structure 3277 3284	airways
R84	MODIFY Arg1:T163 Arg2:E113	
T164	Frequency 3285 3296	once a week
R85	MODIFY Arg1:T164 Arg2:E112	
R86	MODIFY Arg1:E113 Arg2:E112	
T165	Duration 3301 3310	two weeks
E114	Duration:T165 
T166	Sign_symptom 3323 3331	symptoms
E115	Sign_symptom:T166 
A11	POLARITY E115 NEG
T167	Biological_structure 3360 3365	chest
T168	Diagnostic_procedure 3366 3368	CT
E116	Diagnostic_procedure:T168 
R87	MODIFY Arg1:T167 Arg2:E116	
T169	Lab_value 3381 3389	negative
E117	Lab_value:T169 
R88	MODIFY Arg1:E117 Arg2:E116	
T170	Medication 3428 3439	anti-fungal
E118	Medication:T170 
A12	POLARITY E118 NEG
T171	Diagnostic_procedure 3464 3469	tests
E119	Diagnostic_procedure:T171 
T172	Disease_disorder 3488 3499	Aspergillus
E120	Disease_disorder:T172 
A13	POLARITY E120 NEG
T173	Medication 3501 3513	Posaconazole
E121	Medication:T173 
T174	Therapeutic_procedure 3546 3568	prophylactic treatment
E122	Therapeutic_procedure:T174 
R89	SUB_PROCEDURE Arg1:E121 Arg2:E122	
T175	Clinical_event 3589 3599	discharged
E123	Clinical_event:T175 
T176	Nonbiological_location 3605 3613	hospital
R90	MODIFY Arg1:T176 Arg2:E123	
R91	BEFORE Arg1:E1 Arg2:E4	
*	OVERLAP E4 E3
R92	AFTER Arg1:E3 Arg2:E5	
*	OVERLAP E5 E6
R93	BEFORE Arg1:E6 Arg2:E7	
*	OVERLAP E7 E8 E13 E15 E17 E19 E20 E21
R94	BEFORE Arg1:E21 Arg2:E22	
*	OVERLAP E22 E30 E28
R95	AFTER Arg1:E28 Arg2:E29	
R96	BEFORE Arg1:E29 Arg2:E23	
*	OVERLAP E23 E31
R97	AFTER Arg1:E31 Arg2:E32	
R98	BEFORE Arg1:E32 Arg2:E33	
R99	BEFORE Arg1:E33 Arg2:E34	
R100	BEFORE Arg1:E34 Arg2:E36	
*	OVERLAP E36 E38
R101	AFTER Arg1:E38 Arg2:E39	
R102	BEFORE Arg1:E39 Arg2:E40	
*	OVERLAP E40 E41
R103	BEFORE Arg1:E41 Arg2:E42	
R104	AFTER Arg1:E42 Arg2:E43	
R105	BEFORE Arg1:E43 Arg2:E44	
R106	BEFORE Arg1:E44 Arg2:E45	
*	OVERLAP E45 E46 E55 E57 E58 E60 E63 E64
R107	BEFORE Arg1:E64 Arg2:E65	
R108	BEFORE Arg1:E65 Arg2:E66	
*	OVERLAP E66 E67
R109	BEFORE Arg1:E67 Arg2:E68	
R110	BEFORE Arg1:E68 Arg2:E70	
*	OVERLAP E70 E71 E72 E73 E74
R111	BEFORE Arg1:E74 Arg2:E75	
*	OVERLAP E75 E76 E77 E78 E79 E80 E81 E83 E84 E85 E87 E86 E88 E89
R112	BEFORE Arg1:E89 Arg2:E90	
*	OVERLAP E90 E91 E92
R113	BEFORE Arg1:E92 Arg2:E94	
*	OVERLAP E94 E98 E99
R114	BEFORE Arg1:E99 Arg2:E100	
*	OVERLAP E100 E101
R115	BEFORE Arg1:E101 Arg2:E105	
*	OVERLAP E105 E104
R116	BEFORE Arg1:E104 Arg2:E106	
*	OVERLAP E106 E107 E108 E109
R117	BEFORE Arg1:E109 Arg2:E110	
*	OVERLAP E110 E111 E112 E113 E114
R118	BEFORE Arg1:E114 Arg2:E115	
*	OVERLAP E115 E116
R119	BEFORE Arg1:E116 Arg2:E118	
T177	Lab_value 3475 3483	negative
E124	Lab_value:T177 
*	OVERLAP E118 E119 E120 E121
R120	MODIFY Arg1:E124 Arg2:E119	
R121	BEFORE Arg1:E121 Arg2:E123	
R122	BEFORE Arg1:E123 Arg2:E25	
*	OVERLAP E25 E26