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T1	Age 2 13	73-year-old
T2	Sex 14 17	man
T3	History 46 88	type 2 diabetes mellitus at 35 year of age
T4	Date 208 217	first day
E1	Date:T4 
T5	Clinical_event 235 242	visited
E2	Clinical_event:T5 
T6	Nonbiological_location 247 261	emergency room
R1	MODIFY Arg1:T6 Arg2:E2	
T7	Sign_symptom 157 177	respiratory distress
E3	Sign_symptom:T7 
T8	Sign_symptom 195 199	pain
E4	Sign_symptom:T8 
T9	Biological_structure 189 194	chest
R2	MODIFY Arg1:T9 Arg2:E4	
T10	Detailed_description 182 188	sudden
R3	MODIFY Arg1:T10 Arg2:E4	
T11	Diagnostic_procedure 265 285	physical examination
E5	Diagnostic_procedure:T11 
T12	Clinical_event 3662 3666	died
E6	Clinical_event:T12 
T13	Date 3604 3610	day 87
E7	Date:T13 
T14	Disease_disorder 3612 3636	ventricular fibrillation
E8	Disease_disorder:T14 
T15	Diagnostic_procedure 3668 3675	Autopsy
E9	Diagnostic_procedure:T15 
A1	POLARITY E9 NEG
T16	Diagnostic_procedure 304 320	body temperature
E10	Diagnostic_procedure:T16 
T17	Lab_value 325 331	35.4°C
R4	MODIFY Arg1:T17 Arg2:E10	
T18	Diagnostic_procedure 337 347	heart rate
E11	Diagnostic_procedure:T18 
T19	Lab_value 352 364	90 beats/min
T20	Lab_value 372 386	regular rhythm
R5	MODIFY Arg1:T19 Arg2:E11	
R6	MODIFY Arg1:T20 Arg2:E11	
T21	Diagnostic_procedure 396 410	blood pressure
E12	Diagnostic_procedure:T21 
T22	Lab_value 415 426	130/77 mmHg
R7	MODIFY Arg1:T22 Arg2:E12	
R8	SUB_PROCEDURE Arg1:E10 Arg2:E5	
R9	SUB_PROCEDURE Arg1:E11 Arg2:E5	
R10	SUB_PROCEDURE Arg1:E12 Arg2:E5	
T23	Diagnostic_procedure 430 450	physical examination
E13	Diagnostic_procedure:T23 
T24	Sign_symptom 467 475	crackles
E14	Sign_symptom:T24 
T25	Detailed_description 460 466	coarse
R11	MODIFY Arg1:T25 Arg2:E14	
T26	Diagnostic_procedure 489 506	lung auscultation
E15	Diagnostic_procedure:T26 
R12	SUB_PROCEDURE Arg1:E15 Arg2:E13	
T27	Detailed_description 479 488	bilateral
R13	MODIFY Arg1:T27 Arg2:E15	
T28	Diagnostic_procedure 512 527	laboratory data
E16	Diagnostic_procedure:T28 
T29	Diagnostic_procedure 537 540	WBC
E17	Diagnostic_procedure:T29 
T30	Lab_value 550 558	8,800/μL
R14	MODIFY Arg1:T30 Arg2:E17	
T31	Diagnostic_procedure 585 596	neutrophils
E18	Diagnostic_procedure:T31 
T32	Lab_value 566 583	shift to the left
R15	MODIFY Arg1:T32 Arg2:E17	
T33	Lab_value 597 600	82%
R16	MODIFY Arg1:T33 Arg2:E18	
R17	SUB_PROCEDURE Arg1:E17 Arg2:E16	
R18	SUB_PROCEDURE Arg1:E18 Arg2:E17	
T34	Diagnostic_procedure 603 605	Hb
E19	Diagnostic_procedure:T34 
T35	Lab_value 606 615	10.2 g/dL
R19	MODIFY Arg1:T35 Arg2:E19	
T36	Diagnostic_procedure 617 636	blood urea nitrogen
E20	Diagnostic_procedure:T36 
T37	Diagnostic_procedure 638 641	BUN
E21	Diagnostic_procedure:T37 
R20	IDENTICAL Arg1:E21 Arg2:E20	
R21	SUB_PROCEDURE Arg1:E19 Arg2:E16	
R22	SUB_PROCEDURE Arg1:E20 Arg2:E16	
T38	Lab_value 643 653	82.2 mg/dL
R23	MODIFY Arg1:T38 Arg2:E20	
T39	Diagnostic_procedure 655 665	creatinine
E22	Diagnostic_procedure:T39 
T40	Diagnostic_procedure 667 670	Cre
E23	Diagnostic_procedure:T40 
R24	IDENTICAL Arg1:E23 Arg2:E22	
T41	Lab_value 672 682	6.50 mg/dL
R25	MODIFY Arg1:T41 Arg2:E22	
T42	Diagnostic_procedure 684 689	HbA1c
E24	Diagnostic_procedure:T42 
T43	Lab_value 690 694	5.9%
R26	MODIFY Arg1:T43 Arg2:E24	
R27	SUB_PROCEDURE Arg1:E22 Arg2:E16	
R28	SUB_PROCEDURE Arg1:E24 Arg2:E16	
T44	Diagnostic_procedure 696 711	creatine kinase
E25	Diagnostic_procedure:T44 
T45	Diagnostic_procedure 713 715	CK
E26	Diagnostic_procedure:T45 
T46	Lab_value 717 725	189 IU/L
R29	MODIFY Arg1:T46 Arg2:E25	
R30	IDENTICAL Arg1:E26 Arg2:E25	
R31	SUB_PROCEDURE Arg1:E25 Arg2:E16	
T47	Diagnostic_procedure 727 745	C-reactive protein
E27	Diagnostic_procedure:T47 
T48	Diagnostic_procedure 747 750	CRP
E28	Diagnostic_procedure:T48 
R32	IDENTICAL Arg1:E28 Arg2:E27	
T49	Lab_value 752 762	8.51 mg/dL
R33	MODIFY Arg1:T49 Arg2:E28	
R34	SUB_PROCEDURE Arg1:E27 Arg2:E16	
T50	Diagnostic_procedure 764 794	brain-type natriuretic peptide
E29	Diagnostic_procedure:T50 
T51	Diagnostic_procedure 796 799	BNP
E30	Diagnostic_procedure:T51 
R35	IDENTICAL Arg1:E30 Arg2:E29	
T52	Lab_value 801 812	127.4 pg/mL
R36	MODIFY Arg1:T52 Arg2:E29	
R37	SUB_PROCEDURE Arg1:E29 Arg2:E16	
T53	Diagnostic_procedure 822 832	radiograph
E31	Diagnostic_procedure:T53 
T54	Biological_structure 816 821	chest
R38	MODIFY Arg1:T54 Arg2:E31	
T55	Sign_symptom 852 866	consolidations
E32	Sign_symptom:T55 
T56	Detailed_description 842 851	perihilar
R39	MODIFY Arg1:T56 Arg2:E32	
T57	Sign_symptom 875 887	bronchograms
E33	Sign_symptom:T57 
T58	Detailed_description 871 874	air
R40	MODIFY Arg1:T58 Arg2:E33	
T59	Diagnostic_procedure 900 917	electrocardiogram
E34	Diagnostic_procedure:T59 
T60	Sign_symptom 927 947	ST-segment elevation
E35	Sign_symptom:T60 
T61	Sign_symptom 952 975	poor R-wave progression
E36	Sign_symptom:T61 
T62	Detailed_description 979 990	leads V1-V3
R41	MODIFY Arg1:T62 Arg2:E36	
T63	Diagnostic_procedure 996 1012	echocardiography
E37	Diagnostic_procedure:T63 
T64	Sign_symptom 1022 1053	apical and ventricular asynergy
E38	Sign_symptom:T64 
T65	Disease_disorder 1102 1123	myocardial infarction
E39	Disease_disorder:T65 
T66	Detailed_description 1096 1101	acute
R42	MODIFY Arg1:T66 Arg2:E39	
T67	Disease_disorder 1139 1152	heart failure
E40	Disease_disorder:T67 
T68	Detailed_description 1128 1138	congestive
R43	MODIFY Arg1:T68 Arg2:E40	
T69	Diagnostic_procedure 1163 1174	angiography
E41	Diagnostic_procedure:T69 
T70	Biological_structure 1154 1162	Coronary
R44	MODIFY Arg1:T70 Arg2:E41	
T71	Sign_symptom 1207 1220	angiostenosis
E42	Sign_symptom:T71 
T72	Biological_structure 1228 1241	septal branch
R45	MODIFY Arg1:T72 Arg2:E42	
T73	Therapeutic_procedure 1243 1246	PCI
E43	Therapeutic_procedure:T73 
#1	AnnotatorNotes E43	percutaneous coronary intervention
T74	Therapeutic_procedure 1316 1324	dialysis
E44	Therapeutic_procedure:T74 
T75	Detailed_description 1304 1315	maintenance
T76	Detailed_description 1293 1303	continuous
R46	MODIFY Arg1:T75 Arg2:E44	
R47	MODIFY Arg1:T76 Arg2:E44	
T77	Date 1333 1346	following day
E45	Date:T77 
T78	Disease_disorder 1370 1394	cardiorespiratory arrest
E46	Disease_disorder:T78 
T79	Therapeutic_procedure 1399 1428	cardiopulmonary resuscitation
E47	Therapeutic_procedure:T79 
T80	Therapeutic_procedure 1467 1478	ventilation
E48	Therapeutic_procedure:T80 
T81	Detailed_description 1456 1466	mechanical
R48	MODIFY Arg1:T81 Arg2:E48	
T82	Date 1483 1488	day 8
E49	Date:T82 
T83	Therapeutic_procedure 1490 1500	ventilator
E50	Therapeutic_procedure:T83 
A2	POLARITY E50 NEG
T84	Sign_symptom 1584 1590	sputum
E51	Sign_symptom:T84 
T85	Lab_value 1563 1580	increasing volume
R49	MODIFY Arg1:T85 Arg2:E51	
T86	Lab_value 1614 1622	purulent
R50	MODIFY Arg1:T86 Arg2:E51	
T87	Sign_symptom 1624 1646	Pseudomonas aeruginosa
E52	Sign_symptom:T87 
T88	Diagnostic_procedure 1669 1683	sputum culture
E53	Diagnostic_procedure:T88 
T89	Medication 1689 1712	tazobactam/piperacillin
E54	Medication:T89 
T90	Medication 1714 1722	TAZ/PIPC
E55	Medication:T90 
R51	IDENTICAL Arg1:E55 Arg2:E54	
T91	Dosage 1725 1734	4.5g q12h
R52	MODIFY Arg1:T91 Arg2:E54	
T92	Diagnostic_procedure 1790 1811	respiratory condition
E56	Diagnostic_procedure:T92 
T93	Lab_value 1812 1820	worsened
R53	MODIFY Arg1:T93 Arg2:E56	
T94	Diagnostic_procedure 1833 1852	computed tomography
E57	Diagnostic_procedure:T94 
T95	Biological_structure 1827 1832	chest
R54	MODIFY Arg1:T95 Arg2:E57	
T96	Diagnostic_procedure 1854 1856	CT
E58	Diagnostic_procedure:T96 
R55	IDENTICAL Arg1:E58 Arg2:E57	
T97	Date 1866 1872	day 15
E59	Date:T97 
T98	Sign_symptom 1902 1911	opacities
E60	Sign_symptom:T98 
T99	Disease_disorder 1913 1929	pleural effusion
E61	Disease_disorder:T99 
T100	Disease_disorder 1935 1946	atelectasis
E62	Disease_disorder:T100 
T101	Detailed_description 1892 1901	perihilar
T102	Detailed_description 1882 1891	bilateral
R56	MODIFY Arg1:T101 Arg2:E60	
R57	MODIFY Arg1:T102 Arg2:E60	
T103	Diagnostic_procedure 2067 2083	sputum culturing
E63	Diagnostic_procedure:T103 
T104	Diagnostic_procedure 2088 2108	serum fungal antigen
E64	Diagnostic_procedure:T104 
T105	Disease_disorder 2034 2047	pneumomycosis
E65	Disease_disorder:T105 
A3	POLARITY E65 UNCERTAIN
T106	Disease_disorder 2010 2032	microbial substitution
E66	Disease_disorder:T106 
A4	POLARITY E66 UNCERTAIN
T107	Medication 2138 2146	TAZ/PIPC
E67	Medication:T107 
A5	POLARITY E67 NEG
T108	Medication 2162 2171	meropenem
E68	Medication:T108 
T109	Dosage 2173 2182	0.5 g/day
R58	MODIFY Arg1:T109 Arg2:E68	
T110	Date 2188 2194	day 16
E69	Date:T110 
T111	Diagnostic_procedure 2210 2215	serum
E70	Diagnostic_procedure:T111 
T112	Diagnostic_procedure 2236 2256	Cryptococcus antigen
E71	Diagnostic_procedure:T112 
R59	SUB_PROCEDURE Arg1:E71 Arg2:E70	
T113	Lab_value 2223 2231	positive
R60	MODIFY Arg1:T113 Arg2:E71	
T114	Date 2261 2267	day 21
E72	Date:T114 
T115	Diagnostic_procedure 2320 2334	blood cultures
E73	Diagnostic_procedure:T115 
T116	Detailed_description 2308 2316	two sets
R61	MODIFY Arg1:T116 Arg2:E73	
T117	Sign_symptom 2269 2288	cryptococcal bodies
E74	Sign_symptom:T117 
T118	Medication 2339 2363	liposomal amphotericin B
E75	Medication:T118 
T119	Medication 2365 2370	L-AMB
E76	Medication:T119 
R62	IDENTICAL Arg1:E76 Arg2:E75	
T120	Dosage 2373 2384	3 mg/kg/day
R63	MODIFY Arg1:T120 Arg2:E75	
T121	Date 2407 2413	day 23
E77	Date:T121 
T122	Sign_symptom 2415 2434	cryptococcal bodies
E78	Sign_symptom:T122 
T123	Diagnostic_procedure 2458 2464	sputum
E79	Diagnostic_procedure:T123 
T124	Diagnostic_procedure 2466 2485	cerebrospinal fluid
E80	Diagnostic_procedure:T124 
T125	Diagnostic_procedure 2501 2517	pleural effusion
E81	Diagnostic_procedure:T125 
#2	AnnotatorNotes E81	this is a test of the fluid in the lungs, but also indicates the condition is still present
T126	Disease_disorder 2501 2517	pleural effusion
E82	Disease_disorder:T126 
T127	Detailed_description 2491 2500	bilateral
R64	MODIFY Arg1:T127 Arg2:E82	
T128	Disease_disorder 2581 2595	cryptococcosis
E83	Disease_disorder:T128 
T129	Detailed_description 2568 2580	disseminated
R65	MODIFY Arg1:T129 Arg2:E83	
T130	Date 2600 2606	day 25
E84	Date:T130 
T131	Diagnostic_procedure 2614 2616	CT
E85	Diagnostic_procedure:T131 
T132	Biological_structure 2608 2613	brain
R66	MODIFY Arg1:T132 Arg2:E85	
T133	Sign_symptom 2654 2666	hypertension
E86	Sign_symptom:T133 
A6	POLARITY E86 NEG
T134	Biological_structure 2641 2653	intracranial
R67	MODIFY Arg1:T134 Arg2:E86	
T135	Disease_disorder 2679 2686	abscess
E87	Disease_disorder:T135 
T136	Biological_structure 2673 2678	brain
R68	MODIFY Arg1:T136 Arg2:E87	
T137	Disease_disorder 2722 2750	human immunodeficiency virus
E88	Disease_disorder:T137 
A7	POLARITY E88 NEG
T138	Disease_disorder 2752 2755	HIV
E89	Disease_disorder:T138 
A8	POLARITY E89 NEG
R69	IDENTICAL Arg1:E89 Arg2:E88	
T139	Medication 2780 2785	L-AMB
E90	Medication:T139 
T140	Dosage 2787 2798	3 mg/kg/day
R70	MODIFY Arg1:T140 Arg2:E90	
T141	Date 2818 2824	day 31
E91	Date:T141 
T142	Diagnostic_procedure 2832 2834	CT
E92	Diagnostic_procedure:T142 
T143	Biological_structure 2826 2831	chest
R71	MODIFY Arg1:T143 Arg2:E92	
T144	Sign_symptom 2855 2861	nodule
E93	Sign_symptom:T144 
T145	Detailed_description 2846 2854	solitary
R72	MODIFY Arg1:T145 Arg2:E93	
T146	Biological_structure 2869 2890	left lingular segment
R73	MODIFY Arg1:T146 Arg2:E93	
T147	Disease_disorder 2949 2968	cryptococcus lesion
E94	Disease_disorder:T147 
A9	POLARITY E94 UNCERTAIN
T148	Biological_structure 2939 2948	pulmonary
R74	MODIFY Arg1:T148 Arg2:E94	
T149	Date 2979 2997	After several days
E95	Date:T149 
T150	Diagnostic_procedure 3071 3085	fluid cultures
E96	Diagnostic_procedure:T150 
T151	Detailed_description 3025 3034	bilateral
T155	Lab_value 3093 3101	negative
R80	MODIFY Arg1:T155 Arg2:E96	
T156	Disease_disorder 3035 3051	pleural effusion
E97	Disease_disorder:T156 
R75	MODIFY Arg1:T151 Arg2:E97	
T152	Diagnostic_procedure 3018 3023	blood
E98	Diagnostic_procedure:T152 
T153	Diagnostic_procedure 3010 3016	sputum
E99	Diagnostic_procedure:T153 
T154	Diagnostic_procedure 3035 3051	pleural effusion
E100	Diagnostic_procedure:T154 
T157	Diagnostic_procedure 3057 3070	cerebrospinal
E101	Diagnostic_procedure:T157 
R76	SUB_PROCEDURE Arg1:E101 Arg2:E96	
R77	SUB_PROCEDURE Arg1:E100 Arg2:E96	
R78	SUB_PROCEDURE Arg1:E98 Arg2:E96	
R79	SUB_PROCEDURE Arg1:E99 Arg2:E96	
T158	Date 3106 3112	day 52
E102	Date:T158 
T159	Diagnostic_procedure 3120 3122	CT
E103	Diagnostic_procedure:T159 
T160	Sign_symptom 3145 3151	nodule
E104	Sign_symptom:T160 
T161	Biological_structure 3140 3144	lung
R81	MODIFY Arg1:T161 Arg2:E104	
T162	Biological_structure 3114 3119	chest
R82	MODIFY Arg1:T162 Arg2:E103	
T163	Biological_structure 3159 3188	right pulmonary apical region
R83	MODIFY Arg1:T163 Arg2:E104	
T164	Sign_symptom 3196 3203	nodules
E105	Sign_symptom:T164 
A10	TREND E105 DEC
T165	Date 3238 3244	day 79
E106	Date:T165 
T166	Lab_value 3214 3231	decreased in size
R84	MODIFY Arg1:T166 Arg2:E105	
T167	Medication 3270 3275	L-AMB
E107	Medication:T167 
T168	Diagnostic_procedure 3306 3324	C-reactive protein
E108	Diagnostic_procedure:T168 
T169	Lab_value 3340 3348	elevated
R85	MODIFY Arg1:T169 Arg2:E108	
T170	Disease_disorder 3367 3383	pleural effusion
E109	Disease_disorder:T170 
A11	TREND E109 INC
T171	Detailed_description 3357 3366	bilateral
R86	MODIFY Arg1:T171 Arg2:E109	
T172	Sign_symptom 3420 3438	lost consciousness
E110	Sign_symptom:T172 
T173	Diagnostic_procedure 3460 3474	vital capacity
E111	Diagnostic_procedure:T173 
T174	Lab_value 3450 3459	decreased
R87	MODIFY Arg1:T174 Arg2:E111	
T175	Disease_disorder 3501 3517	pleural effusion
E112	Disease_disorder:T175 
A12	TREND E112 INC
T176	Detailed_description 3491 3500	bilateral
R88	MODIFY Arg1:T176 Arg2:E112	
T177	Disease_disorder 3541 3553	CO2 narcosis
E113	Disease_disorder:T177 
T178	Diagnostic_procedure 3569 3586	general condition
E114	Diagnostic_procedure:T178 
T179	Lab_value 3587 3599	deteriorated
R89	MODIFY Arg1:T179 Arg2:E114	
T180	Diagnostic_procedure 3824 3840	genetic analysis
E115	Diagnostic_procedure:T180 
T181	Detailed_description 3716 3736	Cryptococcus isolate
R90	MODIFY Arg1:T181 Arg2:E115	
T182	Disease_disorder 3770 3818	Cryptococcus neoformans var. grubii (serotype A)
E116	Disease_disorder:T182 
*	OVERLAP E1 E2 E3 E4 E5 E13 E14 E16 E31 E32 E33 E34 E35 E36 E37 E38 E39 E40
R91	BEFORE Arg1:E40 Arg2:E41	
*	OVERLAP E41 E42 E43 E44
R92	BEFORE Arg1:E44 Arg2:E45	
*	OVERLAP E45 E46
R93	BEFORE Arg1:E47 Arg2:E48	
R94	BEFORE Arg1:E48 Arg2:E49	
*	OVERLAP E49 E50 E51 E52 E53 E54
R95	BEFORE Arg1:E54 Arg2:E56	
*	OVERLAP E56 E57 E59 E60 E61 E62 E66 E65 E63 E64 E67 E68
R96	BEFORE Arg1:E68 Arg2:E69	
*	OVERLAP E69 E70
R97	BEFORE Arg1:E70 Arg2:E72	
*	OVERLAP E72 E74 E73 E75
R98	BEFORE Arg1:E75 Arg2:E77	
*	OVERLAP E77 E78 E79 E80 E81 E82 E83
R99	BEFORE Arg1:E83 Arg2:E84	
*	OVERLAP E84 E85 E86 E87 E88 E90
R100	BEFORE Arg1:E90 Arg2:E91	
*	OVERLAP E91 E92 E93 E94
R101	BEFORE Arg1:E94 Arg2:E95	
*	OVERLAP E95 E97 E96
R102	BEFORE Arg1:E96 Arg2:E102	
*	OVERLAP E102 E103 E104
R103	BEFORE Arg1:E104 Arg2:E105	
R104	BEFORE Arg1:E105 Arg2:E106	
*	OVERLAP E106 E107 E108 E109
R105	BEFORE Arg1:E109 Arg2:E110	
*	OVERLAP E110 E111 E112
R106	BEFORE Arg1:E112 Arg2:E113	
R107	BEFORE Arg1:E113 Arg2:E114	
R108	BEFORE Arg1:E114 Arg2:E7	
*	OVERLAP E7 E8 E6
R109	BEFORE Arg1:E6 Arg2:E9	
R110	BEFORE Arg1:E9 Arg2:E117	
*	OVERLAP E116 E115 E117
T183	Date 3695 3710	At a later date
E117	Date:T183 
T184	Date 74 88	35 year of age
E118	Date:T184 
T185	History 98 124	severe diabetic neuropathy
T186	History 129 142	diabetic-ESRD
T187	Disease_disorder 46 70	type 2 diabetes mellitus
E119	Disease_disorder:T187 
*	OVERLAP E119 E118
T188	Disease_disorder 105 124	diabetic neuropathy
E120	Disease_disorder:T188 
T189	Severity 98 104	severe
R111	MODIFY Arg1:T189 Arg2:E120	
T190	Disease_disorder 129 142	diabetic-ESRD
E121	Disease_disorder:T190 
#3	AnnotatorNotes E121	diabetic end-stage renal disease
R112	BEFORE Arg1:E118 Arg2:E120	
*	OVERLAP E120 E121
R113	BEFORE Arg1:E121 Arg2:E3