id sid tid token lemma pos cord-307357-qm456cik 1 1 key key NN cord-307357-qm456cik 1 2 : : : cord-307357-qm456cik 1 3 cord-307357-qm456cik cord-307357-qm456cik NNP cord-307357-qm456cik 1 4 authors author NNS cord-307357-qm456cik 1 5 : : : cord-307357-qm456cik 1 6 Ulloa Ulloa NNP cord-307357-qm456cik 1 7 , , , cord-307357-qm456cik 1 8 Nicolas Nicolas NNP cord-307357-qm456cik 1 9 ; ; : cord-307357-qm456cik 1 10 Cook Cook NNP cord-307357-qm456cik 1 11 , , , cord-307357-qm456cik 1 12 Jessica Jessica NNP cord-307357-qm456cik 1 13 M M NNP cord-307357-qm456cik 1 14 ; ; : cord-307357-qm456cik 1 15 Smithson Smithson NNP cord-307357-qm456cik 1 16 , , , cord-307357-qm456cik 1 17 Shaun Shaun NNP cord-307357-qm456cik 1 18 title title NN cord-307357-qm456cik 1 19 : : : cord-307357-qm456cik 1 20 A a DT cord-307357-qm456cik 1 21 Clinical clinical JJ cord-307357-qm456cik 1 22 Challenge challenge NN cord-307357-qm456cik 1 23 in in IN cord-307357-qm456cik 1 24 the the DT cord-307357-qm456cik 1 25 Emergency Emergency NNP cord-307357-qm456cik 1 26 Department Department NNP cord-307357-qm456cik 1 27 : : : cord-307357-qm456cik 2 1 A a DT cord-307357-qm456cik 2 2 Case case NN cord-307357-qm456cik 2 3 of of IN cord-307357-qm456cik 2 4 Klebsiella Klebsiella NNP cord-307357-qm456cik 2 5 Infective Infective NNP cord-307357-qm456cik 2 6 Endocarditis Endocarditis NNP cord-307357-qm456cik 2 7 Presenting present VBG cord-307357-qm456cik 2 8 With with IN cord-307357-qm456cik 2 9 Splenic Splenic NNP cord-307357-qm456cik 2 10 Abscess abscess NN cord-307357-qm456cik 2 11 date date NN cord-307357-qm456cik 2 12 : : : cord-307357-qm456cik 2 13 2020 2020 CD cord-307357-qm456cik 2 14 - - HYPH cord-307357-qm456cik 2 15 09 09 CD cord-307357-qm456cik 2 16 - - SYM cord-307357-qm456cik 2 17 21 21 CD cord-307357-qm456cik 2 18 journal journal NN cord-307357-qm456cik 2 19 : : : cord-307357-qm456cik 3 1 Cureus Cureus NNP cord-307357-qm456cik 3 2 DOI DOI NNP cord-307357-qm456cik 3 3 : : : cord-307357-qm456cik 3 4 10.7759 10.7759 CD cord-307357-qm456cik 3 5 / / SYM cord-307357-qm456cik 3 6 cureus.10577 cureus.10577 NN cord-307357-qm456cik 3 7 sha sha NNP cord-307357-qm456cik 3 8 : : : cord-307357-qm456cik 4 1 6e8539674e1b3b89340e29862f02d9b05d6a99f0 6e8539674e1b3b89340e29862f02d9b05d6a99f0 CD cord-307357-qm456cik 4 2 doc_id doc_id CD cord-307357-qm456cik 4 3 : : : cord-307357-qm456cik 4 4 307357 307357 CD cord-307357-qm456cik 4 5 cord_uid cord_uid NNS cord-307357-qm456cik 4 6 : : : cord-307357-qm456cik 5 1 qm456cik qm456cik DT cord-307357-qm456cik 5 2 Infective Infective NNP cord-307357-qm456cik 5 3 endocarditis endocarditis NN cord-307357-qm456cik 5 4 ( ( -LRB- cord-307357-qm456cik 5 5 IE IE NNP cord-307357-qm456cik 5 6 ) ) -RRB- cord-307357-qm456cik 5 7 is be VBZ cord-307357-qm456cik 5 8 a a DT cord-307357-qm456cik 5 9 serious serious JJ cord-307357-qm456cik 5 10 bacterial bacterial JJ cord-307357-qm456cik 5 11 infection infection NN cord-307357-qm456cik 5 12 of of IN cord-307357-qm456cik 5 13 the the DT cord-307357-qm456cik 5 14 endocardium endocardium NN cord-307357-qm456cik 5 15 and/or and/or CC cord-307357-qm456cik 5 16 heart heart NN cord-307357-qm456cik 5 17 valves valve NNS cord-307357-qm456cik 5 18 that that WDT cord-307357-qm456cik 5 19 carries carry VBZ cord-307357-qm456cik 5 20 considerable considerable JJ cord-307357-qm456cik 5 21 morbidity morbidity NN cord-307357-qm456cik 5 22 and and CC cord-307357-qm456cik 5 23 mortality mortality NN cord-307357-qm456cik 5 24 . . . cord-307357-qm456cik 6 1 Often often RB cord-307357-qm456cik 6 2 presenting present VBG cord-307357-qm456cik 6 3 with with IN cord-307357-qm456cik 6 4 very very RB cord-307357-qm456cik 6 5 non non JJ cord-307357-qm456cik 6 6 - - JJ cord-307357-qm456cik 6 7 specific specific JJ cord-307357-qm456cik 6 8 symptoms symptom NNS cord-307357-qm456cik 6 9 , , , cord-307357-qm456cik 6 10 this this DT cord-307357-qm456cik 6 11 disease disease NN cord-307357-qm456cik 6 12 presents present VBZ cord-307357-qm456cik 6 13 many many JJ cord-307357-qm456cik 6 14 challenges challenge NNS cord-307357-qm456cik 6 15 to to IN cord-307357-qm456cik 6 16 the the DT cord-307357-qm456cik 6 17 emergency emergency NN cord-307357-qm456cik 6 18 medicine medicine NN cord-307357-qm456cik 6 19 practitioner practitioner NN cord-307357-qm456cik 6 20 . . . cord-307357-qm456cik 7 1 A a DT cord-307357-qm456cik 7 2 47-year 47-year JJ cord-307357-qm456cik 7 3 - - HYPH cord-307357-qm456cik 7 4 old old JJ cord-307357-qm456cik 7 5 male male NN cord-307357-qm456cik 7 6 with with IN cord-307357-qm456cik 7 7 no no DT cord-307357-qm456cik 7 8 pertinent pertinent JJ cord-307357-qm456cik 7 9 medical medical JJ cord-307357-qm456cik 7 10 history history NN cord-307357-qm456cik 7 11 presented present VBN cord-307357-qm456cik 7 12 to to IN cord-307357-qm456cik 7 13 the the DT cord-307357-qm456cik 7 14 emergency emergency NN cord-307357-qm456cik 7 15 department department NN cord-307357-qm456cik 7 16 complaining complain VBG cord-307357-qm456cik 7 17 of of IN cord-307357-qm456cik 7 18 shortness shortness NN cord-307357-qm456cik 7 19 of of IN cord-307357-qm456cik 7 20 breath breath NN cord-307357-qm456cik 7 21 . . . cord-307357-qm456cik 8 1 He -PRON- PRP cord-307357-qm456cik 8 2 stated state VBD cord-307357-qm456cik 8 3 that that IN cord-307357-qm456cik 8 4 his -PRON- PRP$ cord-307357-qm456cik 8 5 symptoms symptom NNS cord-307357-qm456cik 8 6 had have VBD cord-307357-qm456cik 8 7 been be VBN cord-307357-qm456cik 8 8 persistent persistent JJ cord-307357-qm456cik 8 9 for for IN cord-307357-qm456cik 8 10 the the DT cord-307357-qm456cik 8 11 last last JJ cord-307357-qm456cik 8 12 three three CD cord-307357-qm456cik 8 13 weeks week NNS cord-307357-qm456cik 8 14 and and CC cord-307357-qm456cik 8 15 were be VBD cord-307357-qm456cik 8 16 associated associate VBN cord-307357-qm456cik 8 17 with with IN cord-307357-qm456cik 8 18 malaise malaise NN cord-307357-qm456cik 8 19 and and CC cord-307357-qm456cik 8 20 fatigue fatigue NN cord-307357-qm456cik 8 21 . . . cord-307357-qm456cik 9 1 CT CT NNP cord-307357-qm456cik 9 2 of of IN cord-307357-qm456cik 9 3 the the DT cord-307357-qm456cik 9 4 abdomen abdoman NNS cord-307357-qm456cik 9 5 / / SYM cord-307357-qm456cik 9 6 pelvis pelvi NNS cord-307357-qm456cik 9 7 with with IN cord-307357-qm456cik 9 8 IV IV NNP cord-307357-qm456cik 9 9 contrast contrast NN cord-307357-qm456cik 9 10 revealed reveal VBD cord-307357-qm456cik 9 11 a a DT cord-307357-qm456cik 9 12 7-cm 7-cm CD cord-307357-qm456cik 9 13 hypodensity hypodensity NN cord-307357-qm456cik 9 14 of of IN cord-307357-qm456cik 9 15 the the DT cord-307357-qm456cik 9 16 spleen spleen NN cord-307357-qm456cik 9 17 concerning concern VBG cord-307357-qm456cik 9 18 for for IN cord-307357-qm456cik 9 19 abscess abscess NN cord-307357-qm456cik 9 20 versus versus IN cord-307357-qm456cik 9 21 infarct infarct NNP cord-307357-qm456cik 9 22 . . . cord-307357-qm456cik 10 1 He -PRON- PRP cord-307357-qm456cik 10 2 denied deny VBD cord-307357-qm456cik 10 3 any any DT cord-307357-qm456cik 10 4 trauma trauma NN cord-307357-qm456cik 10 5 or or CC cord-307357-qm456cik 10 6 IV IV NNP cord-307357-qm456cik 10 7 drug drug NN cord-307357-qm456cik 10 8 use use NN cord-307357-qm456cik 10 9 . . . cord-307357-qm456cik 11 1 Follow follow VB cord-307357-qm456cik 11 2 - - HYPH cord-307357-qm456cik 11 3 up up RP cord-307357-qm456cik 11 4 ultrasound ultrasound NN cord-307357-qm456cik 11 5 was be VBD cord-307357-qm456cik 11 6 ordered order VBN cord-307357-qm456cik 11 7 , , , cord-307357-qm456cik 11 8 which which WDT cord-307357-qm456cik 11 9 characterized characterize VBD cord-307357-qm456cik 11 10 the the DT cord-307357-qm456cik 11 11 hypodensity hypodensity NN cord-307357-qm456cik 11 12 as as IN cord-307357-qm456cik 11 13 a a DT cord-307357-qm456cik 11 14 splenic splenic JJ cord-307357-qm456cik 11 15 abscess abscess NN cord-307357-qm456cik 11 16 . . . cord-307357-qm456cik 12 1 An an DT cord-307357-qm456cik 12 2 echocardiogram echocardiogram NN cord-307357-qm456cik 12 3 was be VBD cord-307357-qm456cik 12 4 recommended recommend VBN cord-307357-qm456cik 12 5 for for IN cord-307357-qm456cik 12 6 possible possible JJ cord-307357-qm456cik 12 7 IE IE NNP cord-307357-qm456cik 12 8 , , , cord-307357-qm456cik 12 9 and and CC cord-307357-qm456cik 12 10 cardiology cardiology NN cord-307357-qm456cik 12 11 was be VBD cord-307357-qm456cik 12 12 consulted consult VBN cord-307357-qm456cik 12 13 . . . cord-307357-qm456cik 13 1 The the DT cord-307357-qm456cik 13 2 transthoracic transthoracic NN cord-307357-qm456cik 13 3 echocardiogram echocardiogram NN cord-307357-qm456cik 13 4 was be VBD cord-307357-qm456cik 13 5 performed perform VBN cord-307357-qm456cik 13 6 on on IN cord-307357-qm456cik 13 7 hospital hospital NN cord-307357-qm456cik 13 8 day day NN cord-307357-qm456cik 13 9 2 2 CD cord-307357-qm456cik 13 10 , , , cord-307357-qm456cik 13 11 which which WDT cord-307357-qm456cik 13 12 showed show VBD cord-307357-qm456cik 13 13 minimal minimal JJ cord-307357-qm456cik 13 14 mitral mitral JJ cord-307357-qm456cik 13 15 valve valve NN cord-307357-qm456cik 13 16 thickening thickening NN cord-307357-qm456cik 13 17 with with IN cord-307357-qm456cik 13 18 mild mild JJ cord-307357-qm456cik 13 19 mitral mitral JJ cord-307357-qm456cik 13 20 regurgitation regurgitation NN cord-307357-qm456cik 13 21 . . . cord-307357-qm456cik 14 1 The the DT cord-307357-qm456cik 14 2 interventional interventional JJ cord-307357-qm456cik 14 3 radiology radiology NN cord-307357-qm456cik 14 4 ( ( -LRB- cord-307357-qm456cik 14 5 IR IR NNP cord-307357-qm456cik 14 6 ) ) -RRB- cord-307357-qm456cik 14 7 service service NN cord-307357-qm456cik 14 8 was be VBD cord-307357-qm456cik 14 9 consulted consult VBN cord-307357-qm456cik 14 10 for for IN cord-307357-qm456cik 14 11 the the DT cord-307357-qm456cik 14 12 splenic splenic JJ cord-307357-qm456cik 14 13 abscess abscess NN cord-307357-qm456cik 14 14 in in IN cord-307357-qm456cik 14 15 order order NN cord-307357-qm456cik 14 16 to to TO cord-307357-qm456cik 14 17 perform perform VB cord-307357-qm456cik 14 18 CT CT NNP cord-307357-qm456cik 14 19 - - HYPH cord-307357-qm456cik 14 20 guided guide VBN cord-307357-qm456cik 14 21 drainage drainage NN cord-307357-qm456cik 14 22 . . . cord-307357-qm456cik 15 1 An an DT cord-307357-qm456cik 15 2 IR IR NNP cord-307357-qm456cik 15 3 drain drain NN cord-307357-qm456cik 15 4 was be VBD cord-307357-qm456cik 15 5 successfully successfully RB cord-307357-qm456cik 15 6 placed place VBN cord-307357-qm456cik 15 7 on on IN cord-307357-qm456cik 15 8 hospital hospital NN cord-307357-qm456cik 15 9 day day NN cord-307357-qm456cik 15 10 3 3 CD cord-307357-qm456cik 15 11 . . . cord-307357-qm456cik 16 1 On on IN cord-307357-qm456cik 16 2 the the DT cord-307357-qm456cik 16 3 same same JJ cord-307357-qm456cik 16 4 day day NN cord-307357-qm456cik 16 5 , , , cord-307357-qm456cik 16 6 blood blood NN cord-307357-qm456cik 16 7 cultures culture NNS cord-307357-qm456cik 16 8 grew grow VBD cord-307357-qm456cik 16 9 Klebsiella Klebsiella NNP cord-307357-qm456cik 16 10 pneumoniae pneumoniae NN cord-307357-qm456cik 16 11 . . . cord-307357-qm456cik 17 1 On on IN cord-307357-qm456cik 17 2 hospital hospital NN cord-307357-qm456cik 17 3 day day NN cord-307357-qm456cik 17 4 5 5 CD cord-307357-qm456cik 17 5 , , , cord-307357-qm456cik 17 6 that that DT cord-307357-qm456cik 17 7 patient patient NN cord-307357-qm456cik 17 8 was be VBD cord-307357-qm456cik 17 9 transferred transfer VBN cord-307357-qm456cik 17 10 to to IN cord-307357-qm456cik 17 11 the the DT cord-307357-qm456cik 17 12 ICU ICU NNP cord-307357-qm456cik 17 13 for for IN cord-307357-qm456cik 17 14 possible possible JJ cord-307357-qm456cik 17 15 empyema empyema JJ cord-307357-qm456cik 17 16 formation formation NN cord-307357-qm456cik 17 17 with with IN cord-307357-qm456cik 17 18 signs sign NNS cord-307357-qm456cik 17 19 of of IN cord-307357-qm456cik 17 20 respiratory respiratory JJ cord-307357-qm456cik 17 21 distress distress NN cord-307357-qm456cik 17 22 . . . cord-307357-qm456cik 18 1 The the DT cord-307357-qm456cik 18 2 patient patient NN cord-307357-qm456cik 18 3 underwent undergo VBD cord-307357-qm456cik 18 4 CT CT NNP cord-307357-qm456cik 18 5 of of IN cord-307357-qm456cik 18 6 the the DT cord-307357-qm456cik 18 7 chest chest NN cord-307357-qm456cik 18 8 that that WDT cord-307357-qm456cik 18 9 showed show VBD cord-307357-qm456cik 18 10 the the DT cord-307357-qm456cik 18 11 development development NN cord-307357-qm456cik 18 12 of of IN cord-307357-qm456cik 18 13 a a DT cord-307357-qm456cik 18 14 left left JJ cord-307357-qm456cik 18 15 - - HYPH cord-307357-qm456cik 18 16 sided sided JJ cord-307357-qm456cik 18 17 effusion effusion NN cord-307357-qm456cik 18 18 . . . cord-307357-qm456cik 19 1 The the DT cord-307357-qm456cik 19 2 patient patient NN cord-307357-qm456cik 19 3 had have VBD cord-307357-qm456cik 19 4 also also RB cord-307357-qm456cik 19 5 been be VBN cord-307357-qm456cik 19 6 persistently persistently RB cord-307357-qm456cik 19 7 tachycardic tachycardic JJ cord-307357-qm456cik 19 8 and and CC cord-307357-qm456cik 19 9 febrile febrile JJ cord-307357-qm456cik 19 10 , , , cord-307357-qm456cik 19 11 with with IN cord-307357-qm456cik 19 12 high high JJ cord-307357-qm456cik 19 13 leukocytosis leukocytosis NN cord-307357-qm456cik 19 14 since since IN cord-307357-qm456cik 19 15 admission admission NN cord-307357-qm456cik 19 16 and and CC cord-307357-qm456cik 19 17 worsening worsen VBG cord-307357-qm456cik 19 18 respiratory respiratory JJ cord-307357-qm456cik 19 19 status status NN cord-307357-qm456cik 19 20 . . . cord-307357-qm456cik 20 1 Transesophageal Transesophageal NNP cord-307357-qm456cik 20 2 echocardiogram echocardiogram NN cord-307357-qm456cik 20 3 ( ( -LRB- cord-307357-qm456cik 20 4 TEE tee NN cord-307357-qm456cik 20 5 ) ) -RRB- cord-307357-qm456cik 20 6 was be VBD cord-307357-qm456cik 20 7 scheduled schedule VBN cord-307357-qm456cik 20 8 but but CC cord-307357-qm456cik 20 9 put put VBN cord-307357-qm456cik 20 10 on on IN cord-307357-qm456cik 20 11 hold hold NN cord-307357-qm456cik 20 12 due due IN cord-307357-qm456cik 20 13 to to IN cord-307357-qm456cik 20 14 worsening worsen VBG cord-307357-qm456cik 20 15 respiratory respiratory JJ cord-307357-qm456cik 20 16 status status NN cord-307357-qm456cik 20 17 . . . cord-307357-qm456cik 21 1 Repeat repeat NN cord-307357-qm456cik 21 2 TEE TEE NNP cord-307357-qm456cik 21 3 was be VBD cord-307357-qm456cik 21 4 scheduled schedule VBN cord-307357-qm456cik 21 5 five five CD cord-307357-qm456cik 21 6 days day NNS cord-307357-qm456cik 21 7 later later RB cord-307357-qm456cik 21 8 , , , cord-307357-qm456cik 21 9 which which WDT cord-307357-qm456cik 21 10 showed show VBD cord-307357-qm456cik 21 11 mitral mitral JJ cord-307357-qm456cik 21 12 regurgitation regurgitation NN cord-307357-qm456cik 21 13 and and CC cord-307357-qm456cik 21 14 increased increase VBN cord-307357-qm456cik 21 15 size size NN cord-307357-qm456cik 21 16 of of IN cord-307357-qm456cik 21 17 the the DT cord-307357-qm456cik 21 18 vegetation vegetation NN cord-307357-qm456cik 21 19 despite despite IN cord-307357-qm456cik 21 20 antibiotic antibiotic JJ cord-307357-qm456cik 21 21 therapy therapy NN cord-307357-qm456cik 21 22 . . . cord-307357-qm456cik 22 1 Two two CD cord-307357-qm456cik 22 2 days day NNS cord-307357-qm456cik 22 3 later later RB cord-307357-qm456cik 22 4 , , , cord-307357-qm456cik 22 5 he -PRON- PRP cord-307357-qm456cik 22 6 was be VBD cord-307357-qm456cik 22 7 scheduled schedule VBN cord-307357-qm456cik 22 8 for for IN cord-307357-qm456cik 22 9 mitral mitral JJ cord-307357-qm456cik 22 10 valve valve NN cord-307357-qm456cik 22 11 repair repair NN cord-307357-qm456cik 22 12 . . . cord-307357-qm456cik 23 1 When when WRB cord-307357-qm456cik 23 2 reviewing review VBG cord-307357-qm456cik 23 3 our -PRON- PRP$ cord-307357-qm456cik 23 4 case case NN cord-307357-qm456cik 23 5 , , , cord-307357-qm456cik 23 6 the the DT cord-307357-qm456cik 23 7 patient patient NN cord-307357-qm456cik 23 8 had have VBD cord-307357-qm456cik 23 9 both both CC cord-307357-qm456cik 23 10 common common JJ cord-307357-qm456cik 23 11 and and CC cord-307357-qm456cik 23 12 uncommon uncommon JJ cord-307357-qm456cik 23 13 aspects aspect NNS cord-307357-qm456cik 23 14 of of IN cord-307357-qm456cik 23 15 splenic splenic JJ cord-307357-qm456cik 23 16 abscess abscess NN cord-307357-qm456cik 23 17 or or CC cord-307357-qm456cik 23 18 IE IE NNP cord-307357-qm456cik 23 19 . . . cord-307357-qm456cik 24 1 First first RB cord-307357-qm456cik 24 2 , , , cord-307357-qm456cik 24 3 despite despite IN cord-307357-qm456cik 24 4 having have VBG cord-307357-qm456cik 24 5 respiratory respiratory JJ cord-307357-qm456cik 24 6 symptoms symptom NNS cord-307357-qm456cik 24 7 for for IN cord-307357-qm456cik 24 8 two two CD cord-307357-qm456cik 24 9 weeks week NNS cord-307357-qm456cik 24 10 , , , cord-307357-qm456cik 24 11 the the DT cord-307357-qm456cik 24 12 primary primary JJ cord-307357-qm456cik 24 13 reason reason NN cord-307357-qm456cik 24 14 he -PRON- PRP cord-307357-qm456cik 24 15 came come VBD cord-307357-qm456cik 24 16 to to IN cord-307357-qm456cik 24 17 the the DT cord-307357-qm456cik 24 18 hospital hospital NN cord-307357-qm456cik 24 19 was be VBD cord-307357-qm456cik 24 20 due due JJ cord-307357-qm456cik 24 21 to to IN cord-307357-qm456cik 24 22 the the DT cord-307357-qm456cik 24 23 new new JJ cord-307357-qm456cik 24 24 onset onset NN cord-307357-qm456cik 24 25 of of IN cord-307357-qm456cik 24 26 fevers fever NNS cord-307357-qm456cik 24 27 . . . cord-307357-qm456cik 25 1 He -PRON- PRP cord-307357-qm456cik 25 2 was be VBD cord-307357-qm456cik 25 3 febrile febrile JJ cord-307357-qm456cik 25 4 , , , cord-307357-qm456cik 25 5 tachycardic tachycardic JJ cord-307357-qm456cik 25 6 , , , cord-307357-qm456cik 25 7 and and CC cord-307357-qm456cik 25 8 with with IN cord-307357-qm456cik 25 9 significant significant JJ cord-307357-qm456cik 25 10 leukocytosis leukocytosis NN cord-307357-qm456cik 25 11 . . . cord-307357-qm456cik 26 1 He -PRON- PRP cord-307357-qm456cik 26 2 continued continue VBD cord-307357-qm456cik 26 3 to to TO cord-307357-qm456cik 26 4 have have VB cord-307357-qm456cik 26 5 fevers fever NNS cord-307357-qm456cik 26 6 despite despite IN cord-307357-qm456cik 26 7 antibiotic antibiotic JJ cord-307357-qm456cik 26 8 therapy therapy NN cord-307357-qm456cik 26 9 and and CC cord-307357-qm456cik 26 10 IR IR NNP cord-307357-qm456cik 26 11 drainage drainage NN cord-307357-qm456cik 26 12 of of IN cord-307357-qm456cik 26 13 the the DT cord-307357-qm456cik 26 14 abscess abscess NN cord-307357-qm456cik 26 15 . . . cord-307357-qm456cik 27 1 With with IN cord-307357-qm456cik 27 2 no no DT cord-307357-qm456cik 27 3 history history NN cord-307357-qm456cik 27 4 of of IN cord-307357-qm456cik 27 5 IV IV NNP cord-307357-qm456cik 27 6 drug drug NN cord-307357-qm456cik 27 7 use use VBP cord-307357-qm456cik 27 8 history history NN cord-307357-qm456cik 27 9 , , , cord-307357-qm456cik 27 10 negative negative JJ cord-307357-qm456cik 27 11 transthoracic transthoracic NN cord-307357-qm456cik 27 12 echocardiography echocardiography NN cord-307357-qm456cik 27 13 , , , cord-307357-qm456cik 27 14 lack lack NN cord-307357-qm456cik 27 15 of of IN cord-307357-qm456cik 27 16 immunocompromising immunocompromise VBG cord-307357-qm456cik 27 17 condition condition NN cord-307357-qm456cik 27 18 , , , cord-307357-qm456cik 27 19 and and CC cord-307357-qm456cik 27 20 blood blood NN cord-307357-qm456cik 27 21 cultures culture NNS cord-307357-qm456cik 27 22 with with IN cord-307357-qm456cik 27 23 gram gram JJ cord-307357-qm456cik 27 24 - - HYPH cord-307357-qm456cik 27 25 negative negative JJ cord-307357-qm456cik 27 26 rods rod NNS cord-307357-qm456cik 27 27 , , , cord-307357-qm456cik 27 28 IE IE NNP cord-307357-qm456cik 27 29 became become VBD cord-307357-qm456cik 27 30 less less RBR cord-307357-qm456cik 27 31 likely likely JJ cord-307357-qm456cik 27 32 of of IN cord-307357-qm456cik 27 33 a a DT cord-307357-qm456cik 27 34 diagnosis diagnosis NN cord-307357-qm456cik 27 35 . . . cord-307357-qm456cik 28 1 Establishing establish VBG cord-307357-qm456cik 28 2 the the DT cord-307357-qm456cik 28 3 diagnosis diagnosis NN cord-307357-qm456cik 28 4 of of IN cord-307357-qm456cik 28 5 IE IE NNP cord-307357-qm456cik 28 6 proved prove VBD cord-307357-qm456cik 28 7 to to TO cord-307357-qm456cik 28 8 be be VB cord-307357-qm456cik 28 9 exceptionally exceptionally RB cord-307357-qm456cik 28 10 complicated complicate VBN cord-307357-qm456cik 28 11 , , , cord-307357-qm456cik 28 12 especially especially RB cord-307357-qm456cik 28 13 in in IN cord-307357-qm456cik 28 14 the the DT cord-307357-qm456cik 28 15 setting setting NN cord-307357-qm456cik 28 16 of of IN cord-307357-qm456cik 28 17 a a DT cord-307357-qm456cik 28 18 COVID-19 covid-19 CD cord-307357-qm456cik 28 19 pandemic pandemic NN cord-307357-qm456cik 28 20 . . . cord-307357-qm456cik 29 1 The the DT cord-307357-qm456cik 29 2 most most RBS cord-307357-qm456cik 29 3 notable notable JJ cord-307357-qm456cik 29 4 challenge challenge NN cord-307357-qm456cik 29 5 was be VBD cord-307357-qm456cik 29 6 having have VBG cord-307357-qm456cik 29 7 a a DT cord-307357-qm456cik 29 8 high high JJ cord-307357-qm456cik 29 9 index index NN cord-307357-qm456cik 29 10 of of IN cord-307357-qm456cik 29 11 suspicion suspicion NN cord-307357-qm456cik 29 12 despite despite IN cord-307357-qm456cik 29 13 any any DT cord-307357-qm456cik 29 14 risk risk NN cord-307357-qm456cik 29 15 factors factor NNS cord-307357-qm456cik 29 16 . . . cord-307357-qm456cik 30 1 The the DT cord-307357-qm456cik 30 2 patient patient NN cord-307357-qm456cik 30 3 was be VBD cord-307357-qm456cik 30 4 a a DT cord-307357-qm456cik 30 5 previously previously RB cord-307357-qm456cik 30 6 healthy healthy JJ cord-307357-qm456cik 30 7 47-year 47-year JJ cord-307357-qm456cik 30 8 - - HYPH cord-307357-qm456cik 30 9 old old JJ cord-307357-qm456cik 30 10 male male NN cord-307357-qm456cik 30 11 with with IN cord-307357-qm456cik 30 12 no no DT cord-307357-qm456cik 30 13 medical medical JJ cord-307357-qm456cik 30 14 problems problem NNS cord-307357-qm456cik 30 15 . . . cord-307357-qm456cik 31 1 IE IE NNP cord-307357-qm456cik 31 2 continues continue VBZ cord-307357-qm456cik 31 3 to to TO cord-307357-qm456cik 31 4 be be VB cord-307357-qm456cik 31 5 a a DT cord-307357-qm456cik 31 6 clinical clinical JJ cord-307357-qm456cik 31 7 challenge challenge NN cord-307357-qm456cik 31 8 for for IN cord-307357-qm456cik 31 9 physicians physician NNS cord-307357-qm456cik 31 10 , , , cord-307357-qm456cik 31 11 especially especially RB cord-307357-qm456cik 31 12 in in IN cord-307357-qm456cik 31 13 the the DT cord-307357-qm456cik 31 14 emergency emergency NN cord-307357-qm456cik 31 15 department department NN cord-307357-qm456cik 31 16 , , , cord-307357-qm456cik 31 17 due due IN cord-307357-qm456cik 31 18 to to IN cord-307357-qm456cik 31 19 the the DT cord-307357-qm456cik 31 20 lack lack NN cord-307357-qm456cik 31 21 of of IN cord-307357-qm456cik 31 22 diagnostic diagnostic JJ cord-307357-qm456cik 31 23 criteria criterion NNS cord-307357-qm456cik 31 24 such such JJ cord-307357-qm456cik 31 25 as as IN cord-307357-qm456cik 31 26 positive positive JJ cord-307357-qm456cik 31 27 blood blood NN cord-307357-qm456cik 31 28 cultures culture NNS cord-307357-qm456cik 31 29 or or CC cord-307357-qm456cik 31 30 vegetations vegetation NNS cord-307357-qm456cik 31 31 visualized visualize VBN cord-307357-qm456cik 31 32 on on IN cord-307357-qm456cik 31 33 echocardiographic echocardiographic JJ cord-307357-qm456cik 31 34 studies study NNS cord-307357-qm456cik 31 35 . . . cord-307357-qm456cik 32 1 IE IE NNP cord-307357-qm456cik 32 2 has have VBZ cord-307357-qm456cik 32 3 a a DT cord-307357-qm456cik 32 4 wide wide JJ cord-307357-qm456cik 32 5 gamut gamut NN cord-307357-qm456cik 32 6 of of IN cord-307357-qm456cik 32 7 presentations presentation NNS cord-307357-qm456cik 32 8 with with IN cord-307357-qm456cik 32 9 different different JJ cord-307357-qm456cik 32 10 levels level NNS cord-307357-qm456cik 32 11 of of IN cord-307357-qm456cik 32 12 acuity acuity NN cord-307357-qm456cik 32 13 . . . cord-307357-qm456cik 33 1 Diagnosis diagnosis NN cord-307357-qm456cik 33 2 is be VBZ cord-307357-qm456cik 33 3 more more RBR cord-307357-qm456cik 33 4 straightforward straightforward JJ cord-307357-qm456cik 34 1 when when WRB cord-307357-qm456cik 34 2 patients patient NNS cord-307357-qm456cik 34 3 present present JJ cord-307357-qm456cik 34 4 with with IN cord-307357-qm456cik 34 5 obvious obvious JJ cord-307357-qm456cik 34 6 risk risk NN cord-307357-qm456cik 34 7 factors factor NNS cord-307357-qm456cik 34 8 , , , cord-307357-qm456cik 34 9 but but CC cord-307357-qm456cik 34 10 , , , cord-307357-qm456cik 34 11 in in IN cord-307357-qm456cik 34 12 many many JJ cord-307357-qm456cik 34 13 cases case NNS cord-307357-qm456cik 34 14 , , , cord-307357-qm456cik 34 15 such such JJ cord-307357-qm456cik 34 16 as as IN cord-307357-qm456cik 34 17 this this DT cord-307357-qm456cik 34 18 one one NN cord-307357-qm456cik 34 19 , , , cord-307357-qm456cik 34 20 those those DT cord-307357-qm456cik 34 21 risk risk NN cord-307357-qm456cik 34 22 factors factor NNS cord-307357-qm456cik 34 23 may may MD cord-307357-qm456cik 34 24 be be VB cord-307357-qm456cik 34 25 absent absent JJ cord-307357-qm456cik 34 26 . . . cord-307357-qm456cik 35 1 A a DT cord-307357-qm456cik 35 2 high high JJ cord-307357-qm456cik 35 3 index index NN cord-307357-qm456cik 35 4 of of IN cord-307357-qm456cik 35 5 suspicion suspicion NN cord-307357-qm456cik 35 6 is be VBZ cord-307357-qm456cik 35 7 required require VBN cord-307357-qm456cik 35 8 , , , cord-307357-qm456cik 35 9 especially especially RB cord-307357-qm456cik 35 10 in in IN cord-307357-qm456cik 35 11 patients patient NNS cord-307357-qm456cik 35 12 with with IN cord-307357-qm456cik 35 13 additional additional JJ cord-307357-qm456cik 35 14 findings finding NNS cord-307357-qm456cik 35 15 such such JJ cord-307357-qm456cik 35 16 as as IN cord-307357-qm456cik 35 17 splenic splenic JJ cord-307357-qm456cik 35 18 abscess abscess NN cord-307357-qm456cik 35 19 , , , cord-307357-qm456cik 35 20 embolic embolic JJ cord-307357-qm456cik 35 21 phenomenon phenomenon NN cord-307357-qm456cik 35 22 , , , cord-307357-qm456cik 35 23 focal focal JJ cord-307357-qm456cik 35 24 neurologic neurologic JJ cord-307357-qm456cik 35 25 deficit deficit NN cord-307357-qm456cik 35 26 , , , cord-307357-qm456cik 35 27 mycotic mycotic JJ cord-307357-qm456cik 35 28 aneurysm aneurysm NN cord-307357-qm456cik 35 29 , , , cord-307357-qm456cik 35 30 decompensated decompensated JJ cord-307357-qm456cik 35 31 heart heart NN cord-307357-qm456cik 35 32 failure failure NN cord-307357-qm456cik 35 33 , , , cord-307357-qm456cik 35 34 new new JJ cord-307357-qm456cik 35 35 murmurs murmur NNS cord-307357-qm456cik 35 36 , , , cord-307357-qm456cik 35 37 or or CC cord-307357-qm456cik 35 38 pleural pleural JJ cord-307357-qm456cik 35 39 effusions effusion NNS cord-307357-qm456cik 35 40 . . . cord-307357-qm456cik 36 1 Infective infective JJ cord-307357-qm456cik 36 2 endocarditis endocarditis NN cord-307357-qm456cik 36 3 ( ( -LRB- cord-307357-qm456cik 36 4 IE IE NNP cord-307357-qm456cik 36 5 ) ) -RRB- cord-307357-qm456cik 36 6 is be VBZ cord-307357-qm456cik 36 7 a a DT cord-307357-qm456cik 36 8 serious serious JJ cord-307357-qm456cik 36 9 bacterial bacterial JJ cord-307357-qm456cik 36 10 infection infection NN cord-307357-qm456cik 36 11 of of IN cord-307357-qm456cik 36 12 the the DT cord-307357-qm456cik 36 13 endocardium endocardium NN cord-307357-qm456cik 37 1 and/or and/or CC cord-307357-qm456cik 37 2 heart heart NN cord-307357-qm456cik 37 3 valves valve NNS cord-307357-qm456cik 37 4 that that WDT cord-307357-qm456cik 37 5 carries carry VBZ cord-307357-qm456cik 37 6 considerable considerable JJ cord-307357-qm456cik 37 7 morbidity morbidity NN cord-307357-qm456cik 37 8 and and CC cord-307357-qm456cik 37 9 mortality mortality NN cord-307357-qm456cik 37 10 . . . cord-307357-qm456cik 38 1 Often often RB cord-307357-qm456cik 38 2 presenting present VBG cord-307357-qm456cik 38 3 with with IN cord-307357-qm456cik 38 4 non non JJ cord-307357-qm456cik 38 5 - - JJ cord-307357-qm456cik 38 6 specific specific JJ cord-307357-qm456cik 38 7 symptoms symptom NNS cord-307357-qm456cik 38 8 , , , cord-307357-qm456cik 38 9 such such JJ cord-307357-qm456cik 38 10 as as IN cord-307357-qm456cik 38 11 fever fever NN cord-307357-qm456cik 38 12 , , , cord-307357-qm456cik 38 13 chills chill NNS cord-307357-qm456cik 38 14 , , , cord-307357-qm456cik 38 15 fatigue fatigue NN cord-307357-qm456cik 38 16 , , , cord-307357-qm456cik 38 17 and and CC cord-307357-qm456cik 38 18 shortness shortness NN cord-307357-qm456cik 38 19 of of IN cord-307357-qm456cik 38 20 breath breath NN cord-307357-qm456cik 38 21 , , , cord-307357-qm456cik 38 22 this this DT cord-307357-qm456cik 38 23 disease disease NN cord-307357-qm456cik 38 24 presents present VBZ cord-307357-qm456cik 38 25 several several JJ cord-307357-qm456cik 38 26 challenges challenge NNS cord-307357-qm456cik 38 27 to to IN cord-307357-qm456cik 38 28 the the DT cord-307357-qm456cik 38 29 physician physician NN cord-307357-qm456cik 38 30 in in IN cord-307357-qm456cik 38 31 the the DT cord-307357-qm456cik 38 32 emergency emergency NN cord-307357-qm456cik 38 33 department department NN cord-307357-qm456cik 38 34 ( ( -LRB- cord-307357-qm456cik 38 35 ED ED NNP cord-307357-qm456cik 38 36 ) ) -RRB- cord-307357-qm456cik 38 37 . . . cord-307357-qm456cik 39 1 Patients patient NNS cord-307357-qm456cik 39 2 may may MD cord-307357-qm456cik 39 3 lack lack VB cord-307357-qm456cik 39 4 well well RB cord-307357-qm456cik 39 5 - - HYPH cord-307357-qm456cik 39 6 known know VBN cord-307357-qm456cik 39 7 risk risk NN cord-307357-qm456cik 39 8 factors factor NNS cord-307357-qm456cik 39 9 such such JJ cord-307357-qm456cik 39 10 as as IN cord-307357-qm456cik 39 11 intravenous intravenous JJ cord-307357-qm456cik 39 12 drug drug NN cord-307357-qm456cik 39 13 use use NN cord-307357-qm456cik 39 14 , , , cord-307357-qm456cik 39 15 previous previous JJ cord-307357-qm456cik 39 16 history history NN cord-307357-qm456cik 39 17 of of IN cord-307357-qm456cik 39 18 IE IE NNP cord-307357-qm456cik 39 19 , , , cord-307357-qm456cik 39 20 and and CC cord-307357-qm456cik 39 21 prosthetic prosthetic JJ cord-307357-qm456cik 39 22 heart heart NN cord-307357-qm456cik 39 23 valves valve NNS cord-307357-qm456cik 39 24 , , , cord-307357-qm456cik 39 25 which which WDT cord-307357-qm456cik 39 26 can can MD cord-307357-qm456cik 39 27 make make VB cord-307357-qm456cik 39 28 it -PRON- PRP cord-307357-qm456cik 39 29 more more RBR cord-307357-qm456cik 39 30 difficult difficult JJ cord-307357-qm456cik 39 31 to to TO cord-307357-qm456cik 39 32 consider consider VB cord-307357-qm456cik 39 33 in in IN cord-307357-qm456cik 39 34 the the DT cord-307357-qm456cik 39 35 differential differential JJ cord-307357-qm456cik 39 36 diagnosis diagnosis NN cord-307357-qm456cik 39 37 , , , cord-307357-qm456cik 39 38 especially especially RB cord-307357-qm456cik 39 39 during during IN cord-307357-qm456cik 39 40 the the DT cord-307357-qm456cik 39 41 influenza influenza NN cord-307357-qm456cik 39 42 season season NN cord-307357-qm456cik 39 43 and and CC cord-307357-qm456cik 39 44 novel novel JJ cord-307357-qm456cik 39 45 coronavirus coronavirus NN cord-307357-qm456cik 39 46 disease disease NN cord-307357-qm456cik 39 47 2019 2019 CD cord-307357-qm456cik 39 48 ( ( -LRB- cord-307357-qm456cik 39 49 COVID-19 COVID-19 NNP cord-307357-qm456cik 39 50 ) ) -RRB- cord-307357-qm456cik 39 51 pandemic pandemic NN cord-307357-qm456cik 39 52 in in IN cord-307357-qm456cik 39 53 which which WDT cord-307357-qm456cik 39 54 there there EX cord-307357-qm456cik 39 55 is be VBZ cord-307357-qm456cik 39 56 an an DT cord-307357-qm456cik 39 57 abundance abundance NN cord-307357-qm456cik 39 58 of of IN cord-307357-qm456cik 39 59 patients patient NNS cord-307357-qm456cik 39 60 presenting present VBG cord-307357-qm456cik 39 61 with with IN cord-307357-qm456cik 39 62 flu flu NN cord-307357-qm456cik 39 63 - - HYPH cord-307357-qm456cik 39 64 like like JJ cord-307357-qm456cik 39 65 illness illness NN cord-307357-qm456cik 39 66 . . . cord-307357-qm456cik 40 1 It -PRON- PRP cord-307357-qm456cik 40 2 is be VBZ cord-307357-qm456cik 40 3 important important JJ cord-307357-qm456cik 40 4 for for IN cord-307357-qm456cik 40 5 the the DT cord-307357-qm456cik 40 6 emergency emergency NN cord-307357-qm456cik 40 7 medicine medicine NN cord-307357-qm456cik 40 8 ( ( -LRB- cord-307357-qm456cik 40 9 EM EM NNP cord-307357-qm456cik 40 10 ) ) -RRB- cord-307357-qm456cik 40 11 clinician clinician NN cord-307357-qm456cik 40 12 to to TO cord-307357-qm456cik 40 13 be be VB cord-307357-qm456cik 40 14 aware aware JJ cord-307357-qm456cik 40 15 of of IN cord-307357-qm456cik 40 16 the the DT cord-307357-qm456cik 40 17 multiple multiple JJ cord-307357-qm456cik 40 18 manifestations manifestation NNS cord-307357-qm456cik 40 19 of of IN cord-307357-qm456cik 40 20 IE IE NNP cord-307357-qm456cik 40 21 on on IN cord-307357-qm456cik 40 22 history history NN cord-307357-qm456cik 40 23 and and CC cord-307357-qm456cik 40 24 examination examination NN cord-307357-qm456cik 40 25 , , , cord-307357-qm456cik 40 26 especially especially RB cord-307357-qm456cik 40 27 in in IN cord-307357-qm456cik 40 28 the the DT cord-307357-qm456cik 40 29 absence absence NN cord-307357-qm456cik 40 30 of of IN cord-307357-qm456cik 40 31 such such JJ cord-307357-qm456cik 40 32 risk risk NN cord-307357-qm456cik 40 33 factors factor NNS cord-307357-qm456cik 40 34 . . . cord-307357-qm456cik 41 1 The the DT cord-307357-qm456cik 41 2 foundation foundation NN cord-307357-qm456cik 41 3 of of IN cord-307357-qm456cik 41 4 establishing establish VBG cord-307357-qm456cik 41 5 a a DT cord-307357-qm456cik 41 6 diagnosis diagnosis NN cord-307357-qm456cik 41 7 requires require VBZ cord-307357-qm456cik 41 8 blood blood NN cord-307357-qm456cik 41 9 cultures culture NNS cord-307357-qm456cik 41 10 and and CC cord-307357-qm456cik 41 11 definitive definitive JJ cord-307357-qm456cik 41 12 echocardiographic echocardiographic JJ cord-307357-qm456cik 41 13 findings finding NNS cord-307357-qm456cik 41 14 , , , cord-307357-qm456cik 41 15 neither neither DT cord-307357-qm456cik 41 16 of of IN cord-307357-qm456cik 41 17 which which WDT cord-307357-qm456cik 41 18 is be VBZ cord-307357-qm456cik 41 19 considered consider VBN cord-307357-qm456cik 41 20 during during IN cord-307357-qm456cik 41 21 the the DT cord-307357-qm456cik 41 22 patient patient NN cord-307357-qm456cik 41 23 's 's POS cord-307357-qm456cik 41 24 time time NN cord-307357-qm456cik 41 25 in in IN cord-307357-qm456cik 41 26 the the DT cord-307357-qm456cik 41 27 ED ED NNP cord-307357-qm456cik 41 28 . . . cord-307357-qm456cik 42 1 Early early JJ cord-307357-qm456cik 42 2 consideration consideration NN cord-307357-qm456cik 42 3 , , , cord-307357-qm456cik 42 4 recognition recognition NN cord-307357-qm456cik 42 5 , , , cord-307357-qm456cik 42 6 and and CC cord-307357-qm456cik 42 7 treatment treatment NN cord-307357-qm456cik 42 8 of of IN cord-307357-qm456cik 42 9 IE IE NNP cord-307357-qm456cik 42 10 are be VBP cord-307357-qm456cik 42 11 crucial crucial JJ cord-307357-qm456cik 42 12 for for IN cord-307357-qm456cik 42 13 improved improved JJ cord-307357-qm456cik 42 14 outcomes outcome NNS cord-307357-qm456cik 42 15 . . . cord-307357-qm456cik 43 1 Obtaining obtain VBG cord-307357-qm456cik 43 2 timely timely JJ cord-307357-qm456cik 43 3 blood blood NN cord-307357-qm456cik 43 4 cultures culture NNS cord-307357-qm456cik 43 5 and and CC cord-307357-qm456cik 43 6 administering administer VBG cord-307357-qm456cik 43 7 appropriate appropriate JJ cord-307357-qm456cik 43 8 empiric empiric JJ cord-307357-qm456cik 43 9 antibiotics antibiotic NNS cord-307357-qm456cik 43 10 in in IN cord-307357-qm456cik 43 11 the the DT cord-307357-qm456cik 43 12 ED ED NNP cord-307357-qm456cik 43 13 coupled couple VBN cord-307357-qm456cik 43 14 with with IN cord-307357-qm456cik 43 15 early early JJ cord-307357-qm456cik 43 16 transthoracic transthoracic NNP cord-307357-qm456cik 43 17 / / SYM cord-307357-qm456cik 43 18 transesophageal transesophageal NN cord-307357-qm456cik 43 19 echocardiogram echocardiogram NN cord-307357-qm456cik 43 20 ( ( -LRB- cord-307357-qm456cik 43 21 TTE TTE NNP cord-307357-qm456cik 43 22 / / SYM cord-307357-qm456cik 43 23 TEE tee NN cord-307357-qm456cik 43 24 ) ) -RRB- cord-307357-qm456cik 43 25 are be VBP cord-307357-qm456cik 43 26 essential essential JJ cord-307357-qm456cik 43 27 to to IN cord-307357-qm456cik 43 28 guiding guide VBG cord-307357-qm456cik 43 29 therapy therapy NN cord-307357-qm456cik 43 30 once once IN cord-307357-qm456cik 43 31 the the DT cord-307357-qm456cik 43 32 patient patient NN cord-307357-qm456cik 43 33 is be VBZ cord-307357-qm456cik 43 34 admitted admit VBN cord-307357-qm456cik 43 35 to to IN cord-307357-qm456cik 43 36 the the DT cord-307357-qm456cik 43 37 hospital hospital NN cord-307357-qm456cik 43 38 . . . cord-307357-qm456cik 44 1 A a DT cord-307357-qm456cik 44 2 47-year 47-year JJ cord-307357-qm456cik 44 3 - - HYPH cord-307357-qm456cik 44 4 old old JJ cord-307357-qm456cik 44 5 male male NN cord-307357-qm456cik 44 6 with with IN cord-307357-qm456cik 44 7 no no DT cord-307357-qm456cik 44 8 pertinent pertinent JJ cord-307357-qm456cik 44 9 medical medical JJ cord-307357-qm456cik 44 10 history history NN cord-307357-qm456cik 44 11 presented present VBN cord-307357-qm456cik 44 12 to to IN cord-307357-qm456cik 44 13 the the DT cord-307357-qm456cik 44 14 ED ED NNP cord-307357-qm456cik 44 15 complaining complain VBG cord-307357-qm456cik 44 16 of of IN cord-307357-qm456cik 44 17 shortness shortness NN cord-307357-qm456cik 44 18 of of IN cord-307357-qm456cik 44 19 breath breath NN cord-307357-qm456cik 44 20 . . . cord-307357-qm456cik 45 1 He -PRON- PRP cord-307357-qm456cik 45 2 stated state VBD cord-307357-qm456cik 45 3 that that IN cord-307357-qm456cik 45 4 his -PRON- PRP$ cord-307357-qm456cik 45 5 symptoms symptom NNS cord-307357-qm456cik 45 6 had have VBD cord-307357-qm456cik 45 7 been be VBN cord-307357-qm456cik 45 8 persistent persistent JJ cord-307357-qm456cik 45 9 for for IN cord-307357-qm456cik 45 10 the the DT cord-307357-qm456cik 45 11 last last JJ cord-307357-qm456cik 45 12 three three CD cord-307357-qm456cik 45 13 weeks week NNS cord-307357-qm456cik 45 14 and and CC cord-307357-qm456cik 45 15 he -PRON- PRP cord-307357-qm456cik 45 16 also also RB cord-307357-qm456cik 45 17 reporting report VBG cord-307357-qm456cik 45 18 malaise malaise NN cord-307357-qm456cik 45 19 and and CC cord-307357-qm456cik 45 20 fatigue fatigue NN cord-307357-qm456cik 45 21 . . . cord-307357-qm456cik 46 1 He -PRON- PRP cord-307357-qm456cik 46 2 was be VBD cord-307357-qm456cik 46 3 seen see VBN cord-307357-qm456cik 46 4 at at IN cord-307357-qm456cik 46 5 a a DT cord-307357-qm456cik 46 6 different different JJ cord-307357-qm456cik 46 7 hospital hospital NN cord-307357-qm456cik 46 8 previously previously RB cord-307357-qm456cik 46 9 for for IN cord-307357-qm456cik 46 10 the the DT cord-307357-qm456cik 46 11 same same JJ cord-307357-qm456cik 46 12 symptoms symptom NNS cord-307357-qm456cik 46 13 and and CC cord-307357-qm456cik 46 14 was be VBD cord-307357-qm456cik 46 15 discharged discharge VBN cord-307357-qm456cik 46 16 home home RB cord-307357-qm456cik 46 17 with with IN cord-307357-qm456cik 46 18 an an DT cord-307357-qm456cik 46 19 albuterol albuterol JJ cord-307357-qm456cik 46 20 inhaler inhaler NN cord-307357-qm456cik 46 21 , , , cord-307357-qm456cik 46 22 with with IN cord-307357-qm456cik 46 23 no no DT cord-307357-qm456cik 46 24 improvement improvement NN cord-307357-qm456cik 46 25 . . . cord-307357-qm456cik 47 1 A a DT cord-307357-qm456cik 47 2 few few JJ cord-307357-qm456cik 47 3 days day NNS cord-307357-qm456cik 47 4 prior prior RB cord-307357-qm456cik 47 5 to to IN cord-307357-qm456cik 47 6 arrival arrival NN cord-307357-qm456cik 47 7 , , , cord-307357-qm456cik 47 8 his -PRON- PRP$ cord-307357-qm456cik 47 9 symptoms symptom NNS cord-307357-qm456cik 47 10 worsened worsen VBD cord-307357-qm456cik 47 11 and and CC cord-307357-qm456cik 47 12 he -PRON- PRP cord-307357-qm456cik 47 13 started start VBD cord-307357-qm456cik 47 14 to to TO cord-307357-qm456cik 47 15 experience experience VB cord-307357-qm456cik 47 16 subjective subjective JJ cord-307357-qm456cik 47 17 fevers fever NNS cord-307357-qm456cik 47 18 , , , cord-307357-qm456cik 47 19 which which WDT cord-307357-qm456cik 47 20 led lead VBD cord-307357-qm456cik 47 21 to to IN cord-307357-qm456cik 47 22 his -PRON- PRP$ cord-307357-qm456cik 47 23 second second JJ cord-307357-qm456cik 47 24 ED ED NNP cord-307357-qm456cik 47 25 visit visit NN cord-307357-qm456cik 47 26 . . . cord-307357-qm456cik 48 1 While while IN cord-307357-qm456cik 48 2 in in IN cord-307357-qm456cik 48 3 the the DT cord-307357-qm456cik 48 4 ED ED NNP cord-307357-qm456cik 48 5 , , , cord-307357-qm456cik 48 6 his -PRON- PRP$ cord-307357-qm456cik 48 7 vitals vital NNS cord-307357-qm456cik 48 8 showed show VBD cord-307357-qm456cik 48 9 a a DT cord-307357-qm456cik 48 10 low low JJ cord-307357-qm456cik 48 11 - - HYPH cord-307357-qm456cik 48 12 grade grade NN cord-307357-qm456cik 48 13 fever fever NN cord-307357-qm456cik 48 14 of of IN cord-307357-qm456cik 48 15 99.2 99.2 CD cord-307357-qm456cik 48 16 ° ° NN cord-307357-qm456cik 48 17 F f NN cord-307357-qm456cik 48 18 , , , cord-307357-qm456cik 48 19 tachycardia tachycardia NN cord-307357-qm456cik 48 20 ranging range VBG cord-307357-qm456cik 48 21 from from IN cord-307357-qm456cik 48 22 102 102 CD cord-307357-qm456cik 48 23 - - SYM cord-307357-qm456cik 48 24 144 144 CD cord-307357-qm456cik 48 25 , , , cord-307357-qm456cik 48 26 a a DT cord-307357-qm456cik 48 27 normal normal JJ cord-307357-qm456cik 48 28 blood blood NN cord-307357-qm456cik 48 29 pressure pressure NN cord-307357-qm456cik 48 30 of of IN cord-307357-qm456cik 48 31 145/78 145/78 CD cord-307357-qm456cik 48 32 , , , cord-307357-qm456cik 48 33 and and CC cord-307357-qm456cik 48 34 oxygen oxygen NN cord-307357-qm456cik 48 35 saturation saturation NN cord-307357-qm456cik 48 36 of of IN cord-307357-qm456cik 48 37 98 98 CD cord-307357-qm456cik 48 38 % % NN cord-307357-qm456cik 48 39 . . . cord-307357-qm456cik 49 1 The the DT cord-307357-qm456cik 49 2 ED ED NNP cord-307357-qm456cik 49 3 team team NN cord-307357-qm456cik 49 4 pursued pursue VBD cord-307357-qm456cik 49 5 a a DT cord-307357-qm456cik 49 6 diagnostic diagnostic JJ cord-307357-qm456cik 49 7 workup workup NN cord-307357-qm456cik 49 8 for for IN cord-307357-qm456cik 49 9 suspected suspect VBN cord-307357-qm456cik 49 10 COVID-19 COVID-19 NNP cord-307357-qm456cik 49 11 . . . cord-307357-qm456cik 50 1 Physical physical JJ cord-307357-qm456cik 50 2 examination examination NN cord-307357-qm456cik 50 3 was be VBD cord-307357-qm456cik 50 4 notable notable JJ cord-307357-qm456cik 50 5 for for IN cord-307357-qm456cik 50 6 an an DT cord-307357-qm456cik 50 7 ill ill RB cord-307357-qm456cik 50 8 - - HYPH cord-307357-qm456cik 50 9 appearing appearing JJ cord-307357-qm456cik 50 10 and and CC cord-307357-qm456cik 50 11 diaphoretic diaphoretic JJ cord-307357-qm456cik 50 12 male male NN cord-307357-qm456cik 50 13 . . . cord-307357-qm456cik 51 1 Cardiac cardiac JJ cord-307357-qm456cik 51 2 examination examination NN cord-307357-qm456cik 51 3 revealed reveal VBD cord-307357-qm456cik 51 4 tachycardia tachycardia NN cord-307357-qm456cik 51 5 without without IN cord-307357-qm456cik 51 6 any any DT cord-307357-qm456cik 51 7 obvious obvious JJ cord-307357-qm456cik 51 8 murmurs murmur NNS cord-307357-qm456cik 51 9 . . . cord-307357-qm456cik 52 1 Pulmonary pulmonary JJ cord-307357-qm456cik 52 2 examination examination NN cord-307357-qm456cik 52 3 was be VBD cord-307357-qm456cik 52 4 notable notable JJ cord-307357-qm456cik 52 5 for for IN cord-307357-qm456cik 52 6 tachypnea tachypnea NNP cord-307357-qm456cik 52 7 but but CC cord-307357-qm456cik 52 8 otherwise otherwise RB cord-307357-qm456cik 52 9 clear clear JJ cord-307357-qm456cik 52 10 to to IN cord-307357-qm456cik 52 11 auscultation auscultation NN cord-307357-qm456cik 52 12 . . . cord-307357-qm456cik 53 1 The the DT cord-307357-qm456cik 53 2 abdomen abdomen NN cord-307357-qm456cik 53 3 was be VBD cord-307357-qm456cik 53 4 soft soft JJ cord-307357-qm456cik 53 5 and and CC cord-307357-qm456cik 53 6 non non JJ cord-307357-qm456cik 53 7 - - JJ cord-307357-qm456cik 53 8 tender tender JJ cord-307357-qm456cik 53 9 . . . cord-307357-qm456cik 54 1 His -PRON- PRP$ cord-307357-qm456cik 54 2 lab lab NN cord-307357-qm456cik 54 3 workup workup NN cord-307357-qm456cik 54 4 was be VBD cord-307357-qm456cik 54 5 notable notable JJ cord-307357-qm456cik 54 6 for for IN cord-307357-qm456cik 54 7 a a DT cord-307357-qm456cik 54 8 leukocytosis leukocytosis NN cord-307357-qm456cik 54 9 of of IN cord-307357-qm456cik 54 10 29.1 29.1 CD cord-307357-qm456cik 54 11 x x SYM cord-307357-qm456cik 54 12 109 109 CD cord-307357-qm456cik 54 13 / / SYM cord-307357-qm456cik 54 14 L l NN cord-307357-qm456cik 54 15 ( ( -LRB- cord-307357-qm456cik 54 16 normal normal JJ cord-307357-qm456cik 54 17 range range NN cord-307357-qm456cik 54 18 : : : cord-307357-qm456cik 54 19 3.6 3.6 CD cord-307357-qm456cik 54 20 - - HYPH cord-307357-qm456cik 54 21 11.0 11.0 CD cord-307357-qm456cik 54 22 x x SYM cord-307357-qm456cik 54 23 109 109 CD cord-307357-qm456cik 54 24 / / SYM cord-307357-qm456cik 54 25 L L NNP cord-307357-qm456cik 54 26 ) ) -RRB- cord-307357-qm456cik 54 27 and and CC cord-307357-qm456cik 54 28 elevation elevation NN cord-307357-qm456cik 54 29 in in IN cord-307357-qm456cik 54 30 his -PRON- PRP$ cord-307357-qm456cik 54 31 inflammatory inflammatory JJ cord-307357-qm456cik 54 32 markers marker NNS cord-307357-qm456cik 54 33 . . . cord-307357-qm456cik 55 1 He -PRON- PRP cord-307357-qm456cik 55 2 had have VBD cord-307357-qm456cik 55 3 an an DT cord-307357-qm456cik 55 4 initial initial JJ cord-307357-qm456cik 55 5 C c NN cord-307357-qm456cik 55 6 - - HYPH cord-307357-qm456cik 55 7 reactive reactive JJ cord-307357-qm456cik 55 8 protein protein NN cord-307357-qm456cik 55 9 of of IN cord-307357-qm456cik 55 10 18.7 18.7 CD cord-307357-qm456cik 55 11 mg mg NNP cord-307357-qm456cik 55 12 / / SYM cord-307357-qm456cik 55 13 dL dl NN cord-307357-qm456cik 55 14 ( ( -LRB- cord-307357-qm456cik 55 15 normal normal JJ cord-307357-qm456cik 55 16 range range NN cord-307357-qm456cik 55 17 : : : cord-307357-qm456cik 55 18 0 0 CD cord-307357-qm456cik 55 19 - - SYM cord-307357-qm456cik 55 20 0.1 0.1 CD cord-307357-qm456cik 55 21 mg mg NNP cord-307357-qm456cik 55 22 / / SYM cord-307357-qm456cik 55 23 dL dl NN cord-307357-qm456cik 55 24 ) ) -RRB- cord-307357-qm456cik 55 25 , , , cord-307357-qm456cik 55 26 ESR ESR NNP cord-307357-qm456cik 55 27 of of IN cord-307357-qm456cik 55 28 65 65 CD cord-307357-qm456cik 55 29 mm mm NNP cord-307357-qm456cik 55 30 / / SYM cord-307357-qm456cik 55 31 hr hr NN cord-307357-qm456cik 55 32 ( ( -LRB- cord-307357-qm456cik 55 33 normal normal JJ cord-307357-qm456cik 55 34 range range NN cord-307357-qm456cik 55 35 : : : cord-307357-qm456cik 55 36 0 0 CD cord-307357-qm456cik 55 37 - - SYM cord-307357-qm456cik 55 38 10 10 CD cord-307357-qm456cik 55 39 mm mm NNP cord-307357-qm456cik 55 40 / / SYM cord-307357-qm456cik 55 41 hr hr NN cord-307357-qm456cik 55 42 ) ) -RRB- cord-307357-qm456cik 55 43 , , , cord-307357-qm456cik 55 44 lactate lactate NN cord-307357-qm456cik 55 45 dehydrogenase dehydrogenase NN cord-307357-qm456cik 55 46 of of IN cord-307357-qm456cik 55 47 267 267 CD cord-307357-qm456cik 55 48 units unit NNS cord-307357-qm456cik 55 49 / / SYM cord-307357-qm456cik 55 50 L l NN cord-307357-qm456cik 55 51 ( ( -LRB- cord-307357-qm456cik 55 52 normal normal JJ cord-307357-qm456cik 55 53 range range NN cord-307357-qm456cik 55 54 : : : cord-307357-qm456cik 55 55 84 84 CD cord-307357-qm456cik 55 56 - - SYM cord-307357-qm456cik 55 57 246 246 CD cord-307357-qm456cik 55 58 units unit NNS cord-307357-qm456cik 55 59 / / SYM cord-307357-qm456cik 55 60 L L NNP cord-307357-qm456cik 55 61 ) ) -RRB- cord-307357-qm456cik 55 62 , , , cord-307357-qm456cik 55 63 and and CC cord-307357-qm456cik 55 64 D d NN cord-307357-qm456cik 55 65 - - HYPH cord-307357-qm456cik 55 66 dimer dimer NN cord-307357-qm456cik 55 67 of of IN cord-307357-qm456cik 55 68 2,361 2,361 CD cord-307357-qm456cik 55 69 ng ng NNP cord-307357-qm456cik 55 70 / / SYM cord-307357-qm456cik 55 71 mL ml NN cord-307357-qm456cik 55 72 ( ( -LRB- cord-307357-qm456cik 55 73 normal normal JJ cord-307357-qm456cik 55 74 range range NN cord-307357-qm456cik 55 75 : : : cord-307357-qm456cik 55 76 0 0 CD cord-307357-qm456cik 55 77 - - SYM cord-307357-qm456cik 55 78 316 316 CD cord-307357-qm456cik 55 79 ng ng NN cord-307357-qm456cik 55 80 / / SYM cord-307357-qm456cik 55 81 mL mL NNP cord-307357-qm456cik 55 82 ) ) -RRB- cord-307357-qm456cik 55 83 , , , cord-307357-qm456cik 55 84 which which WDT cord-307357-qm456cik 55 85 are be VBP cord-307357-qm456cik 55 86 all all DT cord-307357-qm456cik 55 87 elevated elevated JJ cord-307357-qm456cik 55 88 . . . cord-307357-qm456cik 56 1 His -PRON- PRP$ cord-307357-qm456cik 56 2 lactic lactic JJ cord-307357-qm456cik 56 3 acid acid NN cord-307357-qm456cik 56 4 was be VBD cord-307357-qm456cik 56 5 within within IN cord-307357-qm456cik 56 6 the the DT cord-307357-qm456cik 56 7 normal normal JJ cord-307357-qm456cik 56 8 range range NN cord-307357-qm456cik 56 9 . . . cord-307357-qm456cik 57 1 Of of IN cord-307357-qm456cik 57 2 note note NN cord-307357-qm456cik 57 3 , , , cord-307357-qm456cik 57 4 his -PRON- PRP$ cord-307357-qm456cik 57 5 troponin troponin NN cord-307357-qm456cik 57 6 was be VBD cord-307357-qm456cik 57 7 moderately moderately RB cord-307357-qm456cik 57 8 elevated elevated JJ cord-307357-qm456cik 57 9 at at IN cord-307357-qm456cik 57 10 0.367 0.367 CD cord-307357-qm456cik 57 11 ng ng NN cord-307357-qm456cik 57 12 / / SYM cord-307357-qm456cik 57 13 dL dl NN cord-307357-qm456cik 57 14 ( ( -LRB- cord-307357-qm456cik 57 15 normal normal JJ cord-307357-qm456cik 57 16 range range NN cord-307357-qm456cik 57 17 : : : cord-307357-qm456cik 57 18 0.000 0.000 CD cord-307357-qm456cik 57 19 - - HYPH cord-307357-qm456cik 57 20 0.043 0.043 CD cord-307357-qm456cik 57 21 ng ng NN cord-307357-qm456cik 57 22 / / SYM cord-307357-qm456cik 57 23 dL dl NN cord-307357-qm456cik 57 24 ) ) -RRB- cord-307357-qm456cik 57 25 . . . cord-307357-qm456cik 58 1 The the DT cord-307357-qm456cik 58 2 chest chest NN cord-307357-qm456cik 58 3 X x NN cord-307357-qm456cik 58 4 - - NN cord-307357-qm456cik 58 5 ray ray NN cord-307357-qm456cik 58 6 was be VBD cord-307357-qm456cik 58 7 unremarkable unremarkable JJ cord-307357-qm456cik 58 8 and and CC cord-307357-qm456cik 58 9 the the DT cord-307357-qm456cik 58 10 computed compute VBN cord-307357-qm456cik 58 11 tomography tomography NN cord-307357-qm456cik 58 12 ( ( -LRB- cord-307357-qm456cik 58 13 CT CT NNP cord-307357-qm456cik 58 14 ) ) -RRB- cord-307357-qm456cik 58 15 angiogram angiogram NN cord-307357-qm456cik 58 16 of of IN cord-307357-qm456cik 58 17 the the DT cord-307357-qm456cik 58 18 chest chest NN cord-307357-qm456cik 58 19 was be VBD cord-307357-qm456cik 58 20 negative negative JJ cord-307357-qm456cik 58 21 for for IN cord-307357-qm456cik 58 22 any any DT cord-307357-qm456cik 58 23 infectious infectious JJ cord-307357-qm456cik 58 24 etiology etiology NN cord-307357-qm456cik 58 25 , , , cord-307357-qm456cik 58 26 pulmonary pulmonary JJ cord-307357-qm456cik 58 27 embolism embolism NN cord-307357-qm456cik 58 28 , , , cord-307357-qm456cik 58 29 or or CC cord-307357-qm456cik 58 30 dissection dissection NN cord-307357-qm456cik 58 31 . . . cord-307357-qm456cik 59 1 CT CT NNP cord-307357-qm456cik 59 2 of of IN cord-307357-qm456cik 59 3 the the DT cord-307357-qm456cik 59 4 abdomen abdoman NNS cord-307357-qm456cik 59 5 / / SYM cord-307357-qm456cik 59 6 pelvis pelvi NNS cord-307357-qm456cik 59 7 with with IN cord-307357-qm456cik 59 8 IV IV NNP cord-307357-qm456cik 59 9 contrast contrast NN cord-307357-qm456cik 59 10 revealed reveal VBD cord-307357-qm456cik 59 11 a a DT cord-307357-qm456cik 59 12 7-cm 7-cm CD cord-307357-qm456cik 59 13 hypodensity hypodensity NN cord-307357-qm456cik 59 14 within within IN cord-307357-qm456cik 59 15 the the DT cord-307357-qm456cik 59 16 spleen spleen NN cord-307357-qm456cik 59 17 , , , cord-307357-qm456cik 59 18 concerning concern VBG cord-307357-qm456cik 59 19 for for IN cord-307357-qm456cik 59 20 abscess abscess NN cord-307357-qm456cik 59 21 versus versus IN cord-307357-qm456cik 59 22 infarct infarct NNP cord-307357-qm456cik 59 23 ( ( -LRB- cord-307357-qm456cik 59 24 Figure figure NN cord-307357-qm456cik 59 25 1 1 CD cord-307357-qm456cik 59 26 ) ) -RRB- cord-307357-qm456cik 59 27 . . . cord-307357-qm456cik 60 1 He -PRON- PRP cord-307357-qm456cik 60 2 denied deny VBD cord-307357-qm456cik 60 3 any any DT cord-307357-qm456cik 60 4 trauma trauma NN cord-307357-qm456cik 60 5 or or CC cord-307357-qm456cik 60 6 IV IV NNP cord-307357-qm456cik 60 7 drug drug NN cord-307357-qm456cik 60 8 use use NN cord-307357-qm456cik 60 9 . . . cord-307357-qm456cik 61 1 Follow follow VB cord-307357-qm456cik 61 2 - - HYPH cord-307357-qm456cik 61 3 up up RP cord-307357-qm456cik 61 4 ultrasound ultrasound NN cord-307357-qm456cik 61 5 was be VBD cord-307357-qm456cik 61 6 ordered order VBN cord-307357-qm456cik 61 7 which which WDT cord-307357-qm456cik 61 8 characterized characterize VBD cord-307357-qm456cik 61 9 the the DT cord-307357-qm456cik 61 10 hypodensity hypodensity NN cord-307357-qm456cik 61 11 as as IN cord-307357-qm456cik 61 12 a a DT cord-307357-qm456cik 61 13 splenic splenic JJ cord-307357-qm456cik 61 14 abscess abscess NN cord-307357-qm456cik 61 15 . . . cord-307357-qm456cik 62 1 The the DT cord-307357-qm456cik 62 2 patient patient NN cord-307357-qm456cik 62 3 received receive VBD cord-307357-qm456cik 62 4 a a DT cord-307357-qm456cik 62 5 " " `` cord-307357-qm456cik 62 6 sepsis sepsis NN cord-307357-qm456cik 62 7 bundle bundle NN cord-307357-qm456cik 62 8 " " '' cord-307357-qm456cik 62 9 , , , cord-307357-qm456cik 62 10 which which WDT cord-307357-qm456cik 62 11 included include VBD cord-307357-qm456cik 62 12 the the DT cord-307357-qm456cik 62 13 administration administration NN cord-307357-qm456cik 62 14 of of IN cord-307357-qm456cik 62 15 IV IV NNP cord-307357-qm456cik 62 16 fluids fluid NNS cord-307357-qm456cik 62 17 , , , cord-307357-qm456cik 62 18 ceftriaxone ceftriaxone NN cord-307357-qm456cik 62 19 , , , cord-307357-qm456cik 62 20 and and CC cord-307357-qm456cik 62 21 azithromycin azithromycin NN cord-307357-qm456cik 62 22 to to TO cord-307357-qm456cik 62 23 cover cover VB cord-307357-qm456cik 62 24 empirically empirically RB cord-307357-qm456cik 62 25 for for IN cord-307357-qm456cik 62 26 COVID COVID NNP cord-307357-qm456cik 62 27 co co NN cord-307357-qm456cik 62 28 - - NN cord-307357-qm456cik 62 29 infection infection NN cord-307357-qm456cik 62 30 ; ; : cord-307357-qm456cik 62 31 blood blood NN cord-307357-qm456cik 62 32 cultures culture NNS cord-307357-qm456cik 62 33 were be VBD cord-307357-qm456cik 62 34 drawn draw VBN cord-307357-qm456cik 62 35 in in IN cord-307357-qm456cik 62 36 the the DT cord-307357-qm456cik 62 37 ED ED NNP cord-307357-qm456cik 62 38 and and CC cord-307357-qm456cik 62 39 he -PRON- PRP cord-307357-qm456cik 62 40 was be VBD cord-307357-qm456cik 62 41 subsequently subsequently RB cord-307357-qm456cik 62 42 admitted admit VBN cord-307357-qm456cik 62 43 to to IN cord-307357-qm456cik 62 44 the the DT cord-307357-qm456cik 62 45 " " `` cord-307357-qm456cik 62 46 COVID covid JJ cord-307357-qm456cik 62 47 rule rule NN cord-307357-qm456cik 62 48 - - HYPH cord-307357-qm456cik 62 49 out out RP cord-307357-qm456cik 62 50 " " `` cord-307357-qm456cik 62 51 medical medical JJ cord-307357-qm456cik 62 52 floor floor NN cord-307357-qm456cik 62 53 of of IN cord-307357-qm456cik 62 54 the the DT cord-307357-qm456cik 62 55 hospital hospital NN cord-307357-qm456cik 62 56 . . . cord-307357-qm456cik 63 1 The the DT cord-307357-qm456cik 63 2 patient patient NN cord-307357-qm456cik 63 3 tested test VBD cord-307357-qm456cik 63 4 negative negative JJ cord-307357-qm456cik 63 5 for for IN cord-307357-qm456cik 63 6 COVID-19 COVID-19 NNP cord-307357-qm456cik 63 7 within within IN cord-307357-qm456cik 63 8 a a DT cord-307357-qm456cik 63 9 few few JJ cord-307357-qm456cik 63 10 hours hour NNS cord-307357-qm456cik 63 11 . . . cord-307357-qm456cik 64 1 The the DT cord-307357-qm456cik 64 2 infectious infectious JJ cord-307357-qm456cik 64 3 disease disease NN cord-307357-qm456cik 64 4 service service NN cord-307357-qm456cik 64 5 was be VBD cord-307357-qm456cik 64 6 consulted consult VBN cord-307357-qm456cik 64 7 and and CC cord-307357-qm456cik 64 8 adjusted adjust VBD cord-307357-qm456cik 64 9 the the DT cord-307357-qm456cik 64 10 antibiotic antibiotic JJ cord-307357-qm456cik 64 11 regimen regimen NN cord-307357-qm456cik 64 12 to to IN cord-307357-qm456cik 64 13 vancomycin vancomycin NN cord-307357-qm456cik 64 14 and and CC cord-307357-qm456cik 64 15 piperacillin piperacillin NNP cord-307357-qm456cik 64 16 - - HYPH cord-307357-qm456cik 64 17 tazobactam tazobactam NNS cord-307357-qm456cik 64 18 . . . cord-307357-qm456cik 65 1 An an DT cord-307357-qm456cik 65 2 echocardiogram echocardiogram NN cord-307357-qm456cik 65 3 was be VBD cord-307357-qm456cik 65 4 recommended recommend VBN cord-307357-qm456cik 65 5 to to TO cord-307357-qm456cik 65 6 rule rule VB cord-307357-qm456cik 65 7 out out RP cord-307357-qm456cik 65 8 IE IE NNP cord-307357-qm456cik 65 9 and and CC cord-307357-qm456cik 65 10 the the DT cord-307357-qm456cik 65 11 cardiology cardiology NN cord-307357-qm456cik 65 12 service service NN cord-307357-qm456cik 65 13 was be VBD cord-307357-qm456cik 65 14 consulted consult VBN cord-307357-qm456cik 65 15 . . . cord-307357-qm456cik 66 1 The the DT cord-307357-qm456cik 66 2 TTE TTE NNP cord-307357-qm456cik 66 3 was be VBD cord-307357-qm456cik 66 4 performed perform VBN cord-307357-qm456cik 66 5 on on IN cord-307357-qm456cik 66 6 hospital hospital NN cord-307357-qm456cik 66 7 day day NN cord-307357-qm456cik 66 8 2 2 CD cord-307357-qm456cik 66 9 , , , cord-307357-qm456cik 66 10 which which WDT cord-307357-qm456cik 66 11 showed show VBD cord-307357-qm456cik 66 12 minimal minimal JJ cord-307357-qm456cik 66 13 mitral mitral JJ cord-307357-qm456cik 66 14 valve valve NN cord-307357-qm456cik 66 15 thickening thickening NN cord-307357-qm456cik 66 16 with with IN cord-307357-qm456cik 66 17 mild mild JJ cord-307357-qm456cik 66 18 mitral mitral JJ cord-307357-qm456cik 66 19 regurgitation regurgitation NN cord-307357-qm456cik 66 20 . . . cord-307357-qm456cik 67 1 The the DT cord-307357-qm456cik 67 2 interventional interventional JJ cord-307357-qm456cik 67 3 radiology radiology NN cord-307357-qm456cik 67 4 ( ( -LRB- cord-307357-qm456cik 67 5 IR IR NNP cord-307357-qm456cik 67 6 ) ) -RRB- cord-307357-qm456cik 67 7 service service NN cord-307357-qm456cik 67 8 was be VBD cord-307357-qm456cik 67 9 consulted consult VBN cord-307357-qm456cik 67 10 for for IN cord-307357-qm456cik 67 11 the the DT cord-307357-qm456cik 67 12 splenic splenic JJ cord-307357-qm456cik 67 13 abscess abscess NN cord-307357-qm456cik 67 14 with with IN cord-307357-qm456cik 67 15 plans plan NNS cord-307357-qm456cik 67 16 to to TO cord-307357-qm456cik 67 17 perform perform VB cord-307357-qm456cik 67 18 CT CT NNP cord-307357-qm456cik 67 19 - - HYPH cord-307357-qm456cik 67 20 guided guide VBN cord-307357-qm456cik 67 21 drainage drainage NN cord-307357-qm456cik 67 22 . . . cord-307357-qm456cik 68 1 An an DT cord-307357-qm456cik 68 2 IR IR NNP cord-307357-qm456cik 68 3 drain drain NN cord-307357-qm456cik 68 4 was be VBD cord-307357-qm456cik 68 5 successfully successfully RB cord-307357-qm456cik 68 6 placed place VBN cord-307357-qm456cik 68 7 on on IN cord-307357-qm456cik 68 8 hospital hospital NN cord-307357-qm456cik 68 9 day day NN cord-307357-qm456cik 68 10 3 3 CD cord-307357-qm456cik 68 11 . . . cord-307357-qm456cik 69 1 On on IN cord-307357-qm456cik 69 2 the the DT cord-307357-qm456cik 69 3 same same JJ cord-307357-qm456cik 69 4 day day NN cord-307357-qm456cik 69 5 , , , cord-307357-qm456cik 69 6 blood blood NN cord-307357-qm456cik 69 7 cultures culture NNS cord-307357-qm456cik 69 8 grew grow VBD cord-307357-qm456cik 69 9 Klebsiella Klebsiella NNP cord-307357-qm456cik 69 10 pneumoniae pneumoniae NN cord-307357-qm456cik 69 11 . . . cord-307357-qm456cik 70 1 On on IN cord-307357-qm456cik 70 2 hospital hospital NN cord-307357-qm456cik 70 3 day day NN cord-307357-qm456cik 70 4 5 5 CD cord-307357-qm456cik 70 5 , , , cord-307357-qm456cik 70 6 the the DT cord-307357-qm456cik 70 7 patient patient NN cord-307357-qm456cik 70 8 was be VBD cord-307357-qm456cik 70 9 transferred transfer VBN cord-307357-qm456cik 70 10 to to IN cord-307357-qm456cik 70 11 the the DT cord-307357-qm456cik 70 12 ICU ICU NNP cord-307357-qm456cik 70 13 due due IN cord-307357-qm456cik 70 14 to to IN cord-307357-qm456cik 70 15 respiratory respiratory JJ cord-307357-qm456cik 70 16 distress distress NN cord-307357-qm456cik 70 17 and and CC cord-307357-qm456cik 70 18 suspected suspect VBN cord-307357-qm456cik 70 19 new new JJ cord-307357-qm456cik 70 20 empyema empyema JJ cord-307357-qm456cik 70 21 formation formation NN cord-307357-qm456cik 70 22 . . . cord-307357-qm456cik 71 1 A a DT cord-307357-qm456cik 71 2 CT CT NNP cord-307357-qm456cik 71 3 of of IN cord-307357-qm456cik 71 4 the the DT cord-307357-qm456cik 71 5 chest chest NN cord-307357-qm456cik 71 6 was be VBD cord-307357-qm456cik 71 7 ordered order VBN cord-307357-qm456cik 71 8 at at IN cord-307357-qm456cik 71 9 that that DT cord-307357-qm456cik 71 10 time time NN cord-307357-qm456cik 71 11 , , , cord-307357-qm456cik 71 12 which which WDT cord-307357-qm456cik 71 13 showed show VBD cord-307357-qm456cik 71 14 the the DT cord-307357-qm456cik 71 15 development development NN cord-307357-qm456cik 71 16 of of IN cord-307357-qm456cik 71 17 a a DT cord-307357-qm456cik 71 18 leftsided leftside VBN cord-307357-qm456cik 71 19 pleural pleural JJ cord-307357-qm456cik 71 20 effusion effusion NN cord-307357-qm456cik 71 21 , , , cord-307357-qm456cik 71 22 as as IN cord-307357-qm456cik 71 23 seen see VBN cord-307357-qm456cik 71 24 in in IN cord-307357-qm456cik 71 25 Figure figure NN cord-307357-qm456cik 71 26 2 2 CD cord-307357-qm456cik 71 27 . . . cord-307357-qm456cik 72 1 The the DT cord-307357-qm456cik 72 2 patient patient NN cord-307357-qm456cik 72 3 had have VBD cord-307357-qm456cik 72 4 also also RB cord-307357-qm456cik 72 5 been be VBN cord-307357-qm456cik 72 6 persistently persistently RB cord-307357-qm456cik 72 7 tachycardic tachycardic JJ cord-307357-qm456cik 72 8 and and CC cord-307357-qm456cik 72 9 febrile febrile JJ cord-307357-qm456cik 72 10 , , , cord-307357-qm456cik 72 11 with with IN cord-307357-qm456cik 72 12 high high JJ cord-307357-qm456cik 72 13 leukocytosis leukocytosis NN cord-307357-qm456cik 72 14 and and CC cord-307357-qm456cik 72 15 gradually gradually RB cord-307357-qm456cik 72 16 worsening worsen VBG cord-307357-qm456cik 72 17 respiratory respiratory JJ cord-307357-qm456cik 72 18 distress distress NN cord-307357-qm456cik 72 19 since since IN cord-307357-qm456cik 72 20 admission admission NN cord-307357-qm456cik 72 21 . . . cord-307357-qm456cik 73 1 TEE TEE NNP cord-307357-qm456cik 73 2 was be VBD cord-307357-qm456cik 73 3 scheduled schedule VBN cord-307357-qm456cik 73 4 but but CC cord-307357-qm456cik 73 5 was be VBD cord-307357-qm456cik 73 6 postponed postpone VBN cord-307357-qm456cik 73 7 due due IN cord-307357-qm456cik 73 8 to to IN cord-307357-qm456cik 73 9 worsening worsen VBG cord-307357-qm456cik 73 10 respiratory respiratory JJ cord-307357-qm456cik 73 11 status status NN cord-307357-qm456cik 73 12 . . . cord-307357-qm456cik 74 1 At at IN cord-307357-qm456cik 74 2 this this DT cord-307357-qm456cik 74 3 point point NN cord-307357-qm456cik 74 4 , , , cord-307357-qm456cik 74 5 the the DT cord-307357-qm456cik 74 6 cardiothoracic cardiothoracic JJ cord-307357-qm456cik 74 7 surgery surgery NN cord-307357-qm456cik 74 8 service service NN cord-307357-qm456cik 74 9 was be VBD cord-307357-qm456cik 74 10 consulted consult VBN cord-307357-qm456cik 74 11 . . . cord-307357-qm456cik 75 1 They -PRON- PRP cord-307357-qm456cik 75 2 scheduled schedule VBD cord-307357-qm456cik 75 3 the the DT cord-307357-qm456cik 75 4 patient patient NN cord-307357-qm456cik 75 5 for for IN cord-307357-qm456cik 75 6 left left JJ cord-307357-qm456cik 75 7 - - HYPH cord-307357-qm456cik 75 8 sided sided JJ cord-307357-qm456cik 75 9 lung lung NN cord-307357-qm456cik 75 10 decortication decortication NN cord-307357-qm456cik 75 11 the the DT cord-307357-qm456cik 75 12 following follow VBG cord-307357-qm456cik 75 13 day day NN cord-307357-qm456cik 75 14 . . . cord-307357-qm456cik 76 1 While while IN cord-307357-qm456cik 76 2 still still RB cord-307357-qm456cik 76 3 intubated intubate VBN cord-307357-qm456cik 76 4 from from IN cord-307357-qm456cik 76 5 the the DT cord-307357-qm456cik 76 6 procedure procedure NN cord-307357-qm456cik 76 7 , , , cord-307357-qm456cik 76 8 the the DT cord-307357-qm456cik 76 9 patient patient NN cord-307357-qm456cik 76 10 was be VBD cord-307357-qm456cik 76 11 scheduled schedule VBN cord-307357-qm456cik 76 12 for for IN cord-307357-qm456cik 76 13 TEE tee NN cord-307357-qm456cik 76 14 the the DT cord-307357-qm456cik 76 15 following following JJ cord-307357-qm456cik 76 16 morning morning NN cord-307357-qm456cik 76 17 , , , cord-307357-qm456cik 76 18 which which WDT cord-307357-qm456cik 76 19 revealed reveal VBD cord-307357-qm456cik 76 20 IE IE NNP cord-307357-qm456cik 76 21 of of IN cord-307357-qm456cik 76 22 the the DT cord-307357-qm456cik 76 23 mitral mitral JJ cord-307357-qm456cik 76 24 valve valve NN cord-307357-qm456cik 76 25 . . . cord-307357-qm456cik 77 1 Findings finding NNS cord-307357-qm456cik 77 2 were be VBD cord-307357-qm456cik 77 3 discussed discuss VBN cord-307357-qm456cik 77 4 with with IN cord-307357-qm456cik 77 5 cardiothoracic cardiothoracic JJ cord-307357-qm456cik 77 6 surgery surgery NN cord-307357-qm456cik 77 7 service service NN cord-307357-qm456cik 77 8 that that WDT cord-307357-qm456cik 77 9 initially initially RB cord-307357-qm456cik 77 10 recommended recommend VBD cord-307357-qm456cik 77 11 medical medical JJ cord-307357-qm456cik 77 12 management management NN cord-307357-qm456cik 77 13 . . . cord-307357-qm456cik 78 1 Repeat repeat NN cord-307357-qm456cik 78 2 TEE TEE NNP cord-307357-qm456cik 78 3 was be VBD cord-307357-qm456cik 78 4 scheduled schedule VBN cord-307357-qm456cik 78 5 five five CD cord-307357-qm456cik 78 6 days day NNS cord-307357-qm456cik 78 7 later later RB cord-307357-qm456cik 78 8 , , , cord-307357-qm456cik 78 9 which which WDT cord-307357-qm456cik 78 10 showed show VBD cord-307357-qm456cik 78 11 mitral mitral JJ cord-307357-qm456cik 78 12 regurgitation regurgitation NN cord-307357-qm456cik 78 13 and and CC cord-307357-qm456cik 78 14 increased increase VBN cord-307357-qm456cik 78 15 size size NN cord-307357-qm456cik 78 16 of of IN cord-307357-qm456cik 78 17 the the DT cord-307357-qm456cik 78 18 mitral mitral JJ cord-307357-qm456cik 78 19 vegetation vegetation NN cord-307357-qm456cik 78 20 despite despite IN cord-307357-qm456cik 78 21 aggressive aggressive JJ cord-307357-qm456cik 78 22 antibiotic antibiotic JJ cord-307357-qm456cik 78 23 therapy therapy NN cord-307357-qm456cik 78 24 . . . cord-307357-qm456cik 79 1 Two two CD cord-307357-qm456cik 79 2 days day NNS cord-307357-qm456cik 79 3 later later RB cord-307357-qm456cik 79 4 , , , cord-307357-qm456cik 79 5 the the DT cord-307357-qm456cik 79 6 patient patient NN cord-307357-qm456cik 79 7 was be VBD cord-307357-qm456cik 79 8 scheduled schedule VBN cord-307357-qm456cik 79 9 for for IN cord-307357-qm456cik 79 10 mitral mitral JJ cord-307357-qm456cik 79 11 valve valve NN cord-307357-qm456cik 79 12 repair repair NN cord-307357-qm456cik 79 13 by by IN cord-307357-qm456cik 79 14 CT CT NNP cord-307357-qm456cik 79 15 surgery surgery NN cord-307357-qm456cik 79 16 . . . cord-307357-qm456cik 80 1 Postoperatively postoperatively RB cord-307357-qm456cik 80 2 , , , cord-307357-qm456cik 80 3 the the DT cord-307357-qm456cik 80 4 patient patient NN cord-307357-qm456cik 80 5 's 's POS cord-307357-qm456cik 80 6 tachycardia tachycardia NN cord-307357-qm456cik 80 7 resolved resolve VBN cord-307357-qm456cik 80 8 , , , cord-307357-qm456cik 80 9 leukocytosis leukocytosis NNP cord-307357-qm456cik 80 10 improved improve VBD cord-307357-qm456cik 80 11 , , , cord-307357-qm456cik 80 12 and and CC cord-307357-qm456cik 80 13 his -PRON- PRP$ cord-307357-qm456cik 80 14 temperature temperature NN cord-307357-qm456cik 80 15 normalized normalize VBN cord-307357-qm456cik 80 16 . . . cord-307357-qm456cik 81 1 He -PRON- PRP cord-307357-qm456cik 81 2 continued continue VBD cord-307357-qm456cik 81 3 to to TO cord-307357-qm456cik 81 4 improve improve VB cord-307357-qm456cik 81 5 during during IN cord-307357-qm456cik 81 6 his -PRON- PRP$ cord-307357-qm456cik 81 7 hospital hospital NN cord-307357-qm456cik 81 8 stay stay NN cord-307357-qm456cik 81 9 and and CC cord-307357-qm456cik 81 10 was be VBD cord-307357-qm456cik 81 11 discharged discharge VBN cord-307357-qm456cik 81 12 10 10 CD cord-307357-qm456cik 81 13 days day NNS cord-307357-qm456cik 81 14 later later RB cord-307357-qm456cik 81 15 without without IN cord-307357-qm456cik 81 16 complications complication NNS cord-307357-qm456cik 81 17 . . . cord-307357-qm456cik 81 18 _SP cord-307357-qm456cik 82 1 Splenic splenic JJ cord-307357-qm456cik 82 2 abscess abscess NN cord-307357-qm456cik 82 3 is be VBZ cord-307357-qm456cik 82 4 a a DT cord-307357-qm456cik 82 5 fairly fairly RB cord-307357-qm456cik 82 6 uncommon uncommon JJ cord-307357-qm456cik 82 7 disease disease NN cord-307357-qm456cik 82 8 . . . cord-307357-qm456cik 83 1 Some some DT cord-307357-qm456cik 83 2 data datum NNS cord-307357-qm456cik 83 3 suggest suggest VBP cord-307357-qm456cik 83 4 it -PRON- PRP cord-307357-qm456cik 83 5 has have VBZ cord-307357-qm456cik 83 6 an an DT cord-307357-qm456cik 83 7 incidence incidence NN cord-307357-qm456cik 83 8 as as RB cord-307357-qm456cik 83 9 low low JJ cord-307357-qm456cik 83 10 as as IN cord-307357-qm456cik 83 11 0.2 0.2 CD cord-307357-qm456cik 83 12 - - SYM cord-307357-qm456cik 83 13 0.7 0.7 CD cord-307357-qm456cik 83 14 % % NN cord-307357-qm456cik 83 15 [ [ -LRB- cord-307357-qm456cik 83 16 1 1 CD cord-307357-qm456cik 83 17 ] ] -RRB- cord-307357-qm456cik 83 18 . . . cord-307357-qm456cik 84 1 There there EX cord-307357-qm456cik 84 2 are be VBP cord-307357-qm456cik 84 3 a a DT cord-307357-qm456cik 84 4 variety variety NN cord-307357-qm456cik 84 5 of of IN cord-307357-qm456cik 84 6 etiologies etiology NNS cord-307357-qm456cik 84 7 in in IN cord-307357-qm456cik 84 8 which which WDT cord-307357-qm456cik 84 9 a a DT cord-307357-qm456cik 84 10 patient patient NN cord-307357-qm456cik 84 11 can can MD cord-307357-qm456cik 84 12 develop develop VB cord-307357-qm456cik 84 13 a a DT cord-307357-qm456cik 84 14 splenic splenic JJ cord-307357-qm456cik 84 15 abscess abscess NN cord-307357-qm456cik 84 16 , , , cord-307357-qm456cik 84 17 but but CC cord-307357-qm456cik 84 18 most most RBS cord-307357-qm456cik 84 19 commonly commonly RB cord-307357-qm456cik 84 20 , , , cord-307357-qm456cik 84 21 after after IN cord-307357-qm456cik 84 22 trauma trauma NN cord-307357-qm456cik 84 23 , , , cord-307357-qm456cik 84 24 and and CC cord-307357-qm456cik 84 25 in in IN cord-307357-qm456cik 84 26 patients patient NNS cord-307357-qm456cik 84 27 who who WP cord-307357-qm456cik 84 28 are be VBP cord-307357-qm456cik 84 29 immunocompromised immunocompromised JJ cord-307357-qm456cik 84 30 , , , cord-307357-qm456cik 84 31 it -PRON- PRP cord-307357-qm456cik 84 32 develops develop VBZ cord-307357-qm456cik 84 33 secondary secondary JJ cord-307357-qm456cik 84 34 to to IN cord-307357-qm456cik 84 35 disseminated disseminate VBN cord-307357-qm456cik 84 36 infection infection NN cord-307357-qm456cik 84 37 [ [ -LRB- cord-307357-qm456cik 84 38 1 1 CD cord-307357-qm456cik 84 39 ] ] -RRB- cord-307357-qm456cik 84 40 . . . cord-307357-qm456cik 85 1 It -PRON- PRP cord-307357-qm456cik 85 2 is be VBZ cord-307357-qm456cik 85 3 important important JJ cord-307357-qm456cik 85 4 to to TO cord-307357-qm456cik 85 5 note note VB cord-307357-qm456cik 85 6 that that IN cord-307357-qm456cik 85 7 up up IN cord-307357-qm456cik 85 8 to to TO cord-307357-qm456cik 85 9 5 5 CD cord-307357-qm456cik 85 10 % % NN cord-307357-qm456cik 85 11 of of IN cord-307357-qm456cik 85 12 IE IE NNP cord-307357-qm456cik 85 13 cases case NNS cord-307357-qm456cik 85 14 are be VBP cord-307357-qm456cik 85 15 complicated complicate VBN cord-307357-qm456cik 85 16 by by IN cord-307357-qm456cik 85 17 splenic splenic JJ cord-307357-qm456cik 85 18 abscess abscess NN cord-307357-qm456cik 85 19 formation formation NN cord-307357-qm456cik 85 20 [ [ -LRB- cord-307357-qm456cik 85 21 2 2 CD cord-307357-qm456cik 85 22 ] ] -RRB- cord-307357-qm456cik 85 23 . . . cord-307357-qm456cik 86 1 A a DT cord-307357-qm456cik 86 2 splenic splenic JJ cord-307357-qm456cik 86 3 abscess abscess NN cord-307357-qm456cik 86 4 most most RBS cord-307357-qm456cik 86 5 commonly commonly RB cord-307357-qm456cik 86 6 presents present VBZ cord-307357-qm456cik 86 7 with with IN cord-307357-qm456cik 86 8 various various JJ cord-307357-qm456cik 86 9 non non JJ cord-307357-qm456cik 86 10 - - JJ cord-307357-qm456cik 86 11 specific specific JJ cord-307357-qm456cik 86 12 symptoms symptom NNS cord-307357-qm456cik 86 13 such such JJ cord-307357-qm456cik 86 14 as as IN cord-307357-qm456cik 86 15 fever fever NN cord-307357-qm456cik 86 16 , , , cord-307357-qm456cik 86 17 abdominal abdominal JJ cord-307357-qm456cik 86 18 pain pain NN cord-307357-qm456cik 86 19 , , , cord-307357-qm456cik 86 20 and and CC cord-307357-qm456cik 86 21 chills chill VBZ cord-307357-qm456cik 86 22 ; ; : cord-307357-qm456cik 86 23 this this DT cord-307357-qm456cik 86 24 can can MD cord-307357-qm456cik 86 25 make make VB cord-307357-qm456cik 86 26 the the DT cord-307357-qm456cik 86 27 diagnosis diagnosis NN cord-307357-qm456cik 86 28 difficult difficult JJ cord-307357-qm456cik 86 29 based base VBN cord-307357-qm456cik 86 30 on on IN cord-307357-qm456cik 86 31 clinical clinical JJ cord-307357-qm456cik 86 32 presentation presentation NN cord-307357-qm456cik 86 33 alone alone RB cord-307357-qm456cik 86 34 . . . cord-307357-qm456cik 87 1 It -PRON- PRP cord-307357-qm456cik 87 2 should should MD cord-307357-qm456cik 87 3 also also RB cord-307357-qm456cik 87 4 be be VB cord-307357-qm456cik 87 5 considered consider VBN cord-307357-qm456cik 87 6 in in IN cord-307357-qm456cik 87 7 patients patient NNS cord-307357-qm456cik 87 8 who who WP cord-307357-qm456cik 87 9 have have VBP cord-307357-qm456cik 87 10 recurrent recurrent JJ cord-307357-qm456cik 87 11 or or CC cord-307357-qm456cik 87 12 persistent persistent JJ cord-307357-qm456cik 87 13 fevers fever NNS cord-307357-qm456cik 87 14 despite despite IN cord-307357-qm456cik 87 15 adequate adequate JJ cord-307357-qm456cik 87 16 antibiotic antibiotic JJ cord-307357-qm456cik 87 17 regimen regimen NN cord-307357-qm456cik 87 18 . . . cord-307357-qm456cik 88 1 Fortunately fortunately RB cord-307357-qm456cik 88 2 , , , cord-307357-qm456cik 88 3 the the DT cord-307357-qm456cik 88 4 increasing increase VBG cord-307357-qm456cik 88 5 use use NN cord-307357-qm456cik 88 6 and and CC cord-307357-qm456cik 88 7 accuracy accuracy NN cord-307357-qm456cik 88 8 of of IN cord-307357-qm456cik 88 9 ultrasonography ultrasonography NN cord-307357-qm456cik 88 10 and and CC cord-307357-qm456cik 88 11 CT CT NNP cord-307357-qm456cik 88 12 have have VBP cord-307357-qm456cik 88 13 aided aid VBN cord-307357-qm456cik 88 14 in in IN cord-307357-qm456cik 88 15 confirming confirm VBG cord-307357-qm456cik 88 16 the the DT cord-307357-qm456cik 88 17 diagnosis diagnosis NN cord-307357-qm456cik 88 18 . . . cord-307357-qm456cik 89 1 A a DT cord-307357-qm456cik 89 2 review review NN cord-307357-qm456cik 89 3 of of IN cord-307357-qm456cik 89 4 the the DT cord-307357-qm456cik 89 5 literature literature NN cord-307357-qm456cik 89 6 helps help VBZ cord-307357-qm456cik 89 7 illuminate illuminate VB cord-307357-qm456cik 89 8 some some DT cord-307357-qm456cik 89 9 of of IN cord-307357-qm456cik 89 10 the the DT cord-307357-qm456cik 89 11 more more RBR cord-307357-qm456cik 89 12 common common JJ cord-307357-qm456cik 89 13 presentations presentation NNS cord-307357-qm456cik 89 14 of of IN cord-307357-qm456cik 89 15 splenic splenic JJ cord-307357-qm456cik 89 16 abscess abscess NN cord-307357-qm456cik 89 17 . . . cord-307357-qm456cik 90 1 Specifically specifically RB cord-307357-qm456cik 90 2 , , , cord-307357-qm456cik 90 3 fever fever NN cord-307357-qm456cik 90 4 has have VBZ cord-307357-qm456cik 90 5 been be VBN cord-307357-qm456cik 90 6 noted note VBN cord-307357-qm456cik 90 7 by by IN cord-307357-qm456cik 90 8 some some DT cord-307357-qm456cik 90 9 sources source NNS cord-307357-qm456cik 90 10 to to TO cord-307357-qm456cik 90 11 be be VB cord-307357-qm456cik 90 12 present present JJ cord-307357-qm456cik 90 13 in in IN cord-307357-qm456cik 90 14 as as RB cord-307357-qm456cik 90 15 high high JJ cord-307357-qm456cik 90 16 as as IN cord-307357-qm456cik 90 17 92.6 92.6 CD cord-307357-qm456cik 90 18 % % NN cord-307357-qm456cik 90 19 of of IN cord-307357-qm456cik 90 20 patients patient NNS cord-307357-qm456cik 90 21 [ [ -LRB- cord-307357-qm456cik 90 22 1 1 CD cord-307357-qm456cik 90 23 , , , cord-307357-qm456cik 90 24 3 3 CD cord-307357-qm456cik 90 25 ] ] -RRB- cord-307357-qm456cik 90 26 . . . cord-307357-qm456cik 91 1 Additionally additionally RB cord-307357-qm456cik 91 2 , , , cord-307357-qm456cik 91 3 55.6 55.6 CD cord-307357-qm456cik 91 4 - - HYPH cord-307357-qm456cik 91 5 66.7 66.7 CD cord-307357-qm456cik 91 6 % % NN cord-307357-qm456cik 91 7 had have VBD cord-307357-qm456cik 91 8 abdominal abdominal JJ cord-307357-qm456cik 91 9 pain pain NN cord-307357-qm456cik 91 10 and and CC cord-307357-qm456cik 91 11 61.1 61.1 CD cord-307357-qm456cik 91 12 - - SYM cord-307357-qm456cik 91 13 89 89 CD cord-307357-qm456cik 91 14 % % NN cord-307357-qm456cik 91 15 had have VBD cord-307357-qm456cik 91 16 a a DT cord-307357-qm456cik 91 17 leukocytosis leukocytosis NN cord-307357-qm456cik 91 18 [ [ -LRB- cord-307357-qm456cik 91 19 1 1 CD cord-307357-qm456cik 91 20 , , , cord-307357-qm456cik 91 21 3 3 CD cord-307357-qm456cik 91 22 ] ] -RRB- cord-307357-qm456cik 91 23 . . . cord-307357-qm456cik 92 1 Of of IN cord-307357-qm456cik 92 2 note note VB cord-307357-qm456cik 92 3 , , , cord-307357-qm456cik 92 4 some some DT cord-307357-qm456cik 92 5 data datum NNS cord-307357-qm456cik 92 6 suggest suggest VBP cord-307357-qm456cik 92 7 that that IN cord-307357-qm456cik 92 8 up up IN cord-307357-qm456cik 92 9 to to TO cord-307357-qm456cik 92 10 88 88 CD cord-307357-qm456cik 92 11 % % NN cord-307357-qm456cik 92 12 of of IN cord-307357-qm456cik 92 13 patients patient NNS cord-307357-qm456cik 92 14 had have VBD cord-307357-qm456cik 92 15 left leave VBN cord-307357-qm456cik 92 16 - - HYPH cord-307357-qm456cik 92 17 sided sided JJ cord-307357-qm456cik 92 18 pleural pleural JJ cord-307357-qm456cik 92 19 effusions effusion NNS cord-307357-qm456cik 92 20 that that WDT cord-307357-qm456cik 92 21 were be VBD cord-307357-qm456cik 92 22 noted note VBN cord-307357-qm456cik 92 23 on on IN cord-307357-qm456cik 92 24 chest chest NN cord-307357-qm456cik 92 25 X x NN cord-307357-qm456cik 92 26 - - NN cord-307357-qm456cik 92 27 ray ray NN cord-307357-qm456cik 92 28 [ [ -LRB- cord-307357-qm456cik 92 29 1 1 CD cord-307357-qm456cik 92 30 ] ] -RRB- cord-307357-qm456cik 92 31 . . . cord-307357-qm456cik 93 1 In in IN cord-307357-qm456cik 93 2 terms term NNS cord-307357-qm456cik 93 3 of of IN cord-307357-qm456cik 93 4 microbiology microbiology NN cord-307357-qm456cik 93 5 , , , cord-307357-qm456cik 93 6 sources source NNS cord-307357-qm456cik 93 7 have have VBP cord-307357-qm456cik 93 8 mentioned mention VBN cord-307357-qm456cik 93 9 that that IN cord-307357-qm456cik 93 10 Streptococcus Streptococcus NNP cord-307357-qm456cik 93 11 viridans viridan NNS cord-307357-qm456cik 93 12 , , , cord-307357-qm456cik 93 13 Staphylococcus Staphylococcus NNP cord-307357-qm456cik 93 14 aureus aureus NN cord-307357-qm456cik 93 15 , , , cord-307357-qm456cik 93 16 and and CC cord-307357-qm456cik 93 17 Klebsiella Klebsiella NNP cord-307357-qm456cik 93 18 Pneumoniae Pneumoniae NNP cord-307357-qm456cik 93 19 tend tend VBP cord-307357-qm456cik 93 20 to to TO cord-307357-qm456cik 93 21 frequently frequently RB cord-307357-qm456cik 93 22 be be VB cord-307357-qm456cik 93 23 identified identify VBN cord-307357-qm456cik 93 24 as as IN cord-307357-qm456cik 93 25 the the DT cord-307357-qm456cik 93 26 causative causative JJ cord-307357-qm456cik 93 27 agents agent NNS cord-307357-qm456cik 93 28 [ [ -LRB- cord-307357-qm456cik 93 29 1 1 CD cord-307357-qm456cik 93 30 , , , cord-307357-qm456cik 93 31 2 2 CD cord-307357-qm456cik 93 32 ] ] -RRB- cord-307357-qm456cik 93 33 . . . cord-307357-qm456cik 94 1 Mortality mortality NN cord-307357-qm456cik 94 2 is be VBZ cord-307357-qm456cik 94 3 consistently consistently RB cord-307357-qm456cik 94 4 cited cite VBN cord-307357-qm456cik 94 5 at at IN cord-307357-qm456cik 94 6 14 14 CD cord-307357-qm456cik 94 7 - - SYM cord-307357-qm456cik 94 8 16 16 CD cord-307357-qm456cik 94 9 % % NN cord-307357-qm456cik 94 10 [ [ -LRB- cord-307357-qm456cik 94 11 1 1 CD cord-307357-qm456cik 94 12 , , , cord-307357-qm456cik 94 13 3 3 CD cord-307357-qm456cik 94 14 ] ] -RRB- cord-307357-qm456cik 94 15 . . . cord-307357-qm456cik 95 1 Currently currently RB cord-307357-qm456cik 95 2 , , , cord-307357-qm456cik 95 3 there there EX cord-307357-qm456cik 95 4 is be VBZ cord-307357-qm456cik 95 5 no no DT cord-307357-qm456cik 95 6 gold gold JJ cord-307357-qm456cik 95 7 standard standard JJ cord-307357-qm456cik 95 8 approach approach NN cord-307357-qm456cik 95 9 to to IN cord-307357-qm456cik 95 10 the the DT cord-307357-qm456cik 95 11 management management NN cord-307357-qm456cik 95 12 of of IN cord-307357-qm456cik 95 13 splenic splenic JJ cord-307357-qm456cik 95 14 abscesses abscess NNS cord-307357-qm456cik 95 15 . . . cord-307357-qm456cik 96 1 The the DT cord-307357-qm456cik 96 2 three three CD cord-307357-qm456cik 96 3 current current JJ cord-307357-qm456cik 96 4 modalities modality NNS cord-307357-qm456cik 96 5 of of IN cord-307357-qm456cik 96 6 treatment treatment NN cord-307357-qm456cik 96 7 are be VBP cord-307357-qm456cik 96 8 IV IV NNP cord-307357-qm456cik 96 9 antibiotics antibiotic NNS cord-307357-qm456cik 96 10 alone alone RB cord-307357-qm456cik 96 11 , , , cord-307357-qm456cik 96 12 percutaneous percutaneous JJ cord-307357-qm456cik 96 13 drainage drainage NN cord-307357-qm456cik 96 14 , , , cord-307357-qm456cik 96 15 and and CC cord-307357-qm456cik 96 16 splenectomy splenectomy NN cord-307357-qm456cik 96 17 . . . cord-307357-qm456cik 97 1 The the DT cord-307357-qm456cik 97 2 literature literature NN cord-307357-qm456cik 97 3 shows show VBZ cord-307357-qm456cik 97 4 they -PRON- PRP cord-307357-qm456cik 97 5 have have VBP cord-307357-qm456cik 97 6 similar similar JJ cord-307357-qm456cik 97 7 survival survival NN cord-307357-qm456cik 97 8 rates rate NNS cord-307357-qm456cik 97 9 , , , cord-307357-qm456cik 97 10 and and CC cord-307357-qm456cik 97 11 the the DT cord-307357-qm456cik 97 12 recommendation recommendation NN cord-307357-qm456cik 97 13 is be VBZ cord-307357-qm456cik 97 14 that that DT cord-307357-qm456cik 97 15 treatment treatment NN cord-307357-qm456cik 97 16 should should MD cord-307357-qm456cik 97 17 vary vary VB cord-307357-qm456cik 97 18 on on IN cord-307357-qm456cik 97 19 a a DT cord-307357-qm456cik 97 20 case case NN cord-307357-qm456cik 97 21 by by IN cord-307357-qm456cik 97 22 case case NN cord-307357-qm456cik 97 23 basis basis NN cord-307357-qm456cik 97 24 [ [ -LRB- cord-307357-qm456cik 97 25 3 3 CD cord-307357-qm456cik 97 26 ] ] -RRB- cord-307357-qm456cik 97 27 . . . cord-307357-qm456cik 98 1 When when WRB cord-307357-qm456cik 98 2 reviewing review VBG cord-307357-qm456cik 98 3 our -PRON- PRP$ cord-307357-qm456cik 98 4 case case NN cord-307357-qm456cik 98 5 , , , cord-307357-qm456cik 98 6 the the DT cord-307357-qm456cik 98 7 patient patient NN cord-307357-qm456cik 98 8 had have VBD cord-307357-qm456cik 98 9 both both CC cord-307357-qm456cik 98 10 classic classic JJ cord-307357-qm456cik 98 11 and and CC cord-307357-qm456cik 98 12 subtle subtle JJ cord-307357-qm456cik 98 13 presentations presentation NNS cord-307357-qm456cik 98 14 of of IN cord-307357-qm456cik 98 15 splenic splenic JJ cord-307357-qm456cik 98 16 abscess abscess NN cord-307357-qm456cik 98 17 . . . cord-307357-qm456cik 99 1 Despite despite IN cord-307357-qm456cik 99 2 having have VBG cord-307357-qm456cik 99 3 respiratory respiratory JJ cord-307357-qm456cik 99 4 symptoms symptom NNS cord-307357-qm456cik 99 5 for for IN cord-307357-qm456cik 99 6 two two CD cord-307357-qm456cik 99 7 weeks week NNS cord-307357-qm456cik 99 8 , , , cord-307357-qm456cik 99 9 the the DT cord-307357-qm456cik 99 10 primary primary JJ cord-307357-qm456cik 99 11 reason reason NN cord-307357-qm456cik 99 12 he -PRON- PRP cord-307357-qm456cik 99 13 presented present VBD cord-307357-qm456cik 99 14 to to IN cord-307357-qm456cik 99 15 the the DT cord-307357-qm456cik 99 16 hospital hospital NN cord-307357-qm456cik 99 17 was be VBD cord-307357-qm456cik 99 18 due due JJ cord-307357-qm456cik 99 19 to to IN cord-307357-qm456cik 99 20 the the DT cord-307357-qm456cik 99 21 onset onset NN cord-307357-qm456cik 99 22 of of IN cord-307357-qm456cik 99 23 new new JJ cord-307357-qm456cik 99 24 fevers fever NNS cord-307357-qm456cik 99 25 . . . cord-307357-qm456cik 100 1 He -PRON- PRP cord-307357-qm456cik 100 2 was be VBD cord-307357-qm456cik 100 3 febrile febrile JJ cord-307357-qm456cik 100 4 and and CC cord-307357-qm456cik 100 5 tachycardic tachycardic JJ cord-307357-qm456cik 100 6 , , , cord-307357-qm456cik 100 7 with with IN cord-307357-qm456cik 100 8 a a DT cord-307357-qm456cik 100 9 significant significant JJ cord-307357-qm456cik 100 10 leukocytosis leukocytosis NN cord-307357-qm456cik 100 11 . . . cord-307357-qm456cik 101 1 He -PRON- PRP cord-307357-qm456cik 101 2 continued continue VBD cord-307357-qm456cik 101 3 to to TO cord-307357-qm456cik 101 4 have have VB cord-307357-qm456cik 101 5 fevers fever NNS cord-307357-qm456cik 101 6 despite despite IN cord-307357-qm456cik 101 7 antibiotic antibiotic JJ cord-307357-qm456cik 101 8 therapy therapy NN cord-307357-qm456cik 101 9 and and CC cord-307357-qm456cik 101 10 IR IR NNP cord-307357-qm456cik 101 11 drainage drainage NN cord-307357-qm456cik 101 12 of of IN cord-307357-qm456cik 101 13 the the DT cord-307357-qm456cik 101 14 abscess abscess NN cord-307357-qm456cik 101 15 . . . cord-307357-qm456cik 102 1 After after IN cord-307357-qm456cik 102 2 the the DT cord-307357-qm456cik 102 3 development development NN cord-307357-qm456cik 102 4 of of IN cord-307357-qm456cik 102 5 a a DT cord-307357-qm456cik 102 6 left left JJ cord-307357-qm456cik 102 7 - - HYPH cord-307357-qm456cik 102 8 sided sided JJ cord-307357-qm456cik 102 9 pleural pleural JJ cord-307357-qm456cik 102 10 effusion effusion NN cord-307357-qm456cik 102 11 and and CC cord-307357-qm456cik 102 12 empyema empyema NNP cord-307357-qm456cik 102 13 formation formation NN cord-307357-qm456cik 102 14 , , , cord-307357-qm456cik 102 15 which which WDT cord-307357-qm456cik 102 16 has have VBZ cord-307357-qm456cik 102 17 been be VBN cord-307357-qm456cik 102 18 well well RB cord-307357-qm456cik 102 19 documented document VBN cord-307357-qm456cik 102 20 to to TO cord-307357-qm456cik 102 21 co co VB cord-307357-qm456cik 102 22 - - VB cord-307357-qm456cik 102 23 exist exist VB cord-307357-qm456cik 102 24 with with IN cord-307357-qm456cik 102 25 splenic splenic JJ cord-307357-qm456cik 102 26 abscesses abscess NNS cord-307357-qm456cik 102 27 , , , cord-307357-qm456cik 102 28 he -PRON- PRP cord-307357-qm456cik 102 29 required require VBD cord-307357-qm456cik 102 30 decortication decortication NN cord-307357-qm456cik 102 31 of of IN cord-307357-qm456cik 102 32 the the DT cord-307357-qm456cik 102 33 left left JJ cord-307357-qm456cik 102 34 lung lung NN cord-307357-qm456cik 102 35 . . . cord-307357-qm456cik 103 1 Despite despite IN cord-307357-qm456cik 103 2 these these DT cord-307357-qm456cik 103 3 interventions intervention NNS cord-307357-qm456cik 103 4 , , , cord-307357-qm456cik 103 5 the the DT cord-307357-qm456cik 103 6 patient patient NN cord-307357-qm456cik 103 7 remained remain VBD cord-307357-qm456cik 103 8 febrile febrile JJ cord-307357-qm456cik 103 9 and and CC cord-307357-qm456cik 103 10 tachycardic tachycardic JJ cord-307357-qm456cik 103 11 until until IN cord-307357-qm456cik 103 12 he -PRON- PRP cord-307357-qm456cik 103 13 had have VBD cord-307357-qm456cik 103 14 the the DT cord-307357-qm456cik 103 15 infected infected JJ cord-307357-qm456cik 103 16 valve valve NN cord-307357-qm456cik 103 17 repaired repair VBN cord-307357-qm456cik 103 18 . . . cord-307357-qm456cik 104 1 Blood blood NN cord-307357-qm456cik 104 2 cultures culture NNS cord-307357-qm456cik 104 3 were be VBD cord-307357-qm456cik 104 4 positive positive JJ cord-307357-qm456cik 104 5 for for IN cord-307357-qm456cik 104 6 Klebsiella Klebsiella NNP cord-307357-qm456cik 104 7 pneumoniae pneumoniae NN cord-307357-qm456cik 104 8 , , , cord-307357-qm456cik 104 9 which which WDT cord-307357-qm456cik 104 10 is be VBZ cord-307357-qm456cik 104 11 uncommon uncommon JJ cord-307357-qm456cik 104 12 but but CC cord-307357-qm456cik 104 13 has have VBZ cord-307357-qm456cik 104 14 been be VBN cord-307357-qm456cik 104 15 noted note VBN cord-307357-qm456cik 104 16 in in IN cord-307357-qm456cik 104 17 the the DT cord-307357-qm456cik 104 18 literature literature NN cord-307357-qm456cik 104 19 when when WRB cord-307357-qm456cik 104 20 reviewing review VBG cord-307357-qm456cik 104 21 splenic splenic JJ cord-307357-qm456cik 104 22 abscesses abscess NNS cord-307357-qm456cik 104 23 . . . cord-307357-qm456cik 105 1 Despite despite IN cord-307357-qm456cik 105 2 this this DT cord-307357-qm456cik 105 3 , , , cord-307357-qm456cik 105 4 he -PRON- PRP cord-307357-qm456cik 105 5 did do VBD cord-307357-qm456cik 105 6 not not RB cord-307357-qm456cik 105 7 fit fit VB cord-307357-qm456cik 105 8 into into IN cord-307357-qm456cik 105 9 any any DT cord-307357-qm456cik 105 10 high high JJ cord-307357-qm456cik 105 11 - - HYPH cord-307357-qm456cik 105 12 risk risk NN cord-307357-qm456cik 105 13 population population NN cord-307357-qm456cik 105 14 . . . cord-307357-qm456cik 106 1 He -PRON- PRP cord-307357-qm456cik 106 2 denied deny VBD cord-307357-qm456cik 106 3 any any DT cord-307357-qm456cik 106 4 trauma trauma NN cord-307357-qm456cik 106 5 preceding precede VBG cord-307357-qm456cik 106 6 his -PRON- PRP$ cord-307357-qm456cik 106 7 symptoms symptom NNS cord-307357-qm456cik 106 8 . . . cord-307357-qm456cik 107 1 Furthermore furthermore RB cord-307357-qm456cik 107 2 , , , cord-307357-qm456cik 107 3 he -PRON- PRP cord-307357-qm456cik 107 4 lacked lack VBD cord-307357-qm456cik 107 5 any any DT cord-307357-qm456cik 107 6 immunocompromising immunocompromising NN cord-307357-qm456cik 107 7 conditions condition NNS cord-307357-qm456cik 107 8 such such JJ cord-307357-qm456cik 107 9 as as IN cord-307357-qm456cik 107 10 HIV HIV NNP cord-307357-qm456cik 107 11 , , , cord-307357-qm456cik 107 12 end end NN cord-307357-qm456cik 107 13 - - HYPH cord-307357-qm456cik 107 14 stage stage NN cord-307357-qm456cik 107 15 renal renal JJ cord-307357-qm456cik 107 16 disease disease NN cord-307357-qm456cik 107 17 , , , cord-307357-qm456cik 107 18 or or CC cord-307357-qm456cik 107 19 diabetes diabetes NN cord-307357-qm456cik 107 20 . . . cord-307357-qm456cik 108 1 The the DT cord-307357-qm456cik 108 2 patient patient NN cord-307357-qm456cik 108 3 was be VBD cord-307357-qm456cik 108 4 a a DT cord-307357-qm456cik 108 5 previously previously RB cord-307357-qm456cik 108 6 healthy healthy JJ cord-307357-qm456cik 108 7 47-year 47-year JJ cord-307357-qm456cik 108 8 - - HYPH cord-307357-qm456cik 108 9 old old JJ cord-307357-qm456cik 108 10 male male NN cord-307357-qm456cik 108 11 with with IN cord-307357-qm456cik 108 12 no no DT cord-307357-qm456cik 108 13 hospitalizations hospitalization NNS cord-307357-qm456cik 108 14 prior prior RB cord-307357-qm456cik 108 15 to to IN cord-307357-qm456cik 108 16 this this DT cord-307357-qm456cik 108 17 one one NN cord-307357-qm456cik 108 18 . . . cord-307357-qm456cik 109 1 He -PRON- PRP cord-307357-qm456cik 109 2 adamantly adamantly RB cord-307357-qm456cik 109 3 denied deny VBD cord-307357-qm456cik 109 4 any any DT cord-307357-qm456cik 109 5 drug drug NN cord-307357-qm456cik 109 6 use use NN cord-307357-qm456cik 109 7 , , , cord-307357-qm456cik 109 8 which which WDT cord-307357-qm456cik 109 9 was be VBD cord-307357-qm456cik 109 10 confirmed confirm VBN cord-307357-qm456cik 109 11 by by IN cord-307357-qm456cik 109 12 a a DT cord-307357-qm456cik 109 13 negative negative JJ cord-307357-qm456cik 109 14 urine urine NN cord-307357-qm456cik 109 15 drug drug NN cord-307357-qm456cik 109 16 screen screen NN cord-307357-qm456cik 109 17 . . . cord-307357-qm456cik 110 1 The the DT cord-307357-qm456cik 110 2 absence absence NN cord-307357-qm456cik 110 3 of of IN cord-307357-qm456cik 110 4 IV IV NNP cord-307357-qm456cik 110 5 drug drug NN cord-307357-qm456cik 110 6 use use VBP cord-307357-qm456cik 110 7 history history NN cord-307357-qm456cik 110 8 , , , cord-307357-qm456cik 110 9 negative negative JJ cord-307357-qm456cik 110 10 TTE TTE NNP cord-307357-qm456cik 110 11 , , , cord-307357-qm456cik 110 12 lack lack NN cord-307357-qm456cik 110 13 of of IN cord-307357-qm456cik 110 14 immunocompromising immunocompromise VBG cord-307357-qm456cik 110 15 condition condition NN cord-307357-qm456cik 110 16 , , , cord-307357-qm456cik 110 17 and and CC cord-307357-qm456cik 110 18 blood blood NN cord-307357-qm456cik 110 19 cultures culture NNS cord-307357-qm456cik 110 20 that that WDT cord-307357-qm456cik 110 21 grew grow VBD cord-307357-qm456cik 110 22 gramnegative gramnegative JJ cord-307357-qm456cik 110 23 rods rod NNS cord-307357-qm456cik 110 24 all all DT cord-307357-qm456cik 110 25 pointed point VBD cord-307357-qm456cik 110 26 away away RB cord-307357-qm456cik 110 27 from from IN cord-307357-qm456cik 110 28 IE IE NNP cord-307357-qm456cik 110 29 as as IN cord-307357-qm456cik 110 30 the the DT cord-307357-qm456cik 110 31 primary primary JJ cord-307357-qm456cik 110 32 etiology etiology NN cord-307357-qm456cik 110 33 . . . cord-307357-qm456cik 111 1 IE IE NNP cord-307357-qm456cik 111 2 is be VBZ cord-307357-qm456cik 111 3 an an DT cord-307357-qm456cik 111 4 infection infection NN cord-307357-qm456cik 111 5 of of IN cord-307357-qm456cik 111 6 the the DT cord-307357-qm456cik 111 7 endothelial endothelial JJ cord-307357-qm456cik 111 8 layer layer NN cord-307357-qm456cik 111 9 of of IN cord-307357-qm456cik 111 10 the the DT cord-307357-qm456cik 111 11 heart heart NN cord-307357-qm456cik 111 12 and and CC cord-307357-qm456cik 111 13 can can MD cord-307357-qm456cik 111 14 disseminate disseminate VB cord-307357-qm456cik 111 15 rapidly rapidly RB cord-307357-qm456cik 111 16 . . . cord-307357-qm456cik 112 1 This this DT cord-307357-qm456cik 112 2 disease disease NN cord-307357-qm456cik 112 3 continues continue VBZ cord-307357-qm456cik 112 4 to to TO cord-307357-qm456cik 112 5 be be VB cord-307357-qm456cik 112 6 diagnostically diagnostically RB cord-307357-qm456cik 112 7 challenging challenging JJ cord-307357-qm456cik 112 8 for for IN cord-307357-qm456cik 112 9 EM EM NNP cord-307357-qm456cik 112 10 physicians physician NNS cord-307357-qm456cik 112 11 to to TO cord-307357-qm456cik 112 12 diagnose diagnose VB cord-307357-qm456cik 112 13 primarily primarily RB cord-307357-qm456cik 112 14 due due IN cord-307357-qm456cik 112 15 to to IN cord-307357-qm456cik 112 16 a a DT cord-307357-qm456cik 112 17 variety variety NN cord-307357-qm456cik 112 18 of of IN cord-307357-qm456cik 112 19 presentations presentation NNS cord-307357-qm456cik 112 20 , , , cord-307357-qm456cik 112 21 breadth breadth NN cord-307357-qm456cik 112 22 of of IN cord-307357-qm456cik 112 23 acuity acuity NN cord-307357-qm456cik 112 24 , , , cord-307357-qm456cik 112 25 and and CC cord-307357-qm456cik 112 26 often often RB cord-307357-qm456cik 112 27 absence absence NN cord-307357-qm456cik 112 28 of of IN cord-307357-qm456cik 112 29 identifiable identifiable JJ cord-307357-qm456cik 112 30 risk risk NN cord-307357-qm456cik 112 31 factors factor NNS cord-307357-qm456cik 112 32 . . . cord-307357-qm456cik 113 1 The the DT cord-307357-qm456cik 113 2 modified modify VBN cord-307357-qm456cik 113 3 Duke Duke NNP cord-307357-qm456cik 113 4 's 's POS cord-307357-qm456cik 113 5 criteria criterion NNS cord-307357-qm456cik 113 6 , , , cord-307357-qm456cik 113 7 as as IN cord-307357-qm456cik 113 8 shown show VBN cord-307357-qm456cik 113 9 in in IN cord-307357-qm456cik 113 10 Figure Figure NNP cord-307357-qm456cik 113 11 3 3 CD cord-307357-qm456cik 113 12 , , , cord-307357-qm456cik 113 13 are be VBP cord-307357-qm456cik 113 14 the the DT cord-307357-qm456cik 113 15 standard standard NN cord-307357-qm456cik 113 16 for for IN cord-307357-qm456cik 113 17 which which WDT cord-307357-qm456cik 113 18 clinicians clinician NNS cord-307357-qm456cik 113 19 diagnose diagnose VBP cord-307357-qm456cik 113 20 IE IE NNP cord-307357-qm456cik 113 21 . . . cord-307357-qm456cik 114 1 Recent recent JJ cord-307357-qm456cik 114 2 literature literature NN cord-307357-qm456cik 114 3 updates update NNS cord-307357-qm456cik 114 4 demonstrate demonstrate VBP cord-307357-qm456cik 114 5 that that IN cord-307357-qm456cik 114 6 these these DT cord-307357-qm456cik 114 7 criteria criterion NNS cord-307357-qm456cik 114 8 have have VBP cord-307357-qm456cik 114 9 an an DT cord-307357-qm456cik 114 10 80 80 CD cord-307357-qm456cik 114 11 % % NN cord-307357-qm456cik 114 12 sensitivity sensitivity NN cord-307357-qm456cik 114 13 in in IN cord-307357-qm456cik 114 14 establishing establish VBG cord-307357-qm456cik 114 15 a a DT cord-307357-qm456cik 114 16 diagnosis diagnosis NN cord-307357-qm456cik 114 17 [ [ -LRB- cord-307357-qm456cik 114 18 4 4 CD cord-307357-qm456cik 114 19 ] ] -RRB- cord-307357-qm456cik 114 20 . . . cord-307357-qm456cik 115 1 Unfortunately unfortunately RB cord-307357-qm456cik 115 2 , , , cord-307357-qm456cik 115 3 very very RB cord-307357-qm456cik 115 4 few few JJ cord-307357-qm456cik 115 5 aspects aspect NNS cord-307357-qm456cik 115 6 can can MD cord-307357-qm456cik 115 7 be be VB cord-307357-qm456cik 115 8 readily readily RB cord-307357-qm456cik 115 9 applied apply VBN cord-307357-qm456cik 115 10 in in IN cord-307357-qm456cik 115 11 the the DT cord-307357-qm456cik 115 12 ED ED NNP cord-307357-qm456cik 115 13 . . . cord-307357-qm456cik 116 1 Positive positive JJ cord-307357-qm456cik 116 2 blood blood NN cord-307357-qm456cik 116 3 cultures culture NNS cord-307357-qm456cik 116 4 and and CC cord-307357-qm456cik 116 5 echocardiographic echocardiographic JJ cord-307357-qm456cik 116 6 findings finding NNS cord-307357-qm456cik 116 7 are be VBP cord-307357-qm456cik 116 8 the the DT cord-307357-qm456cik 116 9 hallmark hallmark JJ cord-307357-qm456cik 116 10 tests test NNS cord-307357-qm456cik 116 11 for for IN cord-307357-qm456cik 116 12 diagnosing diagnose VBG cord-307357-qm456cik 116 13 IE IE NNP cord-307357-qm456cik 116 14 . . . cord-307357-qm456cik 117 1 While while IN cord-307357-qm456cik 117 2 non non JJ cord-307357-qm456cik 117 3 - - JJ cord-307357-qm456cik 117 4 invasive invasive JJ cord-307357-qm456cik 117 5 bedside bedside NN cord-307357-qm456cik 117 6 TTE TTE NNP cord-307357-qm456cik 117 7 is be VBZ cord-307357-qm456cik 117 8 somewhat somewhat RB cord-307357-qm456cik 117 9 sensitive sensitive JJ cord-307357-qm456cik 117 10 if if IN cord-307357-qm456cik 117 11 the the DT cord-307357-qm456cik 117 12 vegetation vegetation NN cord-307357-qm456cik 117 13 is be VBZ cord-307357-qm456cik 117 14 large large JJ cord-307357-qm456cik 117 15 , , , cord-307357-qm456cik 117 16 the the DT cord-307357-qm456cik 117 17 blood blood NN cord-307357-qm456cik 117 18 culture culture NN cord-307357-qm456cik 117 19 results result NNS cord-307357-qm456cik 117 20 are be VBP cord-307357-qm456cik 117 21 not not RB cord-307357-qm456cik 117 22 available available JJ cord-307357-qm456cik 117 23 when when WRB cord-307357-qm456cik 117 24 the the DT cord-307357-qm456cik 117 25 patient patient NN cord-307357-qm456cik 117 26 is be VBZ cord-307357-qm456cik 117 27 presenting present VBG cord-307357-qm456cik 117 28 acutely acutely RB cord-307357-qm456cik 117 29 ill ill JJ cord-307357-qm456cik 117 30 in in IN cord-307357-qm456cik 117 31 the the DT cord-307357-qm456cik 117 32 first first JJ cord-307357-qm456cik 117 33 few few JJ cord-307357-qm456cik 117 34 hours hour NNS cord-307357-qm456cik 117 35 of of IN cord-307357-qm456cik 117 36 their -PRON- PRP$ cord-307357-qm456cik 117 37 ED ED NNP cord-307357-qm456cik 117 38 hospitalization hospitalization NN cord-307357-qm456cik 117 39 . . . cord-307357-qm456cik 118 1 An an DT cord-307357-qm456cik 118 2 article article NN cord-307357-qm456cik 118 3 was be VBD cord-307357-qm456cik 118 4 written write VBN cord-307357-qm456cik 118 5 by by IN cord-307357-qm456cik 118 6 Delaney Delaney NNP cord-307357-qm456cik 118 7 regarding regard VBG cord-307357-qm456cik 118 8 IE IE NNP cord-307357-qm456cik 118 9 in in IN cord-307357-qm456cik 118 10 the the DT cord-307357-qm456cik 118 11 ED ED NNP cord-307357-qm456cik 118 12 in in IN cord-307357-qm456cik 118 13 which which WDT cord-307357-qm456cik 118 14 she -PRON- PRP cord-307357-qm456cik 118 15 established establish VBD cord-307357-qm456cik 118 16 guidelines guideline NNS cord-307357-qm456cik 118 17 to to TO cord-307357-qm456cik 118 18 increase increase VB cord-307357-qm456cik 118 19 detection detection NN cord-307357-qm456cik 118 20 and and CC cord-307357-qm456cik 118 21 determine determine VB cord-307357-qm456cik 118 22 who who WP cord-307357-qm456cik 118 23 may may MD cord-307357-qm456cik 118 24 benefit benefit VB cord-307357-qm456cik 118 25 from from IN cord-307357-qm456cik 118 26 hospitalization hospitalization NN cord-307357-qm456cik 118 27 and and CC cord-307357-qm456cik 118 28 further further JJ cord-307357-qm456cik 118 29 workup workup NN cord-307357-qm456cik 118 30 , , , cord-307357-qm456cik 118 31 specifically specifically RB cord-307357-qm456cik 118 32 , , , cord-307357-qm456cik 118 33 febrile febrile JJ cord-307357-qm456cik 118 34 elderly elderly JJ cord-307357-qm456cik 118 35 patients patient NNS cord-307357-qm456cik 118 36 in in IN cord-307357-qm456cik 118 37 the the DT cord-307357-qm456cik 118 38 absence absence NN cord-307357-qm456cik 118 39 of of IN cord-307357-qm456cik 118 40 a a DT cord-307357-qm456cik 118 41 clear clear JJ cord-307357-qm456cik 118 42 source source NN cord-307357-qm456cik 118 43 , , , cord-307357-qm456cik 118 44 patients patient NNS cord-307357-qm456cik 118 45 with with IN cord-307357-qm456cik 118 46 prolonged prolonged JJ cord-307357-qm456cik 118 47 fever fever NN cord-307357-qm456cik 118 48 of of IN cord-307357-qm456cik 118 49 more more JJR cord-307357-qm456cik 118 50 than than IN cord-307357-qm456cik 118 51 two two CD cord-307357-qm456cik 118 52 weeks week NNS cord-307357-qm456cik 118 53 without without IN cord-307357-qm456cik 118 54 clear clear JJ cord-307357-qm456cik 118 55 etiology etiology NN cord-307357-qm456cik 118 56 , , , cord-307357-qm456cik 118 57 patients patient NNS cord-307357-qm456cik 118 58 with with IN cord-307357-qm456cik 118 59 evidence evidence NN cord-307357-qm456cik 118 60 of of IN cord-307357-qm456cik 118 61 vasculitis vasculitis NN cord-307357-qm456cik 118 62 or or CC cord-307357-qm456cik 118 63 embolization embolization NN cord-307357-qm456cik 118 64 with with IN cord-307357-qm456cik 118 65 a a DT cord-307357-qm456cik 118 66 new new JJ cord-307357-qm456cik 118 67 murmur murmur NN cord-307357-qm456cik 118 68 or or CC cord-307357-qm456cik 118 69 change change NN cord-307357-qm456cik 118 70 in in IN cord-307357-qm456cik 118 71 old old JJ cord-307357-qm456cik 118 72 murmur murmur NN cord-307357-qm456cik 118 73 , , , cord-307357-qm456cik 118 74 patients patient NNS cord-307357-qm456cik 118 75 with with IN cord-307357-qm456cik 118 76 fever fever NN cord-307357-qm456cik 118 77 plus plus CC cord-307357-qm456cik 118 78 known know VBN cord-307357-qm456cik 118 79 structural structural JJ cord-307357-qm456cik 118 80 heart heart NN cord-307357-qm456cik 118 81 disease disease NN cord-307357-qm456cik 118 82 or or CC cord-307357-qm456cik 118 83 recent recent JJ cord-307357-qm456cik 118 84 instrumentation instrumentation NN cord-307357-qm456cik 118 85 without without IN cord-307357-qm456cik 118 86 a a DT cord-307357-qm456cik 118 87 clear clear JJ cord-307357-qm456cik 118 88 source source NN cord-307357-qm456cik 118 89 , , , cord-307357-qm456cik 118 90 patients patient NNS cord-307357-qm456cik 118 91 with with IN cord-307357-qm456cik 118 92 fever fever NN cord-307357-qm456cik 118 93 and and CC cord-307357-qm456cik 118 94 with with IN cord-307357-qm456cik 118 95 cardiac cardiac JJ cord-307357-qm456cik 118 96 prosthesis prosthesis NN cord-307357-qm456cik 118 97 or or CC cord-307357-qm456cik 118 98 any any DT cord-307357-qm456cik 118 99 duration duration NN cord-307357-qm456cik 118 100 of of IN cord-307357-qm456cik 118 101 malaise malaise NN cord-307357-qm456cik 118 102 , , , cord-307357-qm456cik 118 103 vasculitis vasculitis NN cord-307357-qm456cik 118 104 , , , cord-307357-qm456cik 118 105 or or CC cord-307357-qm456cik 118 106 new new JJ cord-307357-qm456cik 118 107 murmur murmur NN cord-307357-qm456cik 118 108 , , , cord-307357-qm456cik 118 109 and and CC cord-307357-qm456cik 118 110 , , , cord-307357-qm456cik 118 111 finally finally RB cord-307357-qm456cik 118 112 , , , cord-307357-qm456cik 118 113 any any DT cord-307357-qm456cik 118 114 febrile febrile JJ cord-307357-qm456cik 118 115 IV IV NNP cord-307357-qm456cik 118 116 drug drug NN cord-307357-qm456cik 118 117 users user NNS cord-307357-qm456cik 118 118 [ [ -LRB- cord-307357-qm456cik 118 119 5 5 CD cord-307357-qm456cik 118 120 ] ] -RRB- cord-307357-qm456cik 118 121 . . . cord-307357-qm456cik 119 1 Given give VBN cord-307357-qm456cik 119 2 the the DT cord-307357-qm456cik 119 3 increasing increase VBG cord-307357-qm456cik 119 4 prevalence prevalence NN cord-307357-qm456cik 119 5 of of IN cord-307357-qm456cik 119 6 structural structural JJ cord-307357-qm456cik 119 7 heart heart NN cord-307357-qm456cik 119 8 disease disease NN cord-307357-qm456cik 119 9 that that WDT cord-307357-qm456cik 119 10 is be VBZ cord-307357-qm456cik 119 11 associated associate VBN cord-307357-qm456cik 119 12 with with IN cord-307357-qm456cik 119 13 aging age VBG cord-307357-qm456cik 119 14 , , , cord-307357-qm456cik 119 15 elderly elderly JJ cord-307357-qm456cik 119 16 patients patient NNS cord-307357-qm456cik 119 17 with with IN cord-307357-qm456cik 119 18 fever fever NN cord-307357-qm456cik 119 19 lasting last VBG cord-307357-qm456cik 119 20 more more JJR cord-307357-qm456cik 119 21 than than IN cord-307357-qm456cik 119 22 two two CD cord-307357-qm456cik 119 23 weeks week NNS cord-307357-qm456cik 119 24 should should MD cord-307357-qm456cik 119 25 undergo undergo VB cord-307357-qm456cik 119 26 workup workup JJ cord-307357-qm456cik 119 27 that that WDT cord-307357-qm456cik 119 28 includes include VBZ cord-307357-qm456cik 119 29 IE IE NNP cord-307357-qm456cik 119 30 . . . cord-307357-qm456cik 120 1 Additionally additionally RB cord-307357-qm456cik 120 2 , , , cord-307357-qm456cik 120 3 they -PRON- PRP cord-307357-qm456cik 120 4 are be VBP cord-307357-qm456cik 120 5 more more RBR cord-307357-qm456cik 120 6 susceptible susceptible JJ cord-307357-qm456cik 120 7 to to IN cord-307357-qm456cik 120 8 bacterial bacterial JJ cord-307357-qm456cik 120 9 illnesses illness NNS cord-307357-qm456cik 120 10 . . . cord-307357-qm456cik 121 1 An an DT cord-307357-qm456cik 121 2 individual individual NN cord-307357-qm456cik 121 3 with with IN cord-307357-qm456cik 121 4 fevers fever NNS cord-307357-qm456cik 121 5 longer long JJR cord-307357-qm456cik 121 6 than than IN cord-307357-qm456cik 121 7 two two CD cord-307357-qm456cik 121 8 weeks week NNS cord-307357-qm456cik 121 9 is be VBZ cord-307357-qm456cik 121 10 unlikely unlikely JJ cord-307357-qm456cik 121 11 to to TO cord-307357-qm456cik 121 12 have have VB cord-307357-qm456cik 121 13 a a DT cord-307357-qm456cik 121 14 benign benign JJ cord-307357-qm456cik 121 15 etiology etiology NN cord-307357-qm456cik 121 16 and and CC cord-307357-qm456cik 121 17 should should MD cord-307357-qm456cik 121 18 be be VB cord-307357-qm456cik 121 19 further further RB cord-307357-qm456cik 121 20 evaluated evaluate VBN cord-307357-qm456cik 121 21 . . . cord-307357-qm456cik 122 1 Signs sign NNS cord-307357-qm456cik 122 2 of of IN cord-307357-qm456cik 122 3 vasculitis vasculitis NN cord-307357-qm456cik 122 4 , , , cord-307357-qm456cik 122 5 embolization embolization NN cord-307357-qm456cik 122 6 , , , cord-307357-qm456cik 122 7 and and CC cord-307357-qm456cik 122 8 new new JJ cord-307357-qm456cik 122 9 murmurs murmur NNS cord-307357-qm456cik 122 10 should should MD cord-307357-qm456cik 122 11 lead lead VB cord-307357-qm456cik 122 12 to to IN cord-307357-qm456cik 122 13 an an DT cord-307357-qm456cik 122 14 increased increase VBN cord-307357-qm456cik 122 15 index index NN cord-307357-qm456cik 122 16 of of IN cord-307357-qm456cik 122 17 suspicion suspicion NN cord-307357-qm456cik 122 18 as as IN cord-307357-qm456cik 122 19 they -PRON- PRP cord-307357-qm456cik 122 20 can can MD cord-307357-qm456cik 122 21 be be VB cord-307357-qm456cik 122 22 signs sign NNS cord-307357-qm456cik 122 23 of of IN cord-307357-qm456cik 122 24 acute acute JJ cord-307357-qm456cik 122 25 pathology pathology NN cord-307357-qm456cik 122 26 and and CC cord-307357-qm456cik 122 27 disseminated disseminate VBN cord-307357-qm456cik 122 28 infection infection NN cord-307357-qm456cik 122 29 . . . cord-307357-qm456cik 123 1 Predisposing predisposing JJ cord-307357-qm456cik 123 2 conditions condition NNS cord-307357-qm456cik 123 3 such such JJ cord-307357-qm456cik 123 4 as as IN cord-307357-qm456cik 123 5 structural structural JJ cord-307357-qm456cik 123 6 heart heart NN cord-307357-qm456cik 123 7 disease disease NN cord-307357-qm456cik 123 8 , , , cord-307357-qm456cik 123 9 prosthetic prosthetic JJ cord-307357-qm456cik 123 10 heart heart NN cord-307357-qm456cik 123 11 valves valve NNS cord-307357-qm456cik 123 12 , , , cord-307357-qm456cik 123 13 and and CC cord-307357-qm456cik 123 14 IV IV NNP cord-307357-qm456cik 123 15 drug drug NN cord-307357-qm456cik 123 16 use use NN cord-307357-qm456cik 123 17 are be VBP cord-307357-qm456cik 123 18 significant significant JJ cord-307357-qm456cik 123 19 risk risk NN cord-307357-qm456cik 123 20 factors factor NNS cord-307357-qm456cik 123 21 for for IN cord-307357-qm456cik 123 22 IE IE NNP cord-307357-qm456cik 123 23 , , , cord-307357-qm456cik 123 24 and and CC cord-307357-qm456cik 123 25 anyone anyone NN cord-307357-qm456cik 123 26 with with IN cord-307357-qm456cik 123 27 an an DT cord-307357-qm456cik 123 28 associated associated JJ cord-307357-qm456cik 123 29 fever fever NN cord-307357-qm456cik 123 30 without without IN cord-307357-qm456cik 123 31 a a DT cord-307357-qm456cik 123 32 clear clear JJ cord-307357-qm456cik 123 33 source source NN cord-307357-qm456cik 123 34 should should MD cord-307357-qm456cik 123 35 be be VB cord-307357-qm456cik 123 36 further further RB cord-307357-qm456cik 123 37 evaluated evaluate VBN cord-307357-qm456cik 123 38 [ [ -LRB- cord-307357-qm456cik 123 39 5 5 CD cord-307357-qm456cik 123 40 ] ] -RRB- cord-307357-qm456cik 123 41 . . . cord-307357-qm456cik 124 1 Although although IN cord-307357-qm456cik 124 2 quite quite RB cord-307357-qm456cik 124 3 dated date VBN cord-307357-qm456cik 124 4 , , , cord-307357-qm456cik 124 5 the the DT cord-307357-qm456cik 124 6 article article NN cord-307357-qm456cik 124 7 illustrates illustrate VBZ cord-307357-qm456cik 124 8 significant significant JJ cord-307357-qm456cik 124 9 key key JJ cord-307357-qm456cik 124 10 features feature NNS cord-307357-qm456cik 124 11 that that WDT cord-307357-qm456cik 124 12 can can MD cord-307357-qm456cik 124 13 aid aid VB cord-307357-qm456cik 124 14 the the DT cord-307357-qm456cik 124 15 EM EM NNP cord-307357-qm456cik 124 16 physician physician NN cord-307357-qm456cik 124 17 in in IN cord-307357-qm456cik 124 18 considering consider VBG cord-307357-qm456cik 124 19 IE IE NNP cord-307357-qm456cik 124 20 . . . cord-307357-qm456cik 125 1 Of of IN cord-307357-qm456cik 125 2 note note NN cord-307357-qm456cik 125 3 , , , cord-307357-qm456cik 125 4 other other JJ cord-307357-qm456cik 125 5 significant significant JJ cord-307357-qm456cik 125 6 risk risk NN cord-307357-qm456cik 125 7 factors factor NNS cord-307357-qm456cik 125 8 include include VBP cord-307357-qm456cik 125 9 previous previous JJ cord-307357-qm456cik 125 10 diagnosis diagnosis NN cord-307357-qm456cik 125 11 of of IN cord-307357-qm456cik 125 12 IE IE NNP cord-307357-qm456cik 125 13 , , , cord-307357-qm456cik 125 14 immunocompromised immunocompromised JJ cord-307357-qm456cik 125 15 state state NN cord-307357-qm456cik 125 16 , , , cord-307357-qm456cik 125 17 indwelling indwell VBG cord-307357-qm456cik 125 18 lines line NNS cord-307357-qm456cik 125 19 for for IN cord-307357-qm456cik 125 20 venous venous JJ cord-307357-qm456cik 125 21 access access NN cord-307357-qm456cik 125 22 , , , cord-307357-qm456cik 125 23 and and CC cord-307357-qm456cik 125 24 chronic chronic JJ cord-307357-qm456cik 125 25 kidney kidney NN cord-307357-qm456cik 125 26 disease disease NN cord-307357-qm456cik 125 27 [ [ -LRB- cord-307357-qm456cik 125 28 4 4 CD cord-307357-qm456cik 125 29 ] ] -RRB- cord-307357-qm456cik 125 30 . . . cord-307357-qm456cik 126 1 Echocardiography echocardiography NN cord-307357-qm456cik 126 2 remains remain VBZ cord-307357-qm456cik 126 3 a a DT cord-307357-qm456cik 126 4 critical critical JJ cord-307357-qm456cik 126 5 element element NN cord-307357-qm456cik 126 6 in in IN cord-307357-qm456cik 126 7 diagnosing diagnose VBG cord-307357-qm456cik 126 8 IE IE NNP cord-307357-qm456cik 126 9 . . . cord-307357-qm456cik 127 1 TTE TTE NNP cord-307357-qm456cik 127 2 tends tend VBZ cord-307357-qm456cik 127 3 to to TO cord-307357-qm456cik 127 4 be be VB cord-307357-qm456cik 127 5 the the DT cord-307357-qm456cik 127 6 first first JJ cord-307357-qm456cik 127 7 image image NN cord-307357-qm456cik 127 8 modality modality NN cord-307357-qm456cik 127 9 due due IN cord-307357-qm456cik 127 10 to to IN cord-307357-qm456cik 127 11 its -PRON- PRP$ cord-307357-qm456cik 127 12 convenience convenience NN cord-307357-qm456cik 127 13 and and CC cord-307357-qm456cik 127 14 non non JJ cord-307357-qm456cik 127 15 - - JJ cord-307357-qm456cik 127 16 invasiveness invasiveness JJ cord-307357-qm456cik 127 17 . . . cord-307357-qm456cik 128 1 Despite despite IN cord-307357-qm456cik 128 2 this this DT cord-307357-qm456cik 128 3 , , , cord-307357-qm456cik 128 4 the the DT cord-307357-qm456cik 128 5 sensitivity sensitivity NN cord-307357-qm456cik 128 6 of of IN cord-307357-qm456cik 128 7 TTE TTE NNP cord-307357-qm456cik 128 8 in in IN cord-307357-qm456cik 128 9 diagnosing diagnose VBG cord-307357-qm456cik 128 10 IE IE NNP cord-307357-qm456cik 128 11 is be VBZ cord-307357-qm456cik 128 12 merely merely RB cord-307357-qm456cik 128 13 71 71 CD cord-307357-qm456cik 128 14 % % NN cord-307357-qm456cik 128 15 [ [ -LRB- cord-307357-qm456cik 128 16 6 6 CD cord-307357-qm456cik 128 17 ] ] -RRB- cord-307357-qm456cik 128 18 . . . cord-307357-qm456cik 129 1 There there EX cord-307357-qm456cik 129 2 is be VBZ cord-307357-qm456cik 129 3 a a DT cord-307357-qm456cik 129 4 direct direct JJ cord-307357-qm456cik 129 5 correlation correlation NN cord-307357-qm456cik 129 6 between between IN cord-307357-qm456cik 129 7 the the DT cord-307357-qm456cik 129 8 size size NN cord-307357-qm456cik 129 9 of of IN cord-307357-qm456cik 129 10 the the DT cord-307357-qm456cik 129 11 vegetation vegetation NN cord-307357-qm456cik 129 12 and and CC cord-307357-qm456cik 129 13 the the DT cord-307357-qm456cik 129 14 detection detection NN cord-307357-qm456cik 129 15 on on IN cord-307357-qm456cik 129 16 TTE TTE NNP cord-307357-qm456cik 129 17 . . . cord-307357-qm456cik 130 1 The the DT cord-307357-qm456cik 130 2 literature literature NN cord-307357-qm456cik 130 3 demonstrates demonstrate VBZ cord-307357-qm456cik 130 4 that that IN cord-307357-qm456cik 130 5 TTE TTE NNP cord-307357-qm456cik 130 6 has have VBZ cord-307357-qm456cik 130 7 a a DT cord-307357-qm456cik 130 8 sensitivity sensitivity NN cord-307357-qm456cik 130 9 of of IN cord-307357-qm456cik 130 10 25 25 CD cord-307357-qm456cik 130 11 % % NN cord-307357-qm456cik 130 12 , , , cord-307357-qm456cik 130 13 70 70 CD cord-307357-qm456cik 130 14 % % NN cord-307357-qm456cik 130 15 , , , cord-307357-qm456cik 130 16 and and CC cord-307357-qm456cik 130 17 84 84 CD cord-307357-qm456cik 130 18 % % NN cord-307357-qm456cik 130 19 for for IN cord-307357-qm456cik 130 20 vegetations vegetation NNS cord-307357-qm456cik 130 21 < < XX cord-307357-qm456cik 130 22 5 5 CD cord-307357-qm456cik 130 23 mm mm NNP cord-307357-qm456cik 130 24 , , , cord-307357-qm456cik 130 25 6 6 CD cord-307357-qm456cik 130 26 - - SYM cord-307357-qm456cik 130 27 10 10 CD cord-307357-qm456cik 130 28 mm mm NN cord-307357-qm456cik 130 29 , , , cord-307357-qm456cik 130 30 and and CC cord-307357-qm456cik 130 31 > > XX cord-307357-qm456cik 130 32 10 10 CD cord-307357-qm456cik 130 33 mm mm NNS cord-307357-qm456cik 130 34 , , , cord-307357-qm456cik 130 35 respectively respectively RB cord-307357-qm456cik 130 36 [ [ -LRB- cord-307357-qm456cik 130 37 6 6 CD cord-307357-qm456cik 130 38 ] ] -RRB- cord-307357-qm456cik 130 39 . . . cord-307357-qm456cik 131 1 Although although IN cord-307357-qm456cik 131 2 there there EX cord-307357-qm456cik 131 3 is be VBZ cord-307357-qm456cik 131 4 a a DT cord-307357-qm456cik 131 5 lack lack NN cord-307357-qm456cik 131 6 of of IN cord-307357-qm456cik 131 7 literature literature NN cord-307357-qm456cik 131 8 comparing compare VBG cord-307357-qm456cik 131 9 POCUS POCUS NNP cord-307357-qm456cik 131 10 ( ( -LRB- cord-307357-qm456cik 131 11 point point NN cord-307357-qm456cik 131 12 - - HYPH cord-307357-qm456cik 131 13 of of IN cord-307357-qm456cik 131 14 - - HYPH cord-307357-qm456cik 131 15 care care NN cord-307357-qm456cik 131 16 ultrasound ultrasound NN cord-307357-qm456cik 131 17 ) ) -RRB- cord-307357-qm456cik 131 18 in in IN cord-307357-qm456cik 131 19 the the DT cord-307357-qm456cik 131 20 ED ED NNP cord-307357-qm456cik 131 21 to to IN cord-307357-qm456cik 131 22 a a DT cord-307357-qm456cik 131 23 gold gold NN cord-307357-qm456cik 131 24 standard standard NN cord-307357-qm456cik 131 25 , , , cord-307357-qm456cik 131 26 it -PRON- PRP cord-307357-qm456cik 131 27 is be VBZ cord-307357-qm456cik 131 28 reasonable reasonable JJ cord-307357-qm456cik 131 29 to to TO cord-307357-qm456cik 131 30 assume assume VB cord-307357-qm456cik 131 31 that that IN cord-307357-qm456cik 131 32 sensitivities sensitivity NNS cord-307357-qm456cik 131 33 may may MD cord-307357-qm456cik 131 34 be be VB cord-307357-qm456cik 131 35 more more RBR cord-307357-qm456cik 131 36 variable variable JJ cord-307357-qm456cik 131 37 than than IN cord-307357-qm456cik 131 38 the the DT cord-307357-qm456cik 131 39 standard standard NN cord-307357-qm456cik 131 40 of of IN cord-307357-qm456cik 131 41 care care NN cord-307357-qm456cik 131 42 TTE TTE NNP cord-307357-qm456cik 131 43 , , , cord-307357-qm456cik 131 44 depending depend VBG cord-307357-qm456cik 131 45 on on IN cord-307357-qm456cik 131 46 the the DT cord-307357-qm456cik 131 47 EM EM NNP cord-307357-qm456cik 131 48 providers provider NNS cord-307357-qm456cik 131 49 proficiency proficiency NN cord-307357-qm456cik 131 50 with with IN cord-307357-qm456cik 131 51 bedside bedside NN cord-307357-qm456cik 131 52 ultrasound ultrasound NN cord-307357-qm456cik 131 53 . . . cord-307357-qm456cik 132 1 Any any DT cord-307357-qm456cik 132 2 patient patient NN cord-307357-qm456cik 132 3 with with IN cord-307357-qm456cik 132 4 a a DT cord-307357-qm456cik 132 5 high high JJ cord-307357-qm456cik 132 6 degree degree NN cord-307357-qm456cik 132 7 of of IN cord-307357-qm456cik 132 8 suspicion suspicion NN cord-307357-qm456cik 132 9 for for IN cord-307357-qm456cik 132 10 IE IE NNP cord-307357-qm456cik 132 11 and and CC cord-307357-qm456cik 132 12 a a DT cord-307357-qm456cik 132 13 negative negative JJ cord-307357-qm456cik 132 14 TTE tte NN cord-307357-qm456cik 132 15 should should MD cord-307357-qm456cik 132 16 be be VB cord-307357-qm456cik 132 17 followed follow VBN cord-307357-qm456cik 132 18 up up RP cord-307357-qm456cik 132 19 with with IN cord-307357-qm456cik 132 20 a a DT cord-307357-qm456cik 132 21 TEE tee NN cord-307357-qm456cik 132 22 when when WRB cord-307357-qm456cik 132 23 possible possible JJ cord-307357-qm456cik 132 24 , , , cord-307357-qm456cik 132 25 as as IN cord-307357-qm456cik 132 26 they -PRON- PRP cord-307357-qm456cik 132 27 have have VBP cord-307357-qm456cik 132 28 a a DT cord-307357-qm456cik 132 29 sensitivity sensitivity NN cord-307357-qm456cik 132 30 of of IN cord-307357-qm456cik 132 31 90 90 CD cord-307357-qm456cik 132 32 % % NN cord-307357-qm456cik 132 33 [ [ -LRB- cord-307357-qm456cik 132 34 4 4 CD cord-307357-qm456cik 132 35 ] ] -RRB- cord-307357-qm456cik 132 36 . . . cord-307357-qm456cik 133 1 IE IE NNP cord-307357-qm456cik 133 2 is be VBZ cord-307357-qm456cik 133 3 associated associate VBN cord-307357-qm456cik 133 4 with with IN cord-307357-qm456cik 133 5 significant significant JJ cord-307357-qm456cik 133 6 morbidity morbidity NN cord-307357-qm456cik 133 7 and and CC cord-307357-qm456cik 133 8 mortality mortality NN cord-307357-qm456cik 133 9 , , , cord-307357-qm456cik 133 10 making make VBG cord-307357-qm456cik 133 11 early early JJ cord-307357-qm456cik 133 12 diagnosis diagnosis NN cord-307357-qm456cik 133 13 with with IN cord-307357-qm456cik 133 14 appropriate appropriate JJ cord-307357-qm456cik 133 15 therapy therapy NN cord-307357-qm456cik 133 16 paramount paramount NN cord-307357-qm456cik 133 17 . . . cord-307357-qm456cik 134 1 Some some DT cord-307357-qm456cik 134 2 studies study NNS cord-307357-qm456cik 134 3 have have VBP cord-307357-qm456cik 134 4 noted note VBN cord-307357-qm456cik 134 5 a a DT cord-307357-qm456cik 134 6 30-day 30-day CD cord-307357-qm456cik 134 7 mortality mortality NN cord-307357-qm456cik 134 8 of of IN cord-307357-qm456cik 134 9 30 30 CD cord-307357-qm456cik 134 10 % % NN cord-307357-qm456cik 134 11 [ [ -LRB- cord-307357-qm456cik 134 12 4 4 CD cord-307357-qm456cik 134 13 ] ] -RRB- cord-307357-qm456cik 134 14 . . . cord-307357-qm456cik 135 1 A a DT cord-307357-qm456cik 135 2 Korean korean JJ cord-307357-qm456cik 135 3 study study NN cord-307357-qm456cik 135 4 compared compare VBD cord-307357-qm456cik 135 5 the the DT cord-307357-qm456cik 135 6 difference difference NN cord-307357-qm456cik 135 7 between between IN cord-307357-qm456cik 135 8 early early JJ cord-307357-qm456cik 135 9 surgical surgical JJ cord-307357-qm456cik 135 10 intervention intervention NN cord-307357-qm456cik 135 11 and and CC cord-307357-qm456cik 135 12 conventional conventional JJ cord-307357-qm456cik 135 13 medical medical JJ cord-307357-qm456cik 135 14 treatment treatment NN cord-307357-qm456cik 135 15 , , , cord-307357-qm456cik 135 16 with with IN cord-307357-qm456cik 135 17 primary primary JJ cord-307357-qm456cik 135 18 outcomes outcome NNS cord-307357-qm456cik 135 19 being be VBG cord-307357-qm456cik 135 20 hospital hospital NN cord-307357-qm456cik 135 21 death death NN cord-307357-qm456cik 135 22 or or CC cord-307357-qm456cik 135 23 embolic embolic JJ cord-307357-qm456cik 135 24 events event NNS cord-307357-qm456cik 135 25 within within IN cord-307357-qm456cik 135 26 six six CD cord-307357-qm456cik 135 27 weeks week NNS cord-307357-qm456cik 135 28 . . . cord-307357-qm456cik 136 1 The the DT cord-307357-qm456cik 136 2 research research NN cord-307357-qm456cik 136 3 showed show VBD cord-307357-qm456cik 136 4 a a DT cord-307357-qm456cik 136 5 statistically statistically RB cord-307357-qm456cik 136 6 significant significant JJ cord-307357-qm456cik 136 7 difference difference NN cord-307357-qm456cik 136 8 between between IN cord-307357-qm456cik 136 9 the the DT cord-307357-qm456cik 136 10 two two CD cord-307357-qm456cik 136 11 groups group NNS cord-307357-qm456cik 136 12 respectively respectively RB cord-307357-qm456cik 136 13 ( ( -LRB- cord-307357-qm456cik 136 14 3 3 CD cord-307357-qm456cik 136 15 % % NN cord-307357-qm456cik 136 16 vs vs IN cord-307357-qm456cik 136 17 23 23 CD cord-307357-qm456cik 136 18 % % NN cord-307357-qm456cik 136 19 ) ) -RRB- cord-307357-qm456cik 136 20 [ [ -LRB- cord-307357-qm456cik 136 21 7 7 CD cord-307357-qm456cik 136 22 ] ] -RRB- cord-307357-qm456cik 136 23 . . . cord-307357-qm456cik 137 1 The the DT cord-307357-qm456cik 137 2 main main JJ cord-307357-qm456cik 137 3 difference difference NN cord-307357-qm456cik 137 4 is be VBZ cord-307357-qm456cik 137 5 observed observe VBN cord-307357-qm456cik 137 6 in in IN cord-307357-qm456cik 137 7 the the DT cord-307357-qm456cik 137 8 reduced reduce VBN cord-307357-qm456cik 137 9 embolic embolic NN cord-307357-qm456cik 137 10 rates rate NNS cord-307357-qm456cik 137 11 noted note VBN cord-307357-qm456cik 137 12 in in IN cord-307357-qm456cik 137 13 the the DT cord-307357-qm456cik 137 14 early early JJ cord-307357-qm456cik 137 15 surgery surgery NN cord-307357-qm456cik 137 16 group group NN cord-307357-qm456cik 137 17 [ [ -LRB- cord-307357-qm456cik 137 18 7 7 CD cord-307357-qm456cik 137 19 ] ] -RRB- cord-307357-qm456cik 137 20 . . . cord-307357-qm456cik 138 1 The the DT cord-307357-qm456cik 138 2 study study NN cord-307357-qm456cik 138 3 reinforces reinforce VBZ cord-307357-qm456cik 138 4 the the DT cord-307357-qm456cik 138 5 importance importance NN cord-307357-qm456cik 138 6 of of IN cord-307357-qm456cik 138 7 early early JJ cord-307357-qm456cik 138 8 intervention intervention NN cord-307357-qm456cik 138 9 , , , cord-307357-qm456cik 138 10 which which WDT cord-307357-qm456cik 138 11 requires require VBZ cord-307357-qm456cik 138 12 a a DT cord-307357-qm456cik 138 13 timely timely JJ cord-307357-qm456cik 138 14 diagnosis diagnosis NN cord-307357-qm456cik 138 15 . . . cord-307357-qm456cik 139 1 When when WRB cord-307357-qm456cik 139 2 reviewing review VBG cord-307357-qm456cik 139 3 our -PRON- PRP$ cord-307357-qm456cik 139 4 case case NN cord-307357-qm456cik 139 5 , , , cord-307357-qm456cik 139 6 establishing establish VBG cord-307357-qm456cik 139 7 the the DT cord-307357-qm456cik 139 8 diagnosis diagnosis NN cord-307357-qm456cik 139 9 of of IN cord-307357-qm456cik 139 10 IE IE NNP cord-307357-qm456cik 139 11 proved prove VBD cord-307357-qm456cik 139 12 to to TO cord-307357-qm456cik 139 13 be be VB cord-307357-qm456cik 139 14 exceptionally exceptionally RB cord-307357-qm456cik 139 15 complicated complicate VBN cord-307357-qm456cik 139 16 , , , cord-307357-qm456cik 139 17 especially especially RB cord-307357-qm456cik 139 18 in in IN cord-307357-qm456cik 139 19 the the DT cord-307357-qm456cik 139 20 setting setting NN cord-307357-qm456cik 139 21 of of IN cord-307357-qm456cik 139 22 the the DT cord-307357-qm456cik 139 23 COVID-19 covid-19 JJ cord-307357-qm456cik 139 24 pandemic pandemic NN cord-307357-qm456cik 139 25 . . . cord-307357-qm456cik 140 1 The the DT cord-307357-qm456cik 140 2 most most RBS cord-307357-qm456cik 140 3 notable notable JJ cord-307357-qm456cik 140 4 challenge challenge NN cord-307357-qm456cik 140 5 was be VBD cord-307357-qm456cik 140 6 having have VBG cord-307357-qm456cik 140 7 a a DT cord-307357-qm456cik 140 8 high high JJ cord-307357-qm456cik 140 9 index index NN cord-307357-qm456cik 140 10 of of IN cord-307357-qm456cik 140 11 suspicion suspicion NN cord-307357-qm456cik 140 12 for for IN cord-307357-qm456cik 140 13 IE IE NNP cord-307357-qm456cik 140 14 despite despite IN cord-307357-qm456cik 140 15 the the DT cord-307357-qm456cik 140 16 lack lack NN cord-307357-qm456cik 140 17 of of IN cord-307357-qm456cik 140 18 risk risk NN cord-307357-qm456cik 140 19 factors factor NNS cord-307357-qm456cik 140 20 . . . cord-307357-qm456cik 141 1 The the DT cord-307357-qm456cik 141 2 patient patient NN cord-307357-qm456cik 141 3 was be VBD cord-307357-qm456cik 141 4 a a DT cord-307357-qm456cik 141 5 previously previously RB cord-307357-qm456cik 141 6 healthy healthy JJ cord-307357-qm456cik 141 7 47-year 47-year JJ cord-307357-qm456cik 141 8 - - HYPH cord-307357-qm456cik 141 9 old old JJ cord-307357-qm456cik 141 10 male male NN cord-307357-qm456cik 141 11 with with IN cord-307357-qm456cik 141 12 no no DT cord-307357-qm456cik 141 13 medical medical JJ cord-307357-qm456cik 141 14 problems problem NNS cord-307357-qm456cik 141 15 . . . cord-307357-qm456cik 142 1 He -PRON- PRP cord-307357-qm456cik 142 2 had have VBD cord-307357-qm456cik 142 3 no no DT cord-307357-qm456cik 142 4 immunocompromising immunocompromising NN cord-307357-qm456cik 142 5 conditions condition NNS cord-307357-qm456cik 142 6 , , , cord-307357-qm456cik 142 7 no no DT cord-307357-qm456cik 142 8 congenital congenital JJ cord-307357-qm456cik 142 9 / / SYM cord-307357-qm456cik 142 10 structural structural JJ cord-307357-qm456cik 142 11 heart heart NN cord-307357-qm456cik 142 12 defects defect NNS cord-307357-qm456cik 142 13 , , , cord-307357-qm456cik 142 14 and and CC cord-307357-qm456cik 142 15 normal normal JJ cord-307357-qm456cik 142 16 dentition dentition NN cord-307357-qm456cik 142 17 . . . cord-307357-qm456cik 143 1 Of of IN cord-307357-qm456cik 143 2 note note NN cord-307357-qm456cik 143 3 , , , cord-307357-qm456cik 143 4 he -PRON- PRP cord-307357-qm456cik 143 5 adamantly adamantly RB cord-307357-qm456cik 143 6 denied deny VBD cord-307357-qm456cik 143 7 drug drug NN cord-307357-qm456cik 143 8 use use NN cord-307357-qm456cik 143 9 . . . cord-307357-qm456cik 144 1 On on IN cord-307357-qm456cik 144 2 examination examination NN cord-307357-qm456cik 144 3 , , , cord-307357-qm456cik 144 4 he -PRON- PRP cord-307357-qm456cik 144 5 was be VBD cord-307357-qm456cik 144 6 ill ill RB cord-307357-qm456cik 144 7 - - HYPH cord-307357-qm456cik 144 8 appearing appearing JJ cord-307357-qm456cik 144 9 , , , cord-307357-qm456cik 144 10 febrile febrile JJ cord-307357-qm456cik 144 11 , , , cord-307357-qm456cik 144 12 and and CC cord-307357-qm456cik 144 13 tachycardic tachycardic JJ cord-307357-qm456cik 144 14 , , , cord-307357-qm456cik 144 15 with with IN cord-307357-qm456cik 144 16 laboratories laboratory NNS cord-307357-qm456cik 144 17 significant significant JJ cord-307357-qm456cik 144 18 for for IN cord-307357-qm456cik 144 19 high high JJ cord-307357-qm456cik 144 20 leukocytosis leukocytosis NN cord-307357-qm456cik 144 21 , , , cord-307357-qm456cik 144 22 elevation elevation NN cord-307357-qm456cik 144 23 in in IN cord-307357-qm456cik 144 24 inflammatory inflammatory JJ cord-307357-qm456cik 144 25 markers marker NNS cord-307357-qm456cik 144 26 , , , cord-307357-qm456cik 144 27 and and CC cord-307357-qm456cik 144 28 mild mild JJ cord-307357-qm456cik 144 29 troponin troponin JJ cord-307357-qm456cik 144 30 elevation elevation NN cord-307357-qm456cik 144 31 , , , cord-307357-qm456cik 144 32 which which WDT cord-307357-qm456cik 144 33 are be VBP cord-307357-qm456cik 144 34 non non JJ cord-307357-qm456cik 144 35 - - JJ cord-307357-qm456cik 144 36 specific specific JJ cord-307357-qm456cik 144 37 . . . cord-307357-qm456cik 145 1 The the DT cord-307357-qm456cik 145 2 key key JJ cord-307357-qm456cik 145 3 feature feature NN cord-307357-qm456cik 145 4 of of IN cord-307357-qm456cik 145 5 the the DT cord-307357-qm456cik 145 6 disease disease NN cord-307357-qm456cik 145 7 process process NN cord-307357-qm456cik 145 8 was be VBD cord-307357-qm456cik 145 9 that that IN cord-307357-qm456cik 145 10 CT CT NNP cord-307357-qm456cik 145 11 of of IN cord-307357-qm456cik 145 12 the the DT cord-307357-qm456cik 145 13 abdomen abdoman NNS cord-307357-qm456cik 145 14 / / SYM cord-307357-qm456cik 145 15 pelvis pelvi NNS cord-307357-qm456cik 145 16 revealed reveal VBD cord-307357-qm456cik 145 17 an an DT cord-307357-qm456cik 145 18 acute acute JJ cord-307357-qm456cik 145 19 splenic splenic JJ cord-307357-qm456cik 145 20 abscess abscess NN cord-307357-qm456cik 145 21 . . . cord-307357-qm456cik 146 1 In in IN cord-307357-qm456cik 146 2 the the DT cord-307357-qm456cik 146 3 absence absence NN cord-307357-qm456cik 146 4 of of IN cord-307357-qm456cik 146 5 other other JJ cord-307357-qm456cik 146 6 risk risk NN cord-307357-qm456cik 146 7 factors factor NNS cord-307357-qm456cik 146 8 for for IN cord-307357-qm456cik 146 9 abscess abscess NN cord-307357-qm456cik 146 10 , , , cord-307357-qm456cik 146 11 disseminated disseminate VBN cord-307357-qm456cik 146 12 disease disease NN cord-307357-qm456cik 146 13 from from IN cord-307357-qm456cik 146 14 IE IE NNP cord-307357-qm456cik 146 15 had have VBD cord-307357-qm456cik 146 16 to to TO cord-307357-qm456cik 146 17 be be VB cord-307357-qm456cik 146 18 considered consider VBN cord-307357-qm456cik 146 19 . . . cord-307357-qm456cik 147 1 Even even RB cord-307357-qm456cik 147 2 after after IN cord-307357-qm456cik 147 3 a a DT cord-307357-qm456cik 147 4 non non JJ cord-307357-qm456cik 147 5 - - JJ cord-307357-qm456cik 147 6 diagnostic diagnostic JJ cord-307357-qm456cik 147 7 TTE TTE NNP cord-307357-qm456cik 147 8 , , , cord-307357-qm456cik 147 9 a a DT cord-307357-qm456cik 147 10 follow follow NN cord-307357-qm456cik 147 11 - - HYPH cord-307357-qm456cik 147 12 up up NN cord-307357-qm456cik 147 13 TEE tee NN cord-307357-qm456cik 147 14 would would MD cord-307357-qm456cik 147 15 have have VB cord-307357-qm456cik 147 16 ideally ideally RB cord-307357-qm456cik 147 17 been be VBN cord-307357-qm456cik 147 18 performed perform VBN cord-307357-qm456cik 147 19 next next RB cord-307357-qm456cik 147 20 . . . cord-307357-qm456cik 148 1 Unfortunately unfortunately RB cord-307357-qm456cik 148 2 , , , cord-307357-qm456cik 148 3 the the DT cord-307357-qm456cik 148 4 patient patient NN cord-307357-qm456cik 148 5 's 's POS cord-307357-qm456cik 148 6 respiratory respiratory JJ cord-307357-qm456cik 148 7 status status NN cord-307357-qm456cik 148 8 deteriorated deteriorate VBD cord-307357-qm456cik 148 9 after after IN cord-307357-qm456cik 148 10 the the DT cord-307357-qm456cik 148 11 development development NN cord-307357-qm456cik 148 12 of of IN cord-307357-qm456cik 148 13 a a DT cord-307357-qm456cik 148 14 left left JJ cord-307357-qm456cik 148 15 - - HYPH cord-307357-qm456cik 148 16 sided sided JJ cord-307357-qm456cik 148 17 empyema empyema NNP cord-307357-qm456cik 148 18 , , , cord-307357-qm456cik 148 19 which which WDT cord-307357-qm456cik 148 20 delayed delay VBD cord-307357-qm456cik 148 21 the the DT cord-307357-qm456cik 148 22 procedure procedure NN cord-307357-qm456cik 148 23 , , , cord-307357-qm456cik 148 24 diagnosis diagnosis NN cord-307357-qm456cik 148 25 , , , cord-307357-qm456cik 148 26 and and CC cord-307357-qm456cik 148 27 , , , cord-307357-qm456cik 148 28 ultimately ultimately RB cord-307357-qm456cik 148 29 , , , cord-307357-qm456cik 148 30 the the DT cord-307357-qm456cik 148 31 treatment treatment NN cord-307357-qm456cik 148 32 . . . cord-307357-qm456cik 149 1 The the DT cord-307357-qm456cik 149 2 management management NN cord-307357-qm456cik 149 3 of of IN cord-307357-qm456cik 149 4 IE IE NNP cord-307357-qm456cik 149 5 in in IN cord-307357-qm456cik 149 6 the the DT cord-307357-qm456cik 149 7 setting setting NN cord-307357-qm456cik 149 8 of of IN cord-307357-qm456cik 149 9 an an DT cord-307357-qm456cik 149 10 associated associate VBN cord-307357-qm456cik 149 11 splenic splenic JJ cord-307357-qm456cik 149 12 abscess abscess NN cord-307357-qm456cik 149 13 requires require VBZ cord-307357-qm456cik 149 14 certain certain JJ cord-307357-qm456cik 149 15 considerations consideration NNS cord-307357-qm456cik 149 16 . . . cord-307357-qm456cik 150 1 For for IN cord-307357-qm456cik 150 2 example example NN cord-307357-qm456cik 150 3 , , , cord-307357-qm456cik 150 4 some some DT cord-307357-qm456cik 150 5 suggest suggest VBP cord-307357-qm456cik 150 6 splenectomy splenectomy NN cord-307357-qm456cik 150 7 / / SYM cord-307357-qm456cik 150 8 drainage drainage NN cord-307357-qm456cik 150 9 should should MD cord-307357-qm456cik 150 10 take take VB cord-307357-qm456cik 150 11 place place NN cord-307357-qm456cik 150 12 before before IN cord-307357-qm456cik 150 13 valve valve NN cord-307357-qm456cik 150 14 repair repair NN cord-307357-qm456cik 150 15 to to TO cord-307357-qm456cik 150 16 prevent prevent VB cord-307357-qm456cik 150 17 secondary secondary JJ cord-307357-qm456cik 150 18 infection infection NN cord-307357-qm456cik 150 19 [ [ -LRB- cord-307357-qm456cik 150 20 1 1 CD cord-307357-qm456cik 150 21 ] ] -RRB- cord-307357-qm456cik 150 22 . . . cord-307357-qm456cik 151 1 Depending depend VBG cord-307357-qm456cik 151 2 on on IN cord-307357-qm456cik 151 3 the the DT cord-307357-qm456cik 151 4 stability stability NN cord-307357-qm456cik 151 5 of of IN cord-307357-qm456cik 151 6 the the DT cord-307357-qm456cik 151 7 patient patient NN cord-307357-qm456cik 151 8 's 's POS cord-307357-qm456cik 151 9 condition condition NN cord-307357-qm456cik 151 10 , , , cord-307357-qm456cik 151 11 there there EX cord-307357-qm456cik 151 12 is be VBZ cord-307357-qm456cik 151 13 literature literature NN cord-307357-qm456cik 151 14 to to TO cord-307357-qm456cik 151 15 suggest suggest VB cord-307357-qm456cik 151 16 that that IN cord-307357-qm456cik 151 17 splenectomy splenectomy NN cord-307357-qm456cik 151 18 / / SYM cord-307357-qm456cik 151 19 drainage drainage NN cord-307357-qm456cik 151 20 can can MD cord-307357-qm456cik 151 21 occur occur VB cord-307357-qm456cik 151 22 simultaneously simultaneously RB cord-307357-qm456cik 151 23 with with IN cord-307357-qm456cik 151 24 valve valve NN cord-307357-qm456cik 151 25 repair repair NN cord-307357-qm456cik 151 26 as as IN cord-307357-qm456cik 151 27 a a DT cord-307357-qm456cik 151 28 one one CD cord-307357-qm456cik 151 29 - - HYPH cord-307357-qm456cik 151 30 stage stage NN cord-307357-qm456cik 151 31 process process NN cord-307357-qm456cik 151 32 [ [ -LRB- cord-307357-qm456cik 151 33 1 1 CD cord-307357-qm456cik 151 34 ] ] -RRB- cord-307357-qm456cik 151 35 . . . cord-307357-qm456cik 152 1 Our -PRON- PRP$ cord-307357-qm456cik 152 2 patient patient NN cord-307357-qm456cik 152 3 's 's POS cord-307357-qm456cik 152 4 course course NN cord-307357-qm456cik 152 5 was be VBD cord-307357-qm456cik 152 6 complicated complicate VBN cord-307357-qm456cik 152 7 by by IN cord-307357-qm456cik 152 8 ongoing ongoing JJ cord-307357-qm456cik 152 9 fevers fever NNS cord-307357-qm456cik 152 10 and and CC cord-307357-qm456cik 152 11 tachycardia tachycardia NN cord-307357-qm456cik 152 12 and and CC cord-307357-qm456cik 152 13 the the DT cord-307357-qm456cik 152 14 development development NN cord-307357-qm456cik 152 15 of of IN cord-307357-qm456cik 152 16 a a DT cord-307357-qm456cik 152 17 left left JJ cord-307357-qm456cik 152 18 - - HYPH cord-307357-qm456cik 152 19 sided sided JJ cord-307357-qm456cik 152 20 empyema empyema NN cord-307357-qm456cik 152 21 even even RB cord-307357-qm456cik 152 22 after after IN cord-307357-qm456cik 152 23 drainage drainage NN cord-307357-qm456cik 152 24 of of IN cord-307357-qm456cik 152 25 the the DT cord-307357-qm456cik 152 26 splenic splenic JJ cord-307357-qm456cik 152 27 abscess abscess NN cord-307357-qm456cik 152 28 , , , cord-307357-qm456cik 152 29 which which WDT cord-307357-qm456cik 152 30 delayed delay VBD cord-307357-qm456cik 152 31 TEE tee NN cord-307357-qm456cik 152 32 until until IN cord-307357-qm456cik 152 33 after after IN cord-307357-qm456cik 152 34 his -PRON- PRP$ cord-307357-qm456cik 152 35 lung lung NN cord-307357-qm456cik 152 36 decortication decortication NN cord-307357-qm456cik 152 37 . . . cord-307357-qm456cik 153 1 His -PRON- PRP$ cord-307357-qm456cik 153 2 clinical clinical JJ cord-307357-qm456cik 153 3 picture picture NN cord-307357-qm456cik 153 4 began begin VBD cord-307357-qm456cik 153 5 to to TO cord-307357-qm456cik 153 6 improve improve VB cord-307357-qm456cik 153 7 after after IN cord-307357-qm456cik 153 8 his -PRON- PRP$ cord-307357-qm456cik 153 9 mitral mitral JJ cord-307357-qm456cik 153 10 valve valve NN cord-307357-qm456cik 153 11 was be VBD cord-307357-qm456cik 153 12 repaired repair VBN cord-307357-qm456cik 153 13 , , , cord-307357-qm456cik 153 14 and and CC cord-307357-qm456cik 153 15 the the DT cord-307357-qm456cik 153 16 remainder remainder NN cord-307357-qm456cik 153 17 of of IN cord-307357-qm456cik 153 18 his -PRON- PRP$ cord-307357-qm456cik 153 19 hospital hospital NN cord-307357-qm456cik 153 20 course course NN cord-307357-qm456cik 153 21 was be VBD cord-307357-qm456cik 153 22 uneventful uneventful JJ cord-307357-qm456cik 153 23 . . . cord-307357-qm456cik 154 1 IE IE NNP cord-307357-qm456cik 154 2 continues continue VBZ cord-307357-qm456cik 154 3 to to TO cord-307357-qm456cik 154 4 be be VB cord-307357-qm456cik 154 5 a a DT cord-307357-qm456cik 154 6 clinical clinical JJ cord-307357-qm456cik 154 7 diagnostic diagnostic JJ cord-307357-qm456cik 154 8 challenge challenge NN cord-307357-qm456cik 154 9 for for IN cord-307357-qm456cik 154 10 physicians physician NNS cord-307357-qm456cik 154 11 , , , cord-307357-qm456cik 154 12 especially especially RB cord-307357-qm456cik 154 13 in in IN cord-307357-qm456cik 154 14 the the DT cord-307357-qm456cik 154 15 ED ED NNP cord-307357-qm456cik 154 16 , , , cord-307357-qm456cik 154 17 due due IN cord-307357-qm456cik 154 18 to to IN cord-307357-qm456cik 154 19 the the DT cord-307357-qm456cik 154 20 lack lack NN cord-307357-qm456cik 154 21 of of IN cord-307357-qm456cik 154 22 diagnostic diagnostic JJ cord-307357-qm456cik 154 23 criteria criterion NNS cord-307357-qm456cik 154 24 such such JJ cord-307357-qm456cik 154 25 as as IN cord-307357-qm456cik 154 26 immediate immediate JJ cord-307357-qm456cik 154 27 positive positive JJ cord-307357-qm456cik 154 28 blood blood NN cord-307357-qm456cik 154 29 cultures culture NNS cord-307357-qm456cik 154 30 or or CC cord-307357-qm456cik 154 31 ease ease NN cord-307357-qm456cik 154 32 of of IN cord-307357-qm456cik 154 33 visualized visualize VBN cord-307357-qm456cik 154 34 vegetations vegetation NNS cord-307357-qm456cik 154 35 on on IN cord-307357-qm456cik 154 36 bedside bedside NN cord-307357-qm456cik 154 37 echocardiographic echocardiographic JJ cord-307357-qm456cik 154 38 studies study NNS cord-307357-qm456cik 154 39 . . . cord-307357-qm456cik 155 1 IE IE NNP cord-307357-qm456cik 155 2 has have VBZ cord-307357-qm456cik 155 3 a a DT cord-307357-qm456cik 155 4 wide wide JJ cord-307357-qm456cik 155 5 gamut gamut NN cord-307357-qm456cik 155 6 of of IN cord-307357-qm456cik 155 7 presentations presentation NNS cord-307357-qm456cik 155 8 with with IN cord-307357-qm456cik 155 9 different different JJ cord-307357-qm456cik 155 10 levels level NNS cord-307357-qm456cik 155 11 of of IN cord-307357-qm456cik 155 12 acuity acuity NN cord-307357-qm456cik 155 13 . . . cord-307357-qm456cik 156 1 Diagnosis diagnosis NN cord-307357-qm456cik 156 2 is be VBZ cord-307357-qm456cik 156 3 more more RBR cord-307357-qm456cik 156 4 straightforward straightforward JJ cord-307357-qm456cik 157 1 when when WRB cord-307357-qm456cik 157 2 patients patient NNS cord-307357-qm456cik 157 3 present present JJ cord-307357-qm456cik 157 4 with with IN cord-307357-qm456cik 157 5 obvious obvious JJ cord-307357-qm456cik 157 6 risk risk NN cord-307357-qm456cik 157 7 factors factor NNS cord-307357-qm456cik 157 8 , , , cord-307357-qm456cik 157 9 but but CC cord-307357-qm456cik 157 10 , , , cord-307357-qm456cik 157 11 in in IN cord-307357-qm456cik 157 12 many many JJ cord-307357-qm456cik 157 13 cases case NNS cord-307357-qm456cik 157 14 , , , cord-307357-qm456cik 157 15 such such JJ cord-307357-qm456cik 157 16 as as IN cord-307357-qm456cik 157 17 this this DT cord-307357-qm456cik 157 18 one one NN cord-307357-qm456cik 157 19 , , , cord-307357-qm456cik 157 20 A a DT cord-307357-qm456cik 157 21 high high JJ cord-307357-qm456cik 157 22 index index NN cord-307357-qm456cik 157 23 of of IN cord-307357-qm456cik 157 24 suspicion suspicion NN cord-307357-qm456cik 157 25 is be VBZ cord-307357-qm456cik 157 26 required require VBN cord-307357-qm456cik 157 27 , , , cord-307357-qm456cik 157 28 especially especially RB cord-307357-qm456cik 157 29 in in IN cord-307357-qm456cik 157 30 patients patient NNS cord-307357-qm456cik 157 31 with with IN cord-307357-qm456cik 157 32 additional additional JJ cord-307357-qm456cik 157 33 findings finding NNS cord-307357-qm456cik 157 34 such such JJ cord-307357-qm456cik 157 35 as as IN cord-307357-qm456cik 157 36 splenic splenic JJ cord-307357-qm456cik 157 37 abscess abscess NN cord-307357-qm456cik 157 38 , , , cord-307357-qm456cik 157 39 embolic embolic JJ cord-307357-qm456cik 157 40 phenomenon phenomenon NN cord-307357-qm456cik 157 41 , , , cord-307357-qm456cik 157 42 focal focal JJ cord-307357-qm456cik 157 43 neurologic neurologic JJ cord-307357-qm456cik 157 44 deficit deficit NN cord-307357-qm456cik 157 45 , , , cord-307357-qm456cik 157 46 mycotic mycotic JJ cord-307357-qm456cik 157 47 aneurysm aneurysm NN cord-307357-qm456cik 157 48 , , , cord-307357-qm456cik 157 49 decompensated decompensated JJ cord-307357-qm456cik 157 50 heart heart NN cord-307357-qm456cik 157 51 failure failure NN cord-307357-qm456cik 157 52 , , , cord-307357-qm456cik 157 53 new new JJ cord-307357-qm456cik 157 54 murmurs murmur NNS cord-307357-qm456cik 157 55 , , , cord-307357-qm456cik 157 56 or or CC cord-307357-qm456cik 157 57 pleural pleural JJ cord-307357-qm456cik 157 58 effusions effusion NNS cord-307357-qm456cik 157 59 . . . cord-307357-qm456cik 158 1 Additionally additionally RB cord-307357-qm456cik 158 2 , , , cord-307357-qm456cik 158 3 a a DT cord-307357-qm456cik 158 4 contemporary contemporary JJ cord-307357-qm456cik 158 5 scoring scoring NN cord-307357-qm456cik 158 6 system system NN cord-307357-qm456cik 158 7 / / SYM cord-307357-qm456cik 158 8 decision decision NN cord-307357-qm456cik 158 9 - - HYPH cord-307357-qm456cik 158 10 making make VBG cord-307357-qm456cik 158 11 tool tool NN cord-307357-qm456cik 158 12 should should MD cord-307357-qm456cik 158 13 be be VB cord-307357-qm456cik 158 14 proposed propose VBN cord-307357-qm456cik 158 15 and and CC cord-307357-qm456cik 158 16 further further RB cord-307357-qm456cik 158 17 studied study VBN cord-307357-qm456cik 158 18 to to TO cord-307357-qm456cik 158 19 aid aid VB cord-307357-qm456cik 158 20 clinicians clinician NNS cord-307357-qm456cik 158 21 in in IN cord-307357-qm456cik 158 22 earlier early JJR cord-307357-qm456cik 158 23 diagnosis diagnosis NN cord-307357-qm456cik 158 24 , , , cord-307357-qm456cik 158 25 especially especially RB cord-307357-qm456cik 158 26 in in IN cord-307357-qm456cik 158 27 the the DT cord-307357-qm456cik 158 28 ED ED NNP cord-307357-qm456cik 158 29 . . . cord-307357-qm456cik 159 1 IE IE NNP cord-307357-qm456cik 159 2 carries carry VBZ cord-307357-qm456cik 159 3 significant significant JJ cord-307357-qm456cik 159 4 mortality mortality NN cord-307357-qm456cik 159 5 and and CC cord-307357-qm456cik 159 6 would would MD cord-307357-qm456cik 159 7 justify justify VB cord-307357-qm456cik 159 8 an an DT cord-307357-qm456cik 159 9 aggressive aggressive JJ cord-307357-qm456cik 159 10 push push NN cord-307357-qm456cik 159 11 for for IN cord-307357-qm456cik 159 12 performing perform VBG cord-307357-qm456cik 159 13 TEE tee NN cord-307357-qm456cik 159 14 early early RB cord-307357-qm456cik 159 15 in in IN cord-307357-qm456cik 159 16 the the DT cord-307357-qm456cik 159 17 hospital hospital NN cord-307357-qm456cik 159 18 course course NN cord-307357-qm456cik 159 19 . . . cord-307357-qm456cik 160 1 Protocols protocol NNS cord-307357-qm456cik 160 2 should should MD cord-307357-qm456cik 160 3 be be VB cord-307357-qm456cik 160 4 established establish VBN cord-307357-qm456cik 160 5 to to TO cord-307357-qm456cik 160 6 facilitate facilitate VB cord-307357-qm456cik 160 7 this this DT cord-307357-qm456cik 160 8 process process NN cord-307357-qm456cik 160 9 Splenic Splenic NNP cord-307357-qm456cik 160 10 abscess abscess NN cord-307357-qm456cik 160 11 : : : cord-307357-qm456cik 160 12 a a DT cord-307357-qm456cik 160 13 single single JJ cord-307357-qm456cik 160 14 institution institution NN cord-307357-qm456cik 160 15 study study NN cord-307357-qm456cik 160 16 and and CC cord-307357-qm456cik 160 17 review review NN cord-307357-qm456cik 160 18 of of IN cord-307357-qm456cik 160 19 the the DT cord-307357-qm456cik 160 20 literature literature NN cord-307357-qm456cik 160 21 Splenic Splenic NNP cord-307357-qm456cik 160 22 abscess abscess NN cord-307357-qm456cik 160 23 associated associate VBN cord-307357-qm456cik 160 24 with with IN cord-307357-qm456cik 160 25 infective infective JJ cord-307357-qm456cik 160 26 endocarditis endocarditis NN cord-307357-qm456cik 160 27 ; ; : cord-307357-qm456cik 160 28 case case NN cord-307357-qm456cik 160 29 series series NN cord-307357-qm456cik 160 30 Splenic Splenic NNP cord-307357-qm456cik 160 31 abscess abscess NN cord-307357-qm456cik 160 32 : : : cord-307357-qm456cik 160 33 outcome outcome NN cord-307357-qm456cik 160 34 and and CC cord-307357-qm456cik 160 35 prognostic prognostic JJ cord-307357-qm456cik 160 36 factors factor NNS cord-307357-qm456cik 160 37 . . . cord-307357-qm456cik 161 1 Coll Coll NNP cord-307357-qm456cik 161 2 Physicians Physicians NNPS cord-307357-qm456cik 161 3 Surg Surg NNP cord-307357-qm456cik 161 4 Pak Pak NNP cord-307357-qm456cik 161 5 Infective Infective NNP cord-307357-qm456cik 161 6 endocarditis endocarditis NN cord-307357-qm456cik 161 7 : : : cord-307357-qm456cik 161 8 a a DT cord-307357-qm456cik 161 9 contemporary contemporary JJ cord-307357-qm456cik 161 10 update update NN cord-307357-qm456cik 161 11 Endocarditis Endocarditis NNP cord-307357-qm456cik 161 12 in in IN cord-307357-qm456cik 161 13 the the DT cord-307357-qm456cik 161 14 emergency emergency NN cord-307357-qm456cik 161 15 department department NN cord-307357-qm456cik 162 1 Diagnostic diagnostic JJ cord-307357-qm456cik 162 2 accuracy accuracy NN cord-307357-qm456cik 162 3 of of IN cord-307357-qm456cik 162 4 transthoracic transthoracic NN cord-307357-qm456cik 162 5 echocardiography echocardiography NN cord-307357-qm456cik 162 6 to to TO cord-307357-qm456cik 162 7 identify identify VB cord-307357-qm456cik 162 8 native native JJ cord-307357-qm456cik 162 9 valve valve NN cord-307357-qm456cik 162 10 infective infective JJ cord-307357-qm456cik 162 11 endocarditis endocarditis NN cord-307357-qm456cik 162 12 : : : cord-307357-qm456cik 162 13 a a DT cord-307357-qm456cik 162 14 systematic systematic JJ cord-307357-qm456cik 162 15 review review NN cord-307357-qm456cik 162 16 and and CC cord-307357-qm456cik 162 17 meta meta NNP cord-307357-qm456cik 162 18 - - HYPH cord-307357-qm456cik 162 19 analysis analysis NN cord-307357-qm456cik 162 20 Early early JJ cord-307357-qm456cik 162 21 surgery surgery NN cord-307357-qm456cik 162 22 versus versus IN cord-307357-qm456cik 162 23 conventional conventional JJ cord-307357-qm456cik 162 24 treatment treatment NN cord-307357-qm456cik 162 25 for for IN cord-307357-qm456cik 162 26 infective infective JJ cord-307357-qm456cik 162 27 endocarditis endocarditis JJ cord-307357-qm456cik 162 28 Human human JJ cord-307357-qm456cik 162 29 subjects subject NNS cord-307357-qm456cik 163 1 : : : cord-307357-qm456cik 163 2 Consent Consent NNP cord-307357-qm456cik 163 3 was be VBD cord-307357-qm456cik 163 4 obtained obtain VBN cord-307357-qm456cik 163 5 by by IN cord-307357-qm456cik 163 6 all all DT cord-307357-qm456cik 163 7 participants participant NNS cord-307357-qm456cik 163 8 in in IN cord-307357-qm456cik 163 9 this this DT cord-307357-qm456cik 163 10 study study NN cord-307357-qm456cik 163 11 . . . cord-307357-qm456cik 164 1 Conflicts conflict NNS cord-307357-qm456cik 164 2 of of IN cord-307357-qm456cik 164 3 interest interest NN cord-307357-qm456cik 164 4 : : : cord-307357-qm456cik 164 5 In in IN cord-307357-qm456cik 164 6 compliance compliance NN cord-307357-qm456cik 164 7 with with IN cord-307357-qm456cik 164 8 the the DT cord-307357-qm456cik 164 9 ICMJE ICMJE NNP cord-307357-qm456cik 164 10 uniform uniform JJ cord-307357-qm456cik 164 11 disclosure disclosure NN cord-307357-qm456cik 164 12 form form NN cord-307357-qm456cik 164 13 , , , cord-307357-qm456cik 164 14 all all DT cord-307357-qm456cik 164 15 authors author NNS cord-307357-qm456cik 164 16 declare declare VBP cord-307357-qm456cik 164 17 the the DT cord-307357-qm456cik 164 18 following follow VBG cord-307357-qm456cik 164 19 : : : cord-307357-qm456cik 164 20 Payment payment NN cord-307357-qm456cik 164 21 / / SYM cord-307357-qm456cik 164 22 services service NNS cord-307357-qm456cik 164 23 info info NN cord-307357-qm456cik 164 24 : : : cord-307357-qm456cik 164 25 All all DT cord-307357-qm456cik 164 26 authors author NNS cord-307357-qm456cik 164 27 have have VBP cord-307357-qm456cik 164 28 declared declare VBN cord-307357-qm456cik 164 29 that that IN cord-307357-qm456cik 164 30 no no DT cord-307357-qm456cik 164 31 financial financial JJ cord-307357-qm456cik 164 32 support support NN cord-307357-qm456cik 164 33 was be VBD cord-307357-qm456cik 164 34 received receive VBN cord-307357-qm456cik 164 35 from from IN cord-307357-qm456cik 164 36 any any DT cord-307357-qm456cik 164 37 organization organization NN cord-307357-qm456cik 164 38 for for IN cord-307357-qm456cik 164 39 the the DT cord-307357-qm456cik 164 40 submitted submit VBN cord-307357-qm456cik 164 41 work work NN cord-307357-qm456cik 164 42 . . . cord-307357-qm456cik 165 1 Financial financial JJ cord-307357-qm456cik 165 2 relationships relationship NNS cord-307357-qm456cik 165 3 : : : cord-307357-qm456cik 165 4 All all DT cord-307357-qm456cik 165 5 authors author NNS cord-307357-qm456cik 165 6 have have VBP cord-307357-qm456cik 165 7 declared declare VBN cord-307357-qm456cik 165 8 that that IN cord-307357-qm456cik 165 9 they -PRON- PRP cord-307357-qm456cik 165 10 have have VBP cord-307357-qm456cik 165 11 no no DT cord-307357-qm456cik 165 12 financial financial JJ cord-307357-qm456cik 165 13 relationships relationship NNS cord-307357-qm456cik 165 14 at at IN cord-307357-qm456cik 165 15 present present JJ cord-307357-qm456cik 165 16 or or CC cord-307357-qm456cik 165 17 within within IN cord-307357-qm456cik 165 18 the the DT cord-307357-qm456cik 165 19 previous previous JJ cord-307357-qm456cik 165 20 three three CD cord-307357-qm456cik 165 21 years year NNS cord-307357-qm456cik 165 22 with with IN cord-307357-qm456cik 165 23 any any DT cord-307357-qm456cik 165 24 organizations organization NNS cord-307357-qm456cik 165 25 that that WDT cord-307357-qm456cik 165 26 might may MD cord-307357-qm456cik 165 27 have have VB cord-307357-qm456cik 165 28 an an DT cord-307357-qm456cik 165 29 interest interest NN cord-307357-qm456cik 165 30 in in IN cord-307357-qm456cik 165 31 the the DT cord-307357-qm456cik 165 32 submitted submit VBN cord-307357-qm456cik 165 33 work work NN cord-307357-qm456cik 165 34 . . . cord-307357-qm456cik 166 1 Other other JJ cord-307357-qm456cik 166 2 relationships relationship NNS cord-307357-qm456cik 166 3 : : : cord-307357-qm456cik 166 4 All all DT cord-307357-qm456cik 166 5 authors author NNS cord-307357-qm456cik 166 6 have have VBP cord-307357-qm456cik 166 7 declared declare VBN cord-307357-qm456cik 166 8 that that IN cord-307357-qm456cik 166 9 there there EX cord-307357-qm456cik 166 10 are be VBP cord-307357-qm456cik 166 11 no no DT cord-307357-qm456cik 166 12 other other JJ cord-307357-qm456cik 166 13 relationships relationship NNS cord-307357-qm456cik 166 14 or or CC cord-307357-qm456cik 166 15 activities activity NNS cord-307357-qm456cik 166 16 that that WDT cord-307357-qm456cik 166 17 could could MD cord-307357-qm456cik 166 18 appear appear VB cord-307357-qm456cik 166 19 to to TO cord-307357-qm456cik 166 20 have have VB cord-307357-qm456cik 166 21 influenced influence VBN cord-307357-qm456cik 166 22 the the DT cord-307357-qm456cik 166 23 submitted submit VBN cord-307357-qm456cik 166 24 work work NN cord-307357-qm456cik 166 25 . . .