id	sid	tid	token	lemma	pos
ecj-13852	1	1	hrev_master	hrev_master	NOUN
ecj-13852	2	1	[	[	X
ecj-13852	2	2	page	page	NOUN
ecj-13852	2	3	14	14	NUM
ecj-13852	2	4	]	]	PUNCT
ecj-13852	3	1	[	[	X
ecj-13852	3	2	emergency	emergency	NOUN
ecj-13852	3	3	care	care	NOUN
ecj-13852	3	4	journal	journal	NOUN
ecj-13852	3	5	2025	2025	NUM
ecj-13852	3	6	;	;	PUNCT
ecj-13852	3	7	21:13852	21:13852	NUM
ecj-13852	3	8	]	]	X
ecj-13852	3	9	emergency	emergency	NOUN
ecj-13852	3	10	care	care	NOUN
ecj-13852	3	11	journal	journal	PROPN
ecj-13852	3	12	2025	2025	NUM
ecj-13852	3	13	volume	volume	NOUN
ecj-13852	3	14	21:13852	21:13852	NUM
ecj-13852	3	15	abstract	abstract	ADJ
ecj-13852	3	16	clostridium	clostridium	NOUN
ecj-13852	3	17	difficile	difficile	ADJ
ecj-13852	3	18	infection	infection	NOUN
ecj-13852	3	19	(	(	PUNCT
ecj-13852	3	20	cdi	cdi	PROPN
ecj-13852	3	21	)	)	PUNCT
ecj-13852	3	22	is	be	AUX
ecj-13852	3	23	a	a	DET
ecj-13852	3	24	prevalent	prevalent	ADJ
ecj-13852	3	25	healthcareassociated	healthcareassociate	VERB
ecj-13852	3	26	infection	infection	NOUN
ecj-13852	3	27	primarily	primarily	ADV
ecj-13852	3	28	affecting	affect	VERB
ecj-13852	3	29	the	the	DET
ecj-13852	3	30	gastrointestinal	gastrointestinal	ADJ
ecj-13852	3	31	tract	tract	NOUN
ecj-13852	3	32	.	.	PUNCT
ecj-13852	4	1	however	however	ADV
ecj-13852	4	2	,	,	PUNCT
ecj-13852	4	3	extraintestinal	extraintestinal	ADJ
ecj-13852	4	4	manifestations	manifestation	NOUN
ecj-13852	4	5	,	,	PUNCT
ecj-13852	4	6	such	such	ADJ
ecj-13852	4	7	as	as	ADP
ecj-13852	4	8	abscess	abscess	ADJ
ecj-13852	4	9	formation	formation	NOUN
ecj-13852	4	10	,	,	PUNCT
ecj-13852	4	11	are	be	AUX
ecj-13852	4	12	rare	rare	ADJ
ecj-13852	4	13	and	and	CCONJ
ecj-13852	4	14	pose	pose	VERB
ecj-13852	4	15	significant	significant	ADJ
ecj-13852	4	16	diagnostic	diagnostic	ADJ
ecj-13852	4	17	and	and	CCONJ
ecj-13852	4	18	therapeutic	therapeutic	ADJ
ecj-13852	4	19	challenges	challenge	NOUN
ecj-13852	4	20	.	.	PUNCT
ecj-13852	5	1	furthermore	furthermore	ADV
ecj-13852	5	2	,	,	PUNCT
ecj-13852	5	3	clostridium	clostridium	NOUN
ecj-13852	5	4	difficile	difficile	ADJ
ecj-13852	5	5	-	-	PUNCT
ecj-13852	5	6	associated	associate	VERB
ecj-13852	5	7	leukemoid	leukemoid	ADJ
ecj-13852	5	8	reactions	reaction	NOUN
ecj-13852	5	9	(	(	PUNCT
ecj-13852	5	10	lr	lr	NOUN
ecj-13852	5	11	)	)	PUNCT
ecj-13852	5	12	are	be	AUX
ecj-13852	5	13	infrequent	infrequent	ADJ
ecj-13852	5	14	and	and	CCONJ
ecj-13852	5	15	often	often	ADV
ecj-13852	5	16	indicative	indicative	ADJ
ecj-13852	5	17	of	of	ADP
ecj-13852	5	18	severe	severe	ADJ
ecj-13852	5	19	disease	disease	NOUN
ecj-13852	5	20	with	with	ADP
ecj-13852	5	21	poor	poor	ADJ
ecj-13852	5	22	prognostic	prognostic	ADJ
ecj-13852	5	23	implications	implication	NOUN
ecj-13852	5	24	.	.	PUNCT
ecj-13852	6	1	this	this	DET
ecj-13852	6	2	report	report	NOUN
ecj-13852	6	3	presents	present	VERB
ecj-13852	6	4	a	a	DET
ecj-13852	6	5	rare	rare	ADJ
ecj-13852	6	6	case	case	NOUN
ecj-13852	6	7	of	of	ADP
ecj-13852	6	8	an	an	DET
ecj-13852	6	9	extraintestinal	extraintestinal	ADJ
ecj-13852	6	10	cdi	cdi	NOUN
ecj-13852	6	11	manifesting	manifest	VERB
ecj-13852	6	12	as	as	ADP
ecj-13852	6	13	an	an	DET
ecj-13852	6	14	abscess	abscess	NOUN
ecj-13852	6	15	accompanied	accompany	VERB
ecj-13852	6	16	by	by	ADP
ecj-13852	6	17	a	a	DET
ecj-13852	6	18	leukemoid	leukemoid	ADJ
ecj-13852	6	19	reaction	reaction	NOUN
ecj-13852	6	20	.	.	PUNCT
ecj-13852	7	1	a	a	DET
ecj-13852	7	2	50	50	NUM
ecj-13852	7	3	-	-	PUNCT
ecj-13852	7	4	year	year	NOUN
ecj-13852	7	5	-	-	PUNCT
ecj-13852	7	6	old	old	ADJ
ecj-13852	7	7	male	male	NOUN
ecj-13852	7	8	presented	present	VERB
ecj-13852	7	9	with	with	ADP
ecj-13852	7	10	a	a	DET
ecj-13852	7	11	fever	fever	NOUN
ecj-13852	7	12	and	and	CCONJ
ecj-13852	7	13	gait	gait	ADJ
ecj-13852	7	14	imbalance	imbalance	NOUN
ecj-13852	7	15	.	.	PUNCT
ecj-13852	8	1	clinical	clinical	ADJ
ecj-13852	8	2	examination	examination	NOUN
ecj-13852	8	3	revealed	reveal	VERB
ecj-13852	8	4	a	a	DET
ecj-13852	8	5	febrile	febrile	NOUN
ecj-13852	8	6	,	,	PUNCT
ecj-13852	8	7	hemodynamically	hemodynamically	ADV
ecj-13852	8	8	unstable	unstable	ADJ
ecj-13852	8	9	patient	patient	NOUN
ecj-13852	8	10	with	with	ADP
ecj-13852	8	11	an	an	DET
ecj-13852	8	12	inflamed	inflame	VERB
ecj-13852	8	13	abscess	abscess	NOUN
ecj-13852	8	14	in	in	ADP
ecj-13852	8	15	the	the	DET
ecj-13852	8	16	right	right	ADJ
ecj-13852	8	17	lumbar	lumbar	NOUN
ecj-13852	8	18	region	region	NOUN
ecj-13852	8	19	.	.	PUNCT
ecj-13852	9	1	laboratory	laboratory	NOUN
ecj-13852	9	2	investigations	investigation	NOUN
ecj-13852	9	3	demonstrated	demonstrate	VERB
ecj-13852	9	4	marked	mark	VERB
ecj-13852	9	5	leukocytosis	leukocytosis	NOUN
ecj-13852	9	6	and	and	CCONJ
ecj-13852	9	7	thrombocytosis	thrombocytosis	NOUN
ecj-13852	9	8	.	.	PUNCT
ecj-13852	10	1	despite	despite	SCONJ
ecj-13852	10	2	initial	initial	ADJ
ecj-13852	10	3	empirical	empirical	ADJ
ecj-13852	10	4	antimicrobial	antimicrobial	ADJ
ecj-13852	10	5	therapy	therapy	NOUN
ecj-13852	10	6	with	with	ADP
ecj-13852	10	7	intravenous	intravenous	ADJ
ecj-13852	10	8	piperacillin	piperacillin	NOUN
ecj-13852	10	9	-	-	PUNCT
ecj-13852	10	10	tazobactam	tazobactam	NOUN
ecj-13852	10	11	and	and	CCONJ
ecj-13852	10	12	clindamycin	clindamycin	NOUN
ecj-13852	10	13	,	,	PUNCT
ecj-13852	10	14	the	the	DET
ecj-13852	10	15	patient	patient	NOUN
ecj-13852	10	16	exhibited	exhibit	VERB
ecj-13852	10	17	persistent	persistent	ADJ
ecj-13852	10	18	fever	fever	NOUN
ecj-13852	10	19	and	and	CCONJ
ecj-13852	10	20	progressive	progressive	ADJ
ecj-13852	10	21	leukocytosis	leukocytosis	NOUN
ecj-13852	10	22	.	.	PUNCT
ecj-13852	11	1	surgical	surgical	ADJ
ecj-13852	11	2	drainage	drainage	NOUN
ecj-13852	11	3	of	of	ADP
ecj-13852	11	4	the	the	DET
ecj-13852	11	5	abscess	abscess	NOUN
ecj-13852	11	6	was	be	AUX
ecj-13852	11	7	performed	perform	VERB
ecj-13852	11	8	,	,	PUNCT
ecj-13852	11	9	and	and	CCONJ
ecj-13852	11	10	microbiological	microbiological	ADJ
ecj-13852	11	11	analysis	analysis	NOUN
ecj-13852	11	12	identified	identify	VERB
ecj-13852	11	13	clostridium	clostridium	NOUN
ecj-13852	11	14	difficile	difficile	NOUN
ecj-13852	11	15	.	.	PUNCT
ecj-13852	12	1	the	the	DET
ecj-13852	12	2	antimicrobial	antimicrobial	ADJ
ecj-13852	12	3	regimen	regimen	NOUN
ecj-13852	12	4	was	be	AUX
ecj-13852	12	5	modified	modify	VERB
ecj-13852	12	6	to	to	PART
ecj-13852	12	7	include	include	VERB
ecj-13852	12	8	intravenous	intravenous	ADJ
ecj-13852	12	9	metronidazole	metronidazole	NOUN
ecj-13852	12	10	and	and	CCONJ
ecj-13852	12	11	vancomycin	vancomycin	PROPN
ecj-13852	12	12	,	,	PUNCT
ecj-13852	12	13	resulting	result	VERB
ecj-13852	12	14	in	in	ADP
ecj-13852	12	15	clinical	clinical	ADJ
ecj-13852	12	16	improvement	improvement	NOUN
ecj-13852	12	17	and	and	CCONJ
ecj-13852	12	18	subsequent	subsequent	ADJ
ecj-13852	12	19	normalization	normalization	NOUN
ecj-13852	12	20	of	of	ADP
ecj-13852	12	21	leukocyte	leukocyte	NOUN
ecj-13852	12	22	counts	count	NOUN
ecj-13852	12	23	.	.	PUNCT
ecj-13852	13	1	the	the	DET
ecj-13852	13	2	patient	patient	NOUN
ecj-13852	13	3	made	make	VERB
ecj-13852	13	4	a	a	DET
ecj-13852	13	5	complete	complete	ADJ
ecj-13852	13	6	recovery	recovery	NOUN
ecj-13852	13	7	and	and	CCONJ
ecj-13852	13	8	was	be	AUX
ecj-13852	13	9	subsequently	subsequently	ADV
ecj-13852	13	10	discharged	discharge	VERB
ecj-13852	13	11	.	.	PUNCT
ecj-13852	14	1	this	this	DET
ecj-13852	14	2	case	case	NOUN
ecj-13852	14	3	underscores	underscore	VERB
ecj-13852	14	4	the	the	DET
ecj-13852	14	5	importance	importance	NOUN
ecj-13852	14	6	of	of	ADP
ecj-13852	14	7	considering	consider	VERB
ecj-13852	14	8	atypical	atypical	ADJ
ecj-13852	14	9	presentations	presentation	NOUN
ecj-13852	14	10	of	of	ADP
ecj-13852	14	11	cdi	cdi	PROPN
ecj-13852	14	12	,	,	PUNCT
ecj-13852	14	13	particularly	particularly	ADV
ecj-13852	14	14	in	in	ADP
ecj-13852	14	15	the	the	DET
ecj-13852	14	16	absence	absence	NOUN
ecj-13852	14	17	of	of	ADP
ecj-13852	14	18	classical	classical	ADJ
ecj-13852	14	19	gastrointestinal	gastrointestinal	ADJ
ecj-13852	14	20	symptoms	symptom	NOUN
ecj-13852	14	21	.	.	PUNCT
ecj-13852	15	1	early	early	ADJ
ecj-13852	15	2	recognition	recognition	NOUN
ecj-13852	15	3	,	,	PUNCT
ecj-13852	15	4	prompt	prompt	ADJ
ecj-13852	15	5	surgical	surgical	ADJ
ecj-13852	15	6	intervention	intervention	NOUN
ecj-13852	15	7	,	,	PUNCT
ecj-13852	15	8	and	and	CCONJ
ecj-13852	15	9	targeted	target	VERB
ecj-13852	15	10	antimicrobial	antimicrobial	ADJ
ecj-13852	15	11	therapy	therapy	NOUN
ecj-13852	15	12	are	be	AUX
ecj-13852	15	13	critical	critical	ADJ
ecj-13852	15	14	for	for	ADP
ecj-13852	15	15	favorable	favorable	ADJ
ecj-13852	15	16	clinical	clinical	ADJ
ecj-13852	15	17	outcomes	outcome	NOUN
ecj-13852	15	18	.	.	PUNCT
ecj-13852	16	1	this	this	DET
ecj-13852	16	2	report	report	NOUN
ecj-13852	16	3	highlights	highlight	VERB
ecj-13852	16	4	the	the	DET
ecj-13852	16	5	need	need	NOUN
ecj-13852	16	6	for	for	ADP
ecj-13852	16	7	heightened	heightened	ADJ
ecj-13852	16	8	clinical	clinical	ADJ
ecj-13852	16	9	awareness	awareness	NOUN
ecj-13852	16	10	regarding	regard	VERB
ecj-13852	16	11	atypical	atypical	ADJ
ecj-13852	16	12	presentations	presentation	NOUN
ecj-13852	16	13	of	of	ADP
ecj-13852	16	14	cdi	cdi	PROPN
ecj-13852	16	15	to	to	PART
ecj-13852	16	16	ensure	ensure	VERB
ecj-13852	16	17	prompt	prompt	ADJ
ecj-13852	16	18	diagnosis	diagnosis	NOUN
ecj-13852	16	19	and	and	CCONJ
ecj-13852	16	20	optimal	optimal	ADJ
ecj-13852	16	21	patient	patient	ADJ
ecj-13852	16	22	outcomes	outcome	NOUN
ecj-13852	16	23	.	.	PUNCT
ecj-13852	17	1	introduction	introduction	NOUN
ecj-13852	17	2	clostridium	clostridium	NOUN
ecj-13852	17	3	difficile	difficile	ADJ
ecj-13852	17	4	infection	infection	NOUN
ecj-13852	17	5	(	(	PUNCT
ecj-13852	17	6	cdi	cdi	PROPN
ecj-13852	17	7	)	)	PUNCT
ecj-13852	17	8	is	be	AUX
ecj-13852	17	9	the	the	DET
ecj-13852	17	10	most	most	ADV
ecj-13852	17	11	common	common	ADJ
ecj-13852	17	12	healthcare	healthcare	NOUN
ecj-13852	17	13	-	-	PUNCT
ecj-13852	17	14	associated	associate	VERB
ecj-13852	17	15	infection	infection	NOUN
ecj-13852	17	16	,	,	PUNCT
ecj-13852	17	17	capable	capable	ADJ
ecj-13852	17	18	of	of	ADP
ecj-13852	17	19	causing	cause	VERB
ecj-13852	17	20	outbreaks	outbreak	NOUN
ecj-13852	17	21	,	,	PUNCT
ecj-13852	17	22	posing	pose	VERB
ecj-13852	17	23	significant	significant	ADJ
ecj-13852	17	24	treatment	treatment	NOUN
ecj-13852	17	25	challenges	challenge	NOUN
ecj-13852	17	26	,	,	PUNCT
ecj-13852	17	27	increasing	increase	VERB
ecj-13852	17	28	healthcare	healthcare	NOUN
ecj-13852	17	29	costs	cost	NOUN
ecj-13852	17	30	,	,	PUNCT
ecj-13852	17	31	and	and	CCONJ
ecj-13852	17	32	contributing	contribute	VERB
ecj-13852	17	33	substantially	substantially	ADV
ecj-13852	17	34	to	to	ADP
ecj-13852	17	35	morbidity	morbidity	NOUN
ecj-13852	17	36	and	and	CCONJ
ecj-13852	17	37	mortality	mortality	NOUN
ecj-13852	17	38	among	among	ADP
ecj-13852	17	39	hospitalized	hospitalize	VERB
ecj-13852	17	40	patients.1	patients.1	NOUN
ecj-13852	17	41	while	while	SCONJ
ecj-13852	17	42	intestinal	intestinal	ADJ
ecj-13852	17	43	cdi	cdi	PROPN
ecj-13852	17	44	is	be	AUX
ecj-13852	17	45	well	well	ADV
ecj-13852	17	46	documented	document	VERB
ecj-13852	17	47	,	,	PUNCT
ecj-13852	17	48	correspondence	correspondence	NOUN
ecj-13852	17	49	:	:	PUNCT
ecj-13852	17	50	asif	asif	PROPN
ecj-13852	17	51	dabeer	dabeer	PROPN
ecj-13852	17	52	jafri	jafri	PROPN
ecj-13852	17	53	,	,	PUNCT
ecj-13852	17	54	department	department	NOUN
ecj-13852	17	55	of	of	ADP
ecj-13852	17	56	emergency	emergency	NOUN
ecj-13852	17	57	medicine	medicine	NOUN
ecj-13852	17	58	and	and	CCONJ
ecj-13852	17	59	tele	tele	PROPN
ecj-13852	17	60	-	-	PUNCT
ecj-13852	17	61	icu	icu	PROPN
ecj-13852	17	62	service	service	PROPN
ecj-13852	17	63	,	,	PUNCT
ecj-13852	17	64	sanjay	sanjay	PROPN
ecj-13852	17	65	gandhi	gandhi	PROPN
ecj-13852	17	66	post	post	PROPN
ecj-13852	17	67	graduate	graduate	PROPN
ecj-13852	17	68	institute	institute	PROPN
ecj-13852	17	69	of	of	ADP
ecj-13852	17	70	medical	medical	ADJ
ecj-13852	17	71	sciences	sciences	PROPN
ecj-13852	17	72	,	,	PUNCT
ecj-13852	17	73	lucknow	lucknow	PROPN
ecj-13852	17	74	,	,	PUNCT
ecj-13852	17	75	uttar	uttar	PROPN
ecj-13852	17	76	pradesh	pradesh	PROPN
ecj-13852	17	77	,	,	PUNCT
ecj-13852	17	78	india	india	PROPN
ecj-13852	17	79	.	.	PUNCT
ecj-13852	18	1	e	e	X
ecj-13852	18	2	-	-	NOUN
ecj-13852	18	3	mail	mail	NOUN
ecj-13852	18	4	:	:	PUNCT
ecj-13852	18	5	asif_jafri2003@yahoo.co.in	asif_jafri2003@yahoo.co.in	X
ecj-13852	18	6	key	key	ADJ
ecj-13852	18	7	words	word	NOUN
ecj-13852	18	8	:	:	PUNCT
ecj-13852	18	9	clostridium	clostridium	NOUN
ecj-13852	18	10	difficile	difficile	ADJ
ecj-13852	18	11	infection	infection	NOUN
ecj-13852	18	12	,	,	PUNCT
ecj-13852	18	13	abscess	abscess	NOUN
ecj-13852	18	14	,	,	PUNCT
ecj-13852	18	15	leukemoid	leukemoid	ADJ
ecj-13852	18	16	reaction	reaction	NOUN
ecj-13852	18	17	.	.	PUNCT
ecj-13852	19	1	conflict	conflict	NOUN
ecj-13852	19	2	of	of	ADP
ecj-13852	19	3	interest	interest	NOUN
ecj-13852	19	4	:	:	PUNCT
ecj-13852	19	5	the	the	DET
ecj-13852	19	6	authors	author	NOUN
ecj-13852	19	7	declare	declare	VERB
ecj-13852	19	8	no	no	DET
ecj-13852	19	9	conflict	conflict	NOUN
ecj-13852	19	10	of	of	ADP
ecj-13852	19	11	interest	interest	NOUN
ecj-13852	19	12	.	.	PUNCT
ecj-13852	20	1	funding	funding	NOUN
ecj-13852	20	2	:	:	PUNCT
ecj-13852	20	3	none	none	NOUN
ecj-13852	20	4	.	.	PUNCT
ecj-13852	21	1	ethics	ethic	NOUN
ecj-13852	21	2	approval	approval	NOUN
ecj-13852	21	3	and	and	CCONJ
ecj-13852	21	4	consent	consent	NOUN
ecj-13852	21	5	to	to	PART
ecj-13852	21	6	participate	participate	VERB
ecj-13852	21	7	:	:	PUNCT
ecj-13852	21	8	no	no	DET
ecj-13852	21	9	ethical	ethical	ADJ
ecj-13852	21	10	committee	committee	NOUN
ecj-13852	21	11	approval	approval	NOUN
ecj-13852	21	12	was	be	AUX
ecj-13852	21	13	required	require	VERB
ecj-13852	21	14	for	for	ADP
ecj-13852	21	15	this	this	DET
ecj-13852	21	16	case	case	NOUN
ecj-13852	21	17	report	report	NOUN
ecj-13852	21	18	by	by	ADP
ecj-13852	21	19	the	the	DET
ecj-13852	21	20	department	department	NOUN
ecj-13852	21	21	,	,	PUNCT
ecj-13852	21	22	because	because	SCONJ
ecj-13852	21	23	this	this	DET
ecj-13852	21	24	article	article	NOUN
ecj-13852	21	25	does	do	AUX
ecj-13852	21	26	not	not	PART
ecj-13852	21	27	contain	contain	VERB
ecj-13852	21	28	any	any	DET
ecj-13852	21	29	studies	study	NOUN
ecj-13852	21	30	with	with	ADP
ecj-13852	21	31	human	human	ADJ
ecj-13852	21	32	participants	participant	NOUN
ecj-13852	21	33	or	or	CCONJ
ecj-13852	21	34	animals	animal	NOUN
ecj-13852	21	35	.	.	PUNCT
ecj-13852	22	1	informed	inform	VERB
ecj-13852	22	2	consent	consent	NOUN
ecj-13852	22	3	was	be	AUX
ecj-13852	22	4	obtained	obtain	VERB
ecj-13852	22	5	from	from	ADP
ecj-13852	22	6	the	the	DET
ecj-13852	22	7	patient	patient	NOUN
ecj-13852	22	8	included	include	VERB
ecj-13852	22	9	in	in	ADP
ecj-13852	22	10	this	this	DET
ecj-13852	22	11	study	study	NOUN
ecj-13852	22	12	.	.	PUNCT
ecj-13852	23	1	patient	patient	ADJ
ecj-13852	23	2	consent	consent	NOUN
ecj-13852	23	3	for	for	ADP
ecj-13852	23	4	publication	publication	NOUN
ecj-13852	23	5	:	:	PUNCT
ecj-13852	23	6	the	the	DET
ecj-13852	23	7	patient	patient	NOUN
ecj-13852	23	8	gave	give	VERB
ecj-13852	23	9	his	his	PRON
ecj-13852	23	10	written	write	VERB
ecj-13852	23	11	consent	consent	NOUN
ecj-13852	23	12	to	to	PART
ecj-13852	23	13	use	use	VERB
ecj-13852	23	14	his	his	PRON
ecj-13852	23	15	personal	personal	ADJ
ecj-13852	23	16	data	datum	NOUN
ecj-13852	23	17	for	for	ADP
ecj-13852	23	18	the	the	DET
ecj-13852	23	19	publication	publication	NOUN
ecj-13852	23	20	of	of	ADP
ecj-13852	23	21	this	this	DET
ecj-13852	23	22	case	case	NOUN
ecj-13852	23	23	report	report	NOUN
ecj-13852	23	24	and	and	CCONJ
ecj-13852	23	25	any	any	DET
ecj-13852	23	26	accompanying	accompanying	ADJ
ecj-13852	23	27	images	image	NOUN
ecj-13852	23	28	.	.	PUNCT
ecj-13852	24	1	availability	availability	NOUN
ecj-13852	24	2	of	of	ADP
ecj-13852	24	3	data	datum	NOUN
ecj-13852	24	4	and	and	CCONJ
ecj-13852	24	5	materials	material	NOUN
ecj-13852	24	6	:	:	PUNCT
ecj-13852	24	7	all	all	DET
ecj-13852	24	8	data	datum	NOUN
ecj-13852	24	9	underlying	underlie	VERB
ecj-13852	24	10	the	the	DET
ecj-13852	24	11	findings	finding	NOUN
ecj-13852	24	12	are	be	AUX
ecj-13852	24	13	fully	fully	ADV
ecj-13852	24	14	available	available	ADJ
ecj-13852	24	15	.	.	PUNCT
ecj-13852	25	1	received	receive	VERB
ecj-13852	25	2	:	:	PUNCT
ecj-13852	25	3	17	17	NUM
ecj-13852	25	4	april	april	PROPN
ecj-13852	25	5	2025	2025	NUM
ecj-13852	25	6	.	.	PUNCT
ecj-13852	26	1	accepted	accept	VERB
ecj-13852	26	2	:	:	PUNCT
ecj-13852	26	3	11	11	NUM
ecj-13852	26	4	july	july	NOUN
ecj-13852	26	5	2025	2025	NUM
ecj-13852	26	6	.	.	PUNCT
ecj-13852	27	1	early	early	ADJ
ecj-13852	27	2	view	view	NOUN
ecj-13852	27	3	:	:	PUNCT
ecj-13852	27	4	1	1	NUM
ecj-13852	27	5	september	september	PROPN
ecj-13852	27	6	2025	2025	NUM
ecj-13852	27	7	.	.	PUNCT
ecj-13852	28	1	this	this	DET
ecj-13852	28	2	work	work	NOUN
ecj-13852	28	3	is	be	AUX
ecj-13852	28	4	licensed	license	VERB
ecj-13852	28	5	under	under	ADP
ecj-13852	28	6	a	a	DET
ecj-13852	28	7	creative	creative	ADJ
ecj-13852	28	8	commons	common	NOUN
ecj-13852	28	9	attribution	attribution	NOUN
ecj-13852	28	10	4.0	4.0	NUM
ecj-13852	28	11	license	license	NOUN
ecj-13852	28	12	(	(	PUNCT
ecj-13852	28	13	by	by	ADP
ecj-13852	28	14	-	-	PUNCT
ecj-13852	28	15	nc	nc	PROPN
ecj-13852	28	16	4.0	4.0	NUM
ecj-13852	28	17	)	)	PUNCT
ecj-13852	28	18	.	.	PUNCT
ecj-13852	29	1	©	©	PROPN
ecj-13852	29	2	copyright	copyright	NOUN
ecj-13852	29	3	:	:	PUNCT
ecj-13852	29	4	the	the	DET
ecj-13852	29	5	author(s	author(s	PROPN
ecj-13852	29	6	)	)	PUNCT
ecj-13852	29	7	,	,	PUNCT
ecj-13852	29	8	2025	2025	NUM
ecj-13852	29	9	licensee	licensee	NOUN
ecj-13852	29	10	pagepress	pagepress	NOUN
ecj-13852	29	11	,	,	PUNCT
ecj-13852	29	12	italy	italy	PROPN
ecj-13852	29	13	emergency	emergency	PROPN
ecj-13852	29	14	care	care	PROPN
ecj-13852	29	15	journal	journal	PROPN
ecj-13852	29	16	2025	2025	NUM
ecj-13852	29	17	;	;	PUNCT
ecj-13852	29	18	21:13852	21:13852	PROPN
ecj-13852	29	19	doi:10.4081	doi:10.4081	PROPN
ecj-13852	29	20	/	/	SYM
ecj-13852	29	21	ecj.2025.13852	ecj.2025.13852	PROPN
ecj-13852	29	22	publisher	publisher	NOUN
ecj-13852	29	23	's	's	PART
ecj-13852	29	24	note	note	NOUN
ecj-13852	29	25	:	:	PUNCT
ecj-13852	29	26	all	all	DET
ecj-13852	29	27	claims	claim	NOUN
ecj-13852	29	28	expressed	express	VERB
ecj-13852	29	29	in	in	ADP
ecj-13852	29	30	this	this	DET
ecj-13852	29	31	article	article	NOUN
ecj-13852	29	32	are	be	AUX
ecj-13852	29	33	solely	solely	ADV
ecj-13852	29	34	those	those	PRON
ecj-13852	29	35	of	of	ADP
ecj-13852	29	36	the	the	DET
ecj-13852	29	37	authors	author	NOUN
ecj-13852	29	38	and	and	CCONJ
ecj-13852	29	39	do	do	AUX
ecj-13852	29	40	not	not	PART
ecj-13852	29	41	necessarily	necessarily	ADV
ecj-13852	29	42	represent	represent	VERB
ecj-13852	29	43	those	those	PRON
ecj-13852	29	44	of	of	ADP
ecj-13852	29	45	their	their	PRON
ecj-13852	29	46	affiliated	affiliated	ADJ
ecj-13852	29	47	organizations	organization	NOUN
ecj-13852	29	48	,	,	PUNCT
ecj-13852	29	49	or	or	CCONJ
ecj-13852	29	50	those	those	PRON
ecj-13852	29	51	of	of	ADP
ecj-13852	29	52	the	the	DET
ecj-13852	29	53	publisher	publisher	NOUN
ecj-13852	29	54	,	,	PUNCT
ecj-13852	29	55	the	the	DET
ecj-13852	29	56	editors	editor	NOUN
ecj-13852	29	57	and	and	CCONJ
ecj-13852	29	58	the	the	DET
ecj-13852	29	59	reviewers	reviewer	NOUN
ecj-13852	29	60	.	.	PUNCT
ecj-13852	30	1	any	any	DET
ecj-13852	30	2	product	product	NOUN
ecj-13852	30	3	that	that	PRON
ecj-13852	30	4	may	may	AUX
ecj-13852	30	5	be	be	AUX
ecj-13852	30	6	evaluated	evaluate	VERB
ecj-13852	30	7	in	in	ADP
ecj-13852	30	8	this	this	DET
ecj-13852	30	9	article	article	NOUN
ecj-13852	30	10	or	or	CCONJ
ecj-13852	30	11	claim	claim	NOUN
ecj-13852	30	12	that	that	PRON
ecj-13852	30	13	may	may	AUX
ecj-13852	30	14	be	be	AUX
ecj-13852	30	15	made	make	VERB
ecj-13852	30	16	by	by	ADP
ecj-13852	30	17	its	its	PRON
ecj-13852	30	18	manufacturer	manufacturer	NOUN
ecj-13852	30	19	is	be	AUX
ecj-13852	30	20	not	not	PART
ecj-13852	30	21	guaranteed	guarantee	VERB
ecj-13852	30	22	or	or	CCONJ
ecj-13852	30	23	endorsed	endorse	VERB
ecj-13852	30	24	by	by	ADP
ecj-13852	30	25	the	the	DET
ecj-13852	30	26	publisher	publisher	NOUN
ecj-13852	30	27	.	.	PUNCT
ecj-13852	31	1	clostridium	clostridium	NOUN
ecj-13852	31	2	difficile	difficile	ADJ
ecj-13852	31	3	infection	infection	NOUN
ecj-13852	31	4	presenting	present	VERB
ecj-13852	31	5	as	as	ADP
ecj-13852	31	6	a	a	DET
ecj-13852	31	7	leukemoid	leukemoid	ADJ
ecj-13852	31	8	reaction	reaction	NOUN
ecj-13852	31	9	:	:	PUNCT
ecj-13852	31	10	a	a	DET
ecj-13852	31	11	case	case	NOUN
ecj-13852	31	12	report	report	NOUN
ecj-13852	31	13	and	and	CCONJ
ecj-13852	31	14	mini	mini	NOUN
ecj-13852	31	15	-	-	NOUN
ecj-13852	31	16	review	review	NOUN
ecj-13852	31	17	of	of	ADP
ecj-13852	31	18	the	the	DET
ecj-13852	31	19	literature	literature	NOUN
ecj-13852	31	20	asif	asif	PROPN
ecj-13852	31	21	dabeer	dabeer	PROPN
ecj-13852	31	22	jafri,1	jafri,1	PROPN
ecj-13852	31	23	muktesh	muktesh	PROPN
ecj-13852	31	24	singh,2	singh,2	VERB
ecj-13852	31	25	rehana	rehana	NOUN
ecj-13852	31	26	ansari,3	ansari,3	NOUN
ecj-13852	31	27	ratender	ratender	PROPN
ecj-13852	31	28	kumar	kumar	PROPN
ecj-13852	31	29	singh4	singh4	PROPN
ecj-13852	31	30	1department	1department	NUM
ecj-13852	31	31	of	of	ADP
ecj-13852	31	32	emergency	emergency	NOUN
ecj-13852	31	33	medicine	medicine	NOUN
ecj-13852	31	34	and	and	CCONJ
ecj-13852	31	35	tele	tele	PROPN
ecj-13852	31	36	-	-	PUNCT
ecj-13852	31	37	icu	icu	PROPN
ecj-13852	31	38	service	service	PROPN
ecj-13852	31	39	,	,	PUNCT
ecj-13852	31	40	sanjay	sanjay	PROPN
ecj-13852	31	41	gandhi	gandhi	PROPN
ecj-13852	31	42	post	post	PROPN
ecj-13852	31	43	graduate	graduate	PROPN
ecj-13852	31	44	institute	institute	PROPN
ecj-13852	31	45	of	of	ADP
ecj-13852	31	46	medical	medical	ADJ
ecj-13852	31	47	sciences	sciences	PROPN
ecj-13852	31	48	,	,	PUNCT
ecj-13852	31	49	lucknow	lucknow	PROPN
ecj-13852	31	50	,	,	PUNCT
ecj-13852	31	51	uttar	uttar	PROPN
ecj-13852	31	52	pradesh	pradesh	PROPN
ecj-13852	31	53	;	;	PUNCT
ecj-13852	31	54	2department	2department	NUM
ecj-13852	31	55	of	of	ADP
ecj-13852	31	56	anesthesiology	anesthesiology	NOUN
ecj-13852	31	57	and	and	CCONJ
ecj-13852	31	58	critical	critical	ADJ
ecj-13852	31	59	care	care	NOUN
ecj-13852	31	60	,	,	PUNCT
ecj-13852	31	61	moti	moti	PROPN
ecj-13852	31	62	lal	lal	PROPN
ecj-13852	31	63	nehru	nehru	PROPN
ecj-13852	31	64	medical	medical	PROPN
ecj-13852	31	65	college	college	PROPN
ecj-13852	31	66	,	,	PUNCT
ecj-13852	31	67	prayagraj	prayagraj	PROPN
ecj-13852	31	68	,	,	PUNCT
ecj-13852	31	69	uttar	uttar	PROPN
ecj-13852	31	70	pradesh	pradesh	PROPN
ecj-13852	31	71	;	;	PUNCT
ecj-13852	31	72	3department	3department	NUM
ecj-13852	31	73	of	of	ADP
ecj-13852	31	74	anaesthesia	anaesthesia	NOUN
ecj-13852	31	75	and	and	CCONJ
ecj-13852	31	76	critical	critical	ADJ
ecj-13852	31	77	care	care	NOUN
ecj-13852	31	78	,	,	PUNCT
ecj-13852	31	79	brd	brd	PROPN
ecj-13852	31	80	medical	medical	PROPN
ecj-13852	31	81	college	college	PROPN
ecj-13852	31	82	,	,	PUNCT
ecj-13852	31	83	gorakhpur	gorakhpur	PROPN
ecj-13852	31	84	,	,	PUNCT
ecj-13852	31	85	uttar	uttar	PROPN
ecj-13852	31	86	pradesh	pradesh	PROPN
ecj-13852	31	87	;	;	PUNCT
ecj-13852	31	88	4department	4department	NUM
ecj-13852	31	89	of	of	ADP
ecj-13852	31	90	emergency	emergency	NOUN
ecj-13852	31	91	medicine	medicine	NOUN
ecj-13852	31	92	,	,	PUNCT
ecj-13852	31	93	telemedicine	telemedicine	NOUN
ecj-13852	31	94	and	and	CCONJ
ecj-13852	31	95	digital	digital	ADJ
ecj-13852	31	96	health	health	NOUN
ecj-13852	31	97	,	,	PUNCT
ecj-13852	31	98	sanjay	sanjay	PROPN
ecj-13852	31	99	gandhi	gandhi	PROPN
ecj-13852	31	100	post	post	PROPN
ecj-13852	31	101	graduate	graduate	PROPN
ecj-13852	31	102	institute	institute	PROPN
ecj-13852	31	103	of	of	ADP
ecj-13852	31	104	medical	medical	ADJ
ecj-13852	31	105	sciences	sciences	PROPN
ecj-13852	31	106	,	,	PUNCT
ecj-13852	31	107	lucknow	lucknow	PROPN
ecj-13852	31	108	,	,	PUNCT
ecj-13852	31	109	uttar	uttar	PROPN
ecj-13852	31	110	pradesh	pradesh	PROPN
ecj-13852	31	111	,	,	PUNCT
ecj-13852	31	112	india	india	PROPN
ecj-13852	31	113	highlights	highlight	NOUN
ecj-13852	31	114	clinicians	clinician	NOUN
ecj-13852	31	115	should	should	AUX
ecj-13852	31	116	consider	consider	VERB
ecj-13852	31	117	cdi	cdi	NOUN
ecj-13852	31	118	even	even	ADV
ecj-13852	31	119	in	in	ADP
ecj-13852	31	120	the	the	DET
ecj-13852	31	121	absence	absence	NOUN
ecj-13852	31	122	of	of	ADP
ecj-13852	31	123	classical	classical	ADJ
ecj-13852	31	124	gastrointestinal	gastrointestinal	ADJ
ecj-13852	31	125	symptoms	symptom	NOUN
ecj-13852	31	126	,	,	PUNCT
ecj-13852	31	127	particularly	particularly	ADV
ecj-13852	31	128	in	in	ADP
ecj-13852	31	129	patients	patient	NOUN
ecj-13852	31	130	presenting	present	VERB
ecj-13852	31	131	with	with	ADP
ecj-13852	31	132	abscesses	abscess	NOUN
ecj-13852	31	133	,	,	PUNCT
ecj-13852	31	134	sepsis	sepsis	NOUN
ecj-13852	31	135	,	,	PUNCT
ecj-13852	31	136	or	or	CCONJ
ecj-13852	31	137	unexplained	unexplained	ADJ
ecj-13852	31	138	leukemoid	leukemoid	ADJ
ecj-13852	31	139	reactions	reaction	NOUN
ecj-13852	31	140	.	.	PUNCT
ecj-13852	32	1	leukemoid	leukemoid	ADJ
ecj-13852	32	2	reactions	reaction	NOUN
ecj-13852	32	3	may	may	AUX
ecj-13852	32	4	serve	serve	VERB
ecj-13852	32	5	as	as	ADP
ecj-13852	32	6	a	a	DET
ecj-13852	32	7	surrogate	surrogate	ADJ
ecj-13852	32	8	marker	marker	NOUN
ecj-13852	32	9	of	of	ADP
ecj-13852	32	10	cdi	cdi	PROPN
ecj-13852	32	11	severity	severity	NOUN
ecj-13852	32	12	and	and	CCONJ
ecj-13852	32	13	could	could	AUX
ecj-13852	32	14	aid	aid	VERB
ecj-13852	32	15	in	in	ADP
ecj-13852	32	16	risk	risk	NOUN
ecj-13852	32	17	stratification	stratification	NOUN
ecj-13852	32	18	.	.	PUNCT
ecj-13852	33	1	early	early	ADJ
ecj-13852	33	2	microbiological	microbiological	ADJ
ecj-13852	33	3	identification	identification	NOUN
ecj-13852	33	4	and	and	CCONJ
ecj-13852	33	5	source	source	NOUN
ecj-13852	33	6	control	control	NOUN
ecj-13852	33	7	through	through	ADP
ecj-13852	33	8	surgical	surgical	ADJ
ecj-13852	33	9	drainage	drainage	NOUN
ecj-13852	33	10	play	play	VERB
ecj-13852	33	11	a	a	DET
ecj-13852	33	12	crucial	crucial	ADJ
ecj-13852	33	13	role	role	NOUN
ecj-13852	33	14	in	in	ADP
ecj-13852	33	15	the	the	DET
ecj-13852	33	16	management	management	NOUN
ecj-13852	33	17	of	of	ADP
ecj-13852	33	18	extraintestinal	extraintestinal	ADJ
ecj-13852	33	19	cdi	cdi	PROPN
ecj-13852	33	20	.	.	PUNCT
ecj-13852	34	1	cdi	cdi	PROPN
ecj-13852	34	2	spreads	spread	VERB
ecj-13852	34	3	via	via	ADP
ecj-13852	34	4	contaminated	contaminate	VERB
ecj-13852	34	5	hospital	hospital	NOUN
ecj-13852	34	6	surfaces	surface	NOUN
ecj-13852	34	7	and	and	CCONJ
ecj-13852	34	8	equipment	equipment	NOUN
ecj-13852	34	9	when	when	SCONJ
ecj-13852	34	10	infection	infection	NOUN
ecj-13852	34	11	control	control	NOUN
ecj-13852	34	12	and	and	CCONJ
ecj-13852	34	13	cleaning	cleaning	NOUN
ecj-13852	34	14	protocols	protocol	NOUN
ecj-13852	34	15	are	be	AUX
ecj-13852	34	16	poorly	poorly	ADV
ecj-13852	34	17	implemented	implement	VERB
ecj-13852	34	18	.	.	PUNCT
ecj-13852	35	1	future	future	ADJ
ecj-13852	35	2	studies	study	NOUN
ecj-13852	35	3	are	be	AUX
ecj-13852	35	4	needed	need	VERB
ecj-13852	35	5	to	to	PART
ecj-13852	35	6	establish	establish	VERB
ecj-13852	35	7	standardized	standardized	ADJ
ecj-13852	35	8	treatment	treatment	NOUN
ecj-13852	35	9	protocols	protocol	NOUN
ecj-13852	35	10	for	for	ADP
ecj-13852	35	11	extraintestinal	extraintestinal	ADJ
ecj-13852	35	12	cdi	cdi	PROPN
ecj-13852	35	13	,	,	PUNCT
ecj-13852	35	14	including	include	VERB
ecj-13852	35	15	the	the	DET
ecj-13852	35	16	role	role	NOUN
ecj-13852	35	17	of	of	ADP
ecj-13852	35	18	intravenous	intravenous	ADJ
ecj-13852	35	19	versus	versus	ADP
ecj-13852	35	20	oral	oral	ADJ
ecj-13852	35	21	antibiotics	antibiotic	NOUN
ecj-13852	35	22	.	.	PUNCT
ecj-13852	36	1	extraintestinal	extraintestinal	ADJ
ecj-13852	36	2	manifestations	manifestation	NOUN
ecj-13852	36	3	of	of	ADP
ecj-13852	36	4	cdi	cdi	PROPN
ecj-13852	36	5	are	be	AUX
ecj-13852	36	6	relatively	relatively	ADV
ecj-13852	36	7	rare.2	rare.2	ADJ
ecj-13852	36	8	reported	report	VERB
ecj-13852	36	9	cases	case	NOUN
ecj-13852	36	10	of	of	ADP
ecj-13852	36	11	extraintestinal	extraintestinal	ADJ
ecj-13852	36	12	cdi	cdi	PROPN
ecj-13852	36	13	have	have	AUX
ecj-13852	36	14	included	include	VERB
ecj-13852	36	15	the	the	DET
ecj-13852	36	16	involvement	involvement	NOUN
ecj-13852	36	17	of	of	ADP
ecj-13852	36	18	the	the	DET
ecj-13852	36	19	small	small	ADJ
ecj-13852	36	20	intestine	intestine	NOUN
ecj-13852	36	21	,	,	PUNCT
ecj-13852	36	22	visceral	visceral	ADJ
ecj-13852	36	23	abscess	abscess	NOUN
ecj-13852	36	24	,	,	PUNCT
ecj-13852	36	25	reactive	reactive	ADJ
ecj-13852	36	26	arthritis	arthritis	NOUN
ecj-13852	36	27	,	,	PUNCT
ecj-13852	36	28	septic	septic	ADJ
ecj-13852	36	29	arthritis	arthritis	NOUN
ecj-13852	36	30	,	,	PUNCT
ecj-13852	36	31	cellulitis	cellulitis	NOUN
ecj-13852	36	32	,	,	PUNCT
ecj-13852	36	33	osteomyelitis	osteomyelitis	NOUN
ecj-13852	36	34	,	,	PUNCT
ecj-13852	36	35	and	and	CCONJ
ecj-13852	36	36	empyema.3	empyema.3	PROPN
ecj-13852	36	37	-	-	SYM
ecj-13852	36	38	7	7	NUM
ecj-13852	36	39	cdi	cdi	PROPN
ecj-13852	36	40	can	can	AUX
ecj-13852	36	41	lead	lead	VERB
ecj-13852	36	42	to	to	ADP
ecj-13852	36	43	diarrhea	diarrhea	NOUN
ecj-13852	36	44	,	,	PUNCT
ecj-13852	36	45	sepsis	sepsis	NOUN
ecj-13852	36	46	,	,	PUNCT
ecj-13852	36	47	multi	multi	ADJ
ecj-13852	36	48	-	-	ADJ
ecj-13852	36	49	organ	organ	ADJ
ecj-13852	36	50	failure	failure	NOUN
ecj-13852	36	51	,	,	PUNCT
ecj-13852	36	52	and	and	CCONJ
ecj-13852	36	53	may	may	AUX
ecj-13852	36	54	be	be	AUX
ecj-13852	36	55	fatal	fatal	ADJ
ecj-13852	36	56	in	in	ADP
ecj-13852	36	57	severe	severe	ADJ
ecj-13852	36	58	cases.8	cases.8	PROPN
ecj-13852	36	59	however	however	ADV
ecj-13852	36	60	,	,	PUNCT
ecj-13852	36	61	unlike	unlike	ADP
ecj-13852	36	62	intestinal	intestinal	ADJ
ecj-13852	36	63	cdi	cdi	PROPN
ecj-13852	36	64	,	,	PUNCT
ecj-13852	36	65	for	for	ADP
ecj-13852	36	66	which	which	PRON
ecj-13852	36	67	the	the	DET
ecj-13852	36	68	infectious	infectious	ADJ
ecj-13852	36	69	diseases	disease	NOUN
ecj-13852	36	70	society	society	NOUN
ecj-13852	36	71	of	of	ADP
ecj-13852	36	72	america	america	PROPN
ecj-13852	36	73	(	(	PUNCT
ecj-13852	36	74	idsa	idsa	PROPN
ecj-13852	36	75	)	)	PUNCT
ecj-13852	36	76	has	have	AUX
ecj-13852	36	77	established	establish	VERB
ecj-13852	36	78	treatment	treatment	NOUN
ecj-13852	36	79	guidelines	guideline	NOUN
ecj-13852	36	80	,	,	PUNCT
ecj-13852	36	81	no	no	DET
ecj-13852	36	82	standardized	standardized	ADJ
ecj-13852	36	83	protocols	protocol	NOUN
ecj-13852	36	84	exist	exist	VERB
ecj-13852	36	85	for	for	ADP
ecj-13852	36	86	the	the	DET
ecj-13852	36	87	management	management	NOUN
ecj-13852	36	88	of	of	ADP
ecj-13852	36	89	extraintestinal	extraintestinal	ADJ
ecj-13852	36	90	cdi.9	cdi.9	NUM
ecj-13852	36	91	this	this	DET
ecj-13852	36	92	lack	lack	NOUN
ecj-13852	36	93	of	of	ADP
ecj-13852	36	94	definitive	definitive	ADJ
ecj-13852	36	95	guidelines	guideline	NOUN
ecj-13852	36	96	poses	pose	VERB
ecj-13852	36	97	a	a	DET
ecj-13852	36	98	clinical	clinical	ADJ
ecj-13852	36	99	challenge	challenge	NOUN
ecj-13852	36	100	in	in	ADP
ecj-13852	36	101	the	the	DET
ecj-13852	36	102	diagnosis	diagnosis	NOUN
ecj-13852	36	103	and	and	CCONJ
ecj-13852	36	104	treatment	treatment	NOUN
ecj-13852	36	105	of	of	ADP
ecj-13852	36	106	such	such	ADJ
ecj-13852	36	107	cases	case	NOUN
ecj-13852	36	108	.	.	PUNCT
ecj-13852	37	1	case	case	NOUN
ecj-13852	37	2	report	report	VERB
ecj-13852	37	3	a	a	DET
ecj-13852	37	4	50	50	NUM
ecj-13852	37	5	-	-	PUNCT
ecj-13852	37	6	year	year	NOUN
ecj-13852	37	7	-	-	PUNCT
ecj-13852	37	8	old	old	ADJ
ecj-13852	37	9	male	male	NOUN
ecj-13852	37	10	presented	present	VERB
ecj-13852	37	11	with	with	ADP
ecj-13852	37	12	a	a	DET
ecj-13852	37	13	two	two	NUM
ecj-13852	37	14	-	-	PUNCT
ecj-13852	37	15	day	day	NOUN
ecj-13852	37	16	history	history	NOUN
ecj-13852	37	17	of	of	ADP
ecj-13852	37	18	fever	fever	NOUN
ecj-13852	37	19	without	without	ADP
ecj-13852	37	20	chills	chill	NOUN
ecj-13852	37	21	or	or	CCONJ
ecj-13852	37	22	rigors	rigor	NOUN
ecj-13852	37	23	,	,	PUNCT
ecj-13852	37	24	along	along	ADP
ecj-13852	37	25	with	with	ADP
ecj-13852	37	26	gait	gait	ADJ
ecj-13852	37	27	imbalance	imbalance	NOUN
ecj-13852	37	28	following	follow	VERB
ecj-13852	37	29	a	a	DET
ecj-13852	37	30	fall	fall	NOUN
ecj-13852	37	31	in	in	ADP
ecj-13852	37	32	the	the	DET
ecj-13852	37	33	washroom	washroom	NOUN
ecj-13852	37	34	one	one	NUM
ecj-13852	37	35	day	day	NOUN
ecj-13852	37	36	prior	prior	ADV
ecj-13852	37	37	.	.	PUNCT
ecj-13852	38	1	his	his	PRON
ecj-13852	38	2	medical	medical	ADJ
ecj-13852	38	3	history	history	NOUN
ecj-13852	38	4	was	be	AUX
ecj-13852	38	5	unremarkable	unremarkable	ADJ
ecj-13852	38	6	,	,	PUNCT
ecj-13852	38	7	except	except	SCONJ
ecj-13852	38	8	for	for	ADP
ecj-13852	38	9	a	a	DET
ecj-13852	38	10	prior	prior	ADJ
ecj-13852	38	11	cerebrovascular	cerebrovascular	ADJ
ecj-13852	38	12	accident	accident	NOUN
ecj-13852	38	13	(	(	PUNCT
ecj-13852	38	14	cva	cva	PROPN
ecj-13852	38	15	)	)	PUNCT
ecj-13852	38	16	from	from	ADP
ecj-13852	38	17	which	which	PRON
ecj-13852	38	18	he	he	PRON
ecj-13852	38	19	had	have	AUX
ecj-13852	38	20	partially	partially	ADV
ecj-13852	38	21	recovered	recover	VERB
ecj-13852	38	22	.	.	PUNCT
ecj-13852	39	1	on	on	ADP
ecj-13852	39	2	examination	examination	NOUN
ecj-13852	39	3	,	,	PUNCT
ecj-13852	39	4	he	he	PRON
ecj-13852	39	5	was	be	AUX
ecj-13852	39	6	conscious	conscious	ADJ
ecj-13852	39	7	,	,	PUNCT
ecj-13852	39	8	oriented	oriented	ADJ
ecj-13852	39	9	,	,	PUNCT
ecj-13852	39	10	and	and	CCONJ
ecj-13852	39	11	febrile	febrile	NOUN
ecj-13852	39	12	,	,	PUNCT
ecj-13852	39	13	with	with	ADP
ecj-13852	39	14	a	a	DET
ecj-13852	39	15	temperature	temperature	NOUN
ecj-13852	39	16	of	of	ADP
ecj-13852	39	17	38.2	38.2	NUM
ecj-13852	39	18	°	°	NOUN
ecj-13852	39	19	c	c	NOUN
ecj-13852	39	20	.	.	PUNCT
ecj-13852	40	1	his	his	PRON
ecj-13852	40	2	vital	vital	ADJ
ecj-13852	40	3	signs	sign	NOUN
ecj-13852	40	4	included	include	VERB
ecj-13852	40	5	a	a	DET
ecj-13852	40	6	pulse	pulse	NOUN
ecj-13852	40	7	rate	rate	NOUN
ecj-13852	40	8	of	of	ADP
ecj-13852	40	9	110	110	NUM
ecj-13852	40	10	beats	beat	NOUN
ecj-13852	40	11	per	per	ADP
ecj-13852	40	12	minute	minute	NOUN
ecj-13852	40	13	,	,	PUNCT
ecj-13852	40	14	a	a	DET
ecj-13852	40	15	respiratory	respiratory	ADJ
ecj-13852	40	16	rate	rate	NOUN
ecj-13852	40	17	of	of	ADP
ecj-13852	40	18	22	22	NUM
ecj-13852	40	19	breaths	breath	NOUN
ecj-13852	40	20	per	per	ADP
ecj-13852	40	21	minute	minute	NOUN
ecj-13852	40	22	,	,	PUNCT
ecj-13852	40	23	blood	blood	NOUN
ecj-13852	40	24	pressure	pressure	NOUN
ecj-13852	40	25	of	of	ADP
ecj-13852	40	26	80/60	80/60	NUM
ecj-13852	40	27	mmhg	mmhg	NOUN
ecj-13852	40	28	,	,	PUNCT
ecj-13852	40	29	and	and	CCONJ
ecj-13852	40	30	an	an	DET
ecj-13852	40	31	oxygen	oxygen	NOUN
ecj-13852	40	32	saturation	saturation	NOUN
ecj-13852	40	33	of	of	ADP
ecj-13852	40	34	94	94	NUM
ecj-13852	40	35	%	%	NOUN
ecj-13852	40	36	on	on	ADP
ecj-13852	40	37	room	room	NOUN
ecj-13852	40	38	air	air	NOUN
ecj-13852	40	39	.	.	PUNCT
ecj-13852	41	1	on	on	ADP
ecj-13852	41	2	general	general	ADJ
ecj-13852	41	3	examination	examination	NOUN
ecj-13852	41	4	,	,	PUNCT
ecj-13852	41	5	a	a	DET
ecj-13852	41	6	5×5	5×5	NUM
ecj-13852	41	7	cm	cm	NOUN
ecj-13852	41	8	abscess	abscess	NOUN
ecj-13852	41	9	was	be	AUX
ecj-13852	41	10	observed	observe	VERB
ecj-13852	41	11	on	on	ADP
ecj-13852	41	12	his	his	PRON
ecj-13852	41	13	right	right	ADJ
ecj-13852	41	14	lumbar	lumbar	NOUN
ecj-13852	41	15	region	region	NOUN
ecj-13852	41	16	,	,	PUNCT
ecj-13852	41	17	which	which	PRON
ecj-13852	41	18	was	be	AUX
ecj-13852	41	19	warm	warm	ADJ
ecj-13852	41	20	but	but	CCONJ
ecj-13852	41	21	notably	notably	ADV
ecj-13852	41	22	painless	painless	ADJ
ecj-13852	41	23	and	and	CCONJ
ecj-13852	41	24	nontender	nontender	NOUN
ecj-13852	41	25	,	,	PUNCT
ecj-13852	41	26	as	as	SCONJ
ecj-13852	41	27	shown	show	VERB
ecj-13852	41	28	in	in	ADP
ecj-13852	41	29	figure	figure	NOUN
ecj-13852	41	30	1	1	NUM
ecj-13852	41	31	.	.	PUNCT
ecj-13852	42	1	a	a	DET
ecj-13852	42	2	non	non	ADJ
ecj-13852	42	3	-	-	ADJ
ecj-13852	42	4	contrast	contrast	ADJ
ecj-13852	42	5	computed	compute	VERB
ecj-13852	42	6	tomography	tomography	NOUN
ecj-13852	42	7	(	(	PUNCT
ecj-13852	42	8	ncct	ncct	NOUN
ecj-13852	42	9	)	)	PUNCT
ecj-13852	42	10	scan	scan	NOUN
ecj-13852	42	11	of	of	ADP
ecj-13852	42	12	the	the	DET
ecj-13852	42	13	brain	brain	NOUN
ecj-13852	42	14	was	be	AUX
ecj-13852	42	15	performed	perform	VERB
ecj-13852	42	16	to	to	PART
ecj-13852	42	17	exclude	exclude	VERB
ecj-13852	42	18	the	the	DET
ecj-13852	42	19	possibility	possibility	NOUN
ecj-13852	42	20	of	of	ADP
ecj-13852	42	21	stroke	stroke	NOUN
ecj-13852	42	22	due	due	ADP
ecj-13852	42	23	to	to	ADP
ecj-13852	42	24	the	the	DET
ecj-13852	42	25	patient	patient	NOUN
ecj-13852	42	26	’s	’s	PART
ecj-13852	42	27	gait	gait	ADJ
ecj-13852	42	28	imbalance	imbalance	NOUN
ecj-13852	42	29	;	;	PUNCT
ecj-13852	42	30	however	however	ADV
ecj-13852	42	31	,	,	PUNCT
ecj-13852	42	32	the	the	DET
ecj-13852	42	33	results	result	NOUN
ecj-13852	42	34	were	be	AUX
ecj-13852	42	35	unremarkable	unremarkable	ADJ
ecj-13852	42	36	.	.	PUNCT
ecj-13852	43	1	laboratory	laboratory	NOUN
ecj-13852	43	2	investigations	investigation	NOUN
ecj-13852	43	3	at	at	ADP
ecj-13852	43	4	the	the	DET
ecj-13852	43	5	time	time	NOUN
ecj-13852	43	6	of	of	ADP
ecj-13852	43	7	admission	admission	NOUN
ecj-13852	43	8	revealed	reveal	VERB
ecj-13852	43	9	a	a	DET
ecj-13852	43	10	hemoglobin	hemoglobin	NOUN
ecj-13852	43	11	level	level	NOUN
ecj-13852	43	12	of	of	ADP
ecj-13852	43	13	10.5	10.5	NUM
ecj-13852	43	14	g	g	NOUN
ecj-13852	43	15	/	/	SYM
ecj-13852	43	16	dl	dl	PROPN
ecj-13852	43	17	,	,	PUNCT
ecj-13852	43	18	a	a	DET
ecj-13852	43	19	total	total	ADJ
ecj-13852	43	20	leukocyte	leukocyte	NOUN
ecj-13852	43	21	count	count	NOUN
ecj-13852	43	22	of	of	ADP
ecj-13852	43	23	69,000	69,000	NUM
ecj-13852	43	24	/	/	SYM
ecj-13852	43	25	mm³	mm³	PROPN
ecj-13852	43	26	,	,	PUNCT
ecj-13852	43	27	and	and	CCONJ
ecj-13852	43	28	a	a	DET
ecj-13852	43	29	platelet	platelet	NOUN
ecj-13852	43	30	count	count	NOUN
ecj-13852	43	31	of	of	ADP
ecj-13852	43	32	640,000	640,000	NUM
ecj-13852	43	33	/	/	SYM
ecj-13852	43	34	mm³.	mm³.	PART
ecj-13852	43	35	liver	liver	NOUN
ecj-13852	43	36	function	function	NOUN
ecj-13852	43	37	tests	test	NOUN
ecj-13852	43	38	and	and	CCONJ
ecj-13852	43	39	coagulation	coagulation	NOUN
ecj-13852	43	40	parameters	parameter	NOUN
ecj-13852	43	41	were	be	AUX
ecj-13852	43	42	within	within	ADP
ecj-13852	43	43	normal	normal	ADJ
ecj-13852	43	44	limits	limit	NOUN
ecj-13852	43	45	.	.	PUNCT
ecj-13852	44	1	renal	renal	ADJ
ecj-13852	44	2	function	function	NOUN
ecj-13852	44	3	was	be	AUX
ecj-13852	44	4	impaired	impair	VERB
ecj-13852	44	5	,	,	PUNCT
ecj-13852	44	6	as	as	SCONJ
ecj-13852	44	7	evidenced	evidence	VERB
ecj-13852	44	8	by	by	ADP
ecj-13852	44	9	a	a	DET
ecj-13852	44	10	serum	serum	NOUN
ecj-13852	44	11	creatinine	creatinine	NOUN
ecj-13852	44	12	level	level	NOUN
ecj-13852	44	13	of	of	ADP
ecj-13852	44	14	2.4	2.4	NUM
ecj-13852	44	15	mg	mg	PROPN
ecj-13852	44	16	/	/	SYM
ecj-13852	44	17	dl	dl	PROPN
ecj-13852	44	18	and	and	CCONJ
ecj-13852	44	19	a	a	DET
ecj-13852	44	20	urea	urea	NOUN
ecj-13852	44	21	level	level	NOUN
ecj-13852	44	22	of	of	ADP
ecj-13852	44	23	120	120	NUM
ecj-13852	44	24	mg	mg	PROPN
ecj-13852	44	25	/	/	SYM
ecj-13852	44	26	dl	dl	PROPN
ecj-13852	44	27	.	.	PROPN
ecj-13852	44	28	additionally	additionally	ADV
ecj-13852	44	29	,	,	PUNCT
ecj-13852	44	30	hyponatremia	hyponatremia	PROPN
ecj-13852	44	31	was	be	AUX
ecj-13852	44	32	present	present	ADJ
ecj-13852	44	33	,	,	PUNCT
ecj-13852	44	34	with	with	SCONJ
ecj-13852	44	35	a	a	DET
ecj-13852	44	36	serum	serum	NOUN
ecj-13852	44	37	sodium	sodium	NOUN
ecj-13852	44	38	level	level	NOUN
ecj-13852	44	39	of	of	ADP
ecj-13852	44	40	128	128	NUM
ecj-13852	44	41	meq	meq	NOUN
ecj-13852	44	42	/	/	SYM
ecj-13852	44	43	l.	l.	PROPN
ecj-13852	44	44	peripheral	peripheral	ADJ
ecj-13852	44	45	blood	blood	NOUN
ecj-13852	44	46	smear	smear	NOUN
ecj-13852	44	47	revealed	reveal	VERB
ecj-13852	44	48	a	a	DET
ecj-13852	44	49	markedly	markedly	ADV
ecj-13852	44	50	elevated	elevated	ADJ
ecj-13852	44	51	total	total	ADJ
ecj-13852	44	52	leukocyte	leukocyte	NOUN
ecj-13852	44	53	count	count	NOUN
ecj-13852	44	54	with	with	ADP
ecj-13852	44	55	a	a	DET
ecj-13852	44	56	left	left	ADJ
ecj-13852	44	57	shift	shift	NOUN
ecj-13852	44	58	extending	extend	VERB
ecj-13852	44	59	up	up	ADP
ecj-13852	44	60	to	to	ADP
ecj-13852	44	61	the	the	DET
ecj-13852	44	62	promyelocyte	promyelocyte	NOUN
ecj-13852	44	63	stage	stage	NOUN
ecj-13852	44	64	and	and	CCONJ
ecj-13852	44	65	the	the	DET
ecj-13852	44	66	presence	presence	NOUN
ecj-13852	44	67	of	of	ADP
ecj-13852	44	68	toxic	toxic	ADJ
ecj-13852	44	69	granulations	granulation	NOUN
ecj-13852	44	70	.	.	PUNCT
ecj-13852	45	1	no	no	DET
ecj-13852	45	2	blasts	blast	NOUN
ecj-13852	45	3	were	be	AUX
ecj-13852	45	4	observed	observe	VERB
ecj-13852	45	5	,	,	PUNCT
ecj-13852	45	6	and	and	CCONJ
ecj-13852	45	7	bcr	bcr	PROPN
ecj-13852	45	8	-	-	ADJ
ecj-13852	45	9	abl	abl	NOUN
ecj-13852	45	10	testing	testing	NOUN
ecj-13852	45	11	for	for	ADP
ecj-13852	45	12	chronic	chronic	ADJ
ecj-13852	45	13	myeloid	myeloid	NOUN
ecj-13852	45	14	leukemia	leukemia	NOUN
ecj-13852	45	15	(	(	PUNCT
ecj-13852	45	16	cml	cml	PROPN
ecj-13852	45	17	)	)	PUNCT
ecj-13852	45	18	was	be	AUX
ecj-13852	45	19	negative	negative	ADJ
ecj-13852	45	20	.	.	PUNCT
ecj-13852	46	1	a	a	DET
ecj-13852	46	2	comprehensive	comprehensive	ADJ
ecj-13852	46	3	infectious	infectious	ADJ
ecj-13852	46	4	disease	disease	NOUN
ecj-13852	46	5	workup	workup	NOUN
ecj-13852	46	6	,	,	PUNCT
ecj-13852	46	7	including	include	VERB
ecj-13852	46	8	computed	compute	VERB
ecj-13852	46	9	tomography	tomography	NOUN
ecj-13852	46	10	(	(	PUNCT
ecj-13852	46	11	ct	ct	NOUN
ecj-13852	46	12	)	)	PUNCT
ecj-13852	46	13	imaging	imaging	NOUN
ecj-13852	46	14	of	of	ADP
ecj-13852	46	15	the	the	DET
ecj-13852	46	16	abdomen	abdomen	NOUN
ecj-13852	46	17	and	and	CCONJ
ecj-13852	46	18	chest	chest	NOUN
ecj-13852	46	19	,	,	PUNCT
ecj-13852	46	20	did	do	AUX
ecj-13852	46	21	not	not	PART
ecj-13852	46	22	reveal	reveal	VERB
ecj-13852	46	23	any	any	DET
ecj-13852	46	24	significant	significant	ADJ
ecj-13852	46	25	abnormalities	abnormality	NOUN
ecj-13852	46	26	.	.	PUNCT
ecj-13852	47	1	additionally	additionally	ADV
ecj-13852	47	2	,	,	PUNCT
ecj-13852	47	3	a	a	DET
ecj-13852	47	4	twodimensional	twodimensional	ADJ
ecj-13852	47	5	echocardiographic	echocardiographic	ADJ
ecj-13852	47	6	assessment	assessment	NOUN
ecj-13852	47	7	was	be	AUX
ecj-13852	47	8	also	also	ADV
ecj-13852	47	9	normal	normal	ADJ
ecj-13852	47	10	.	.	PUNCT
ecj-13852	48	1	blood	blood	NOUN
ecj-13852	48	2	and	and	CCONJ
ecj-13852	48	3	urine	urine	NOUN
ecj-13852	48	4	cultures	culture	NOUN
ecj-13852	48	5	yielded	yield	VERB
ecj-13852	48	6	no	no	DET
ecj-13852	48	7	growth	growth	NOUN
ecj-13852	48	8	.	.	PUNCT
ecj-13852	49	1	notably	notably	ADV
ecj-13852	49	2	,	,	PUNCT
ecj-13852	49	3	inflammatory	inflammatory	ADJ
ecj-13852	49	4	markers	marker	NOUN
ecj-13852	49	5	,	,	PUNCT
ecj-13852	49	6	including	include	VERB
ecj-13852	49	7	serum	serum	NOUN
ecj-13852	49	8	procalcitonin	procalcitonin	NOUN
ecj-13852	49	9	and	and	CCONJ
ecj-13852	49	10	c	c	NOUN
ecj-13852	49	11	-	-	PUNCT
ecj-13852	49	12	reactive	reactive	ADJ
ecj-13852	49	13	protein	protein	NOUN
ecj-13852	49	14	(	(	PUNCT
ecj-13852	49	15	crp	crp	PROPN
ecj-13852	49	16	)	)	PUNCT
ecj-13852	49	17	,	,	PUNCT
ecj-13852	49	18	were	be	AUX
ecj-13852	49	19	elevated	elevate	VERB
ecj-13852	49	20	.	.	PUNCT
ecj-13852	50	1	the	the	DET
ecj-13852	50	2	patient	patient	NOUN
ecj-13852	50	3	initially	initially	ADV
ecj-13852	50	4	received	receive	VERB
ecj-13852	50	5	a	a	DET
ecj-13852	50	6	bolus	bolus	NOUN
ecj-13852	50	7	of	of	ADP
ecj-13852	50	8	intravenous	intravenous	ADJ
ecj-13852	50	9	fluids	fluid	NOUN
ecj-13852	50	10	and	and	CCONJ
ecj-13852	50	11	was	be	AUX
ecj-13852	50	12	started	start	VERB
ecj-13852	50	13	on	on	ADP
ecj-13852	50	14	vasopressor	vasopressor	NOUN
ecj-13852	50	15	support	support	NOUN
ecj-13852	50	16	,	,	PUNCT
ecj-13852	50	17	along	along	ADP
ecj-13852	50	18	with	with	ADP
ecj-13852	50	19	broad	broad	ADJ
ecj-13852	50	20	-	-	PUNCT
ecj-13852	50	21	spectrum	spectrum	NOUN
ecj-13852	50	22	intravenous	intravenous	ADJ
ecj-13852	50	23	antibiotics	antibiotic	NOUN
ecj-13852	50	24	,	,	PUNCT
ecj-13852	50	25	including	include	VERB
ecj-13852	50	26	piperacillin	piperacillin	NOUN
ecj-13852	50	27	-	-	PUNCT
ecj-13852	50	28	tazobactam	tazobactam	NOUN
ecj-13852	50	29	and	and	CCONJ
ecj-13852	50	30	clindamycin	clindamycin	NOUN
ecj-13852	50	31	,	,	PUNCT
ecj-13852	50	32	in	in	ADP
ecj-13852	50	33	conjunction	conjunction	NOUN
ecj-13852	50	34	with	with	ADP
ecj-13852	50	35	other	other	ADJ
ecj-13852	50	36	supportive	supportive	ADJ
ecj-13852	50	37	measures	measure	NOUN
ecj-13852	50	38	.	.	PUNCT
ecj-13852	51	1	while	while	SCONJ
ecj-13852	51	2	the	the	DET
ecj-13852	51	3	patient	patient	NOUN
ecj-13852	51	4	’s	’s	PART
ecj-13852	51	5	shock	shock	NOUN
ecj-13852	51	6	was	be	AUX
ecj-13852	51	7	resolved	resolve	VERB
ecj-13852	51	8	with	with	ADP
ecj-13852	51	9	the	the	DET
ecj-13852	51	10	instituted	institute	VERB
ecj-13852	51	11	treatment	treatment	NOUN
ecj-13852	51	12	,	,	PUNCT
ecj-13852	51	13	he	he	PRON
ecj-13852	51	14	remained	remain	VERB
ecj-13852	51	15	febrile	febrile	ADJ
ecj-13852	51	16	,	,	PUNCT
ecj-13852	51	17	and	and	CCONJ
ecj-13852	51	18	his	his	PRON
ecj-13852	51	19	leukocyte	leukocyte	NOUN
ecj-13852	51	20	count	count	NOUN
ecj-13852	51	21	continued	continue	VERB
ecj-13852	51	22	to	to	PART
ecj-13852	51	23	rise	rise	VERB
ecj-13852	51	24	,	,	PUNCT
ecj-13852	51	25	reaching	reach	VERB
ecj-13852	51	26	85,000	85,000	NUM
ecj-13852	51	27	/	/	SYM
ecj-13852	51	28	mm³	mm³	NOUN
ecj-13852	51	29	despite	despite	SCONJ
ecj-13852	51	30	ongoing	ongoing	ADJ
ecj-13852	51	31	therapy	therapy	NOUN
ecj-13852	51	32	.	.	PUNCT
ecj-13852	52	1	the	the	DET
ecj-13852	52	2	next	next	ADJ
ecj-13852	52	3	day	day	NOUN
ecj-13852	52	4	,	,	PUNCT
ecj-13852	52	5	the	the	DET
ecj-13852	52	6	abscess	abscess	NOUN
ecj-13852	52	7	was	be	AUX
ecj-13852	52	8	surgically	surgically	ADV
ecj-13852	52	9	drained	drain	VERB
ecj-13852	52	10	.	.	PUNCT
ecj-13852	53	1	although	although	SCONJ
ecj-13852	53	2	the	the	DET
ecj-13852	53	3	patient	patient	NOUN
ecj-13852	53	4	became	become	VERB
ecj-13852	53	5	afebrile	afebrile	ADJ
ecj-13852	53	6	after	after	ADP
ecj-13852	53	7	the	the	DET
ecj-13852	53	8	procedure	procedure	NOUN
ecj-13852	53	9	,	,	PUNCT
ecj-13852	53	10	his	his	PRON
ecj-13852	53	11	leukocyte	leukocyte	NOUN
ecj-13852	53	12	count	count	NOUN
ecj-13852	53	13	continued	continue	VERB
ecj-13852	53	14	to	to	PART
ecj-13852	53	15	increase	increase	VERB
ecj-13852	53	16	.	.	PUNCT
ecj-13852	54	1	culture	culture	NOUN
ecj-13852	54	2	analysis	analysis	NOUN
ecj-13852	54	3	of	of	ADP
ecj-13852	54	4	the	the	DET
ecj-13852	54	5	drained	drain	VERB
ecj-13852	54	6	abscess	abscess	NOUN
ecj-13852	54	7	revealed	reveal	VERB
ecj-13852	54	8	the	the	DET
ecj-13852	54	9	presence	presence	NOUN
ecj-13852	54	10	of	of	ADP
ecj-13852	54	11	clostridium	clostridium	NOUN
ecj-13852	54	12	difficile	difficile	ADJ
ecj-13852	54	13	.	.	PUNCT
ecj-13852	55	1	in	in	ADP
ecj-13852	55	2	response	response	NOUN
ecj-13852	55	3	,	,	PUNCT
ecj-13852	55	4	antimicrobial	antimicrobial	ADJ
ecj-13852	55	5	therapy	therapy	NOUN
ecj-13852	55	6	was	be	AUX
ecj-13852	55	7	escalated	escalate	VERB
ecj-13852	55	8	to	to	PART
ecj-13852	55	9	include	include	VERB
ecj-13852	55	10	intravenous	intravenous	ADJ
ecj-13852	55	11	metronidazole	metronidazole	NOUN
ecj-13852	55	12	and	and	CCONJ
ecj-13852	55	13	vancomycin	vancomycin	PROPN
ecj-13852	55	14	while	while	SCONJ
ecj-13852	55	15	piperacillin	piperacillin	NOUN
ecj-13852	55	16	-	-	PUNCT
ecj-13852	55	17	tazobactam	tazobactam	NOUN
ecj-13852	55	18	was	be	AUX
ecj-13852	55	19	continued	continue	VERB
ecj-13852	55	20	.	.	PUNCT
ecj-13852	56	1	after	after	ADP
ecj-13852	56	2	a	a	DET
ecj-13852	56	3	two	two	NUM
ecj-13852	56	4	-	-	PUNCT
ecj-13852	56	5	week	week	NOUN
ecj-13852	56	6	course	course	NOUN
ecj-13852	56	7	of	of	ADP
ecj-13852	56	8	antibiotics	antibiotic	NOUN
ecj-13852	56	9	,	,	PUNCT
ecj-13852	56	10	the	the	DET
ecj-13852	56	11	patient	patient	NOUN
ecj-13852	56	12	showed	show	VERB
ecj-13852	56	13	gradual	gradual	ADJ
ecj-13852	56	14	clinical	clinical	ADJ
ecj-13852	56	15	improvement	improvement	NOUN
ecj-13852	56	16	and	and	CCONJ
ecj-13852	56	17	achieved	achieve	VERB
ecj-13852	56	18	hemodynamic	hemodynamic	ADJ
ecj-13852	56	19	stability	stability	NOUN
ecj-13852	56	20	.	.	PUNCT
ecj-13852	57	1	leukocyte	leukocyte	NOUN
ecj-13852	57	2	counts	count	NOUN
ecj-13852	57	3	normalized	normalize	VERB
ecj-13852	57	4	,	,	PUNCT
ecj-13852	57	5	and	and	CCONJ
ecj-13852	57	6	the	the	DET
ecj-13852	57	7	acute	acute	PROPN
ecj-13852	57	8	kidney	kidney	PROPN
ecj-13852	57	9	injury	injury	NOUN
ecj-13852	57	10	resolved	resolve	VERB
ecj-13852	57	11	.	.	PUNCT
ecj-13852	58	1	he	he	PRON
ecj-13852	58	2	was	be	AUX
ecj-13852	58	3	successfully	successfully	ADV
ecj-13852	58	4	discharged	discharge	VERB
ecj-13852	58	5	from	from	ADP
ecj-13852	58	6	our	our	PRON
ecj-13852	58	7	institution	institution	NOUN
ecj-13852	58	8	.	.	PUNCT
ecj-13852	59	1	at	at	ADP
ecj-13852	59	2	the	the	DET
ecj-13852	59	3	two	two	NUM
ecj-13852	59	4	-	-	PUNCT
ecj-13852	59	5	week	week	NOUN
ecj-13852	59	6	follow	follow	NOUN
ecj-13852	59	7	-	-	PUNCT
ecj-13852	59	8	up	up	NOUN
ecj-13852	59	9	,	,	PUNCT
ecj-13852	59	10	his	his	PRON
ecj-13852	59	11	laboratory	laboratory	NOUN
ecj-13852	59	12	parameters	parameter	NOUN
ecj-13852	59	13	remained	remain	VERB
ecj-13852	59	14	within	within	ADP
ecj-13852	59	15	normal	normal	ADJ
ecj-13852	59	16	limits	limit	NOUN
ecj-13852	59	17	,	,	PUNCT
ecj-13852	59	18	he	he	PRON
ecj-13852	59	19	was	be	AUX
ecj-13852	59	20	hemodynamically	hemodynamically	ADV
ecj-13852	59	21	stable	stable	ADJ
ecj-13852	59	22	,	,	PUNCT
ecj-13852	59	23	and	and	CCONJ
ecj-13852	59	24	he	he	PRON
ecj-13852	59	25	reported	report	VERB
ecj-13852	59	26	no	no	DET
ecj-13852	59	27	new	new	ADJ
ecj-13852	59	28	complaints	complaint	NOUN
ecj-13852	59	29	.	.	PUNCT
ecj-13852	60	1	this	this	DET
ecj-13852	60	2	case	case	NOUN
ecj-13852	60	3	is	be	AUX
ecj-13852	60	4	of	of	ADP
ecj-13852	60	5	particular	particular	ADJ
ecj-13852	60	6	interest	interest	NOUN
ecj-13852	60	7	due	due	ADP
ecj-13852	60	8	to	to	ADP
ecj-13852	60	9	the	the	DET
ecj-13852	60	10	rarity	rarity	NOUN
ecj-13852	60	11	of	of	ADP
ecj-13852	60	12	clostridium	clostridium	NOUN
ecj-13852	60	13	difficile	difficile	ADJ
ecj-13852	60	14	-	-	PUNCT
ecj-13852	60	15	associated	associate	VERB
ecj-13852	60	16	abscess	abscess	NOUN
ecj-13852	60	17	leading	lead	VERB
ecj-13852	60	18	to	to	ADP
ecj-13852	60	19	a	a	DET
ecj-13852	60	20	leukemoid	leukemoid	ADJ
ecj-13852	60	21	reaction	reaction	NOUN
ecj-13852	60	22	.	.	PUNCT
ecj-13852	61	1	the	the	DET
ecj-13852	61	2	successful	successful	ADJ
ecj-13852	61	3	management	management	NOUN
ecj-13852	61	4	included	include	VERB
ecj-13852	61	5	a	a	DET
ecj-13852	61	6	combination	combination	NOUN
ecj-13852	61	7	of	of	ADP
ecj-13852	61	8	surgical	surgical	ADJ
ecj-13852	61	9	drainage	drainage	NOUN
ecj-13852	61	10	and	and	CCONJ
ecj-13852	61	11	targeted	target	VERB
ecj-13852	61	12	antibiotic	antibiotic	ADJ
ecj-13852	61	13	therapy	therapy	NOUN
ecj-13852	61	14	,	,	PUNCT
ecj-13852	61	15	resulting	result	VERB
ecj-13852	61	16	in	in	ADP
ecj-13852	61	17	clinical	clinical	ADJ
ecj-13852	61	18	resolution	resolution	NOUN
ecj-13852	61	19	.	.	PUNCT
ecj-13852	62	1	this	this	DET
ecj-13852	62	2	case	case	NOUN
ecj-13852	62	3	highlights	highlight	VERB
ecj-13852	62	4	the	the	DET
ecj-13852	62	5	importance	importance	NOUN
ecj-13852	62	6	of	of	ADP
ecj-13852	62	7	considering	consider	VERB
ecj-13852	62	8	atypical	atypical	ADJ
ecj-13852	62	9	infectious	infectious	ADJ
ecj-13852	62	10	sources	source	NOUN
ecj-13852	62	11	in	in	ADP
ecj-13852	62	12	patients	patient	NOUN
ecj-13852	62	13	presenting	present	VERB
ecj-13852	62	14	with	with	ADP
ecj-13852	62	15	persistent	persistent	ADJ
ecj-13852	62	16	leukocytosis	leukocytosis	NOUN
ecj-13852	62	17	despite	despite	SCONJ
ecj-13852	62	18	broad	broad	ADJ
ecj-13852	62	19	-	-	PUNCT
ecj-13852	62	20	spectrum	spectrum	NOUN
ecj-13852	62	21	antibiotics	antibiotic	NOUN
ecj-13852	62	22	.	.	PUNCT
ecj-13852	63	1	discussion	discussion	NOUN
ecj-13852	63	2	clostridium	clostridium	NOUN
ecj-13852	63	3	difficile	difficile	NOUN
ecj-13852	63	4	is	be	AUX
ecj-13852	63	5	primarily	primarily	ADV
ecj-13852	63	6	recognized	recognize	VERB
ecj-13852	63	7	for	for	ADP
ecj-13852	63	8	its	its	PRON
ecj-13852	63	9	role	role	NOUN
ecj-13852	63	10	in	in	ADP
ecj-13852	63	11	antibiotic	antibiotic	NOUN
ecj-13852	63	12	-	-	PUNCT
ecj-13852	63	13	associated	associate	VERB
ecj-13852	63	14	diarrhea	diarrhea	NOUN
ecj-13852	63	15	and	and	CCONJ
ecj-13852	63	16	pseudomembranous	pseudomembranous	ADJ
ecj-13852	63	17	colitis	colitis	NOUN
ecj-13852	63	18	;	;	PUNCT
ecj-13852	63	19	however	however	ADV
ecj-13852	63	20	,	,	PUNCT
ecj-13852	63	21	its	its	PRON
ecj-13852	63	22	potential	potential	NOUN
ecj-13852	63	23	to	to	PART
ecj-13852	63	24	cause	cause	VERB
ecj-13852	63	25	extraintestinal	extraintestinal	ADJ
ecj-13852	63	26	infections	infection	NOUN
ecj-13852	63	27	remains	remain	VERB
ecj-13852	63	28	uncommon	uncommon	ADJ
ecj-13852	63	29	.	.	PUNCT
ecj-13852	64	1	the	the	DET
ecj-13852	64	2	incidence	incidence	NOUN
ecj-13852	64	3	and	and	CCONJ
ecj-13852	64	4	severity	severity	NOUN
ecj-13852	64	5	of	of	ADP
ecj-13852	64	6	cdi	cdi	PROPN
ecj-13852	64	7	have	have	AUX
ecj-13852	64	8	increased	increase	VERB
ecj-13852	64	9	in	in	ADP
ecj-13852	64	10	recent	recent	ADJ
ecj-13852	64	11	years	year	NOUN
ecj-13852	64	12	.	.	PUNCT
ecj-13852	65	1	the	the	DET
ecj-13852	65	2	occurrence	occurrence	NOUN
ecj-13852	65	3	of	of	ADP
ecj-13852	65	4	a	a	DET
ecj-13852	65	5	leukemoid	leukemoid	ADJ
ecj-13852	65	6	reaction	reaction	NOUN
ecj-13852	65	7	in	in	ADP
ecj-13852	65	8	conjunction	conjunction	NOUN
ecj-13852	65	9	with	with	ADP
ecj-13852	65	10	cdi	cdi	PROPN
ecj-13852	65	11	is	be	AUX
ecj-13852	65	12	uncommon	uncommon	ADJ
ecj-13852	65	13	and	and	CCONJ
ecj-13852	65	14	signifies	signify	VERB
ecj-13852	65	15	a	a	DET
ecj-13852	65	16	serious	serious	ADJ
ecj-13852	65	17	condition	condition	NOUN
ecj-13852	65	18	with	with	ADP
ecj-13852	65	19	a	a	DET
ecj-13852	65	20	poor	poor	ADJ
ecj-13852	65	21	prognosis.10	prognosis.10	NOUN
ecj-13852	65	22	one	one	NUM
ecj-13852	65	23	of	of	ADP
ecj-13852	65	24	the	the	DET
ecj-13852	65	25	rarest	rare	ADJ
ecj-13852	65	26	presentations	presentation	NOUN
ecj-13852	65	27	is	be	AUX
ecj-13852	65	28	c.	c.	NOUN
ecj-13852	65	29	difficile	difficile	VERB
ecj-13852	65	30	-	-	PUNCT
ecj-13852	65	31	associated	associate	VERB
ecj-13852	65	32	leukemoid	leukemoid	ADJ
ecj-13852	65	33	reaction	reaction	NOUN
ecj-13852	65	34	,	,	PUNCT
ecj-13852	65	35	which	which	PRON
ecj-13852	65	36	refers	refer	VERB
ecj-13852	65	37	to	to	ADP
ecj-13852	65	38	an	an	DET
ecj-13852	65	39	extreme	extreme	ADJ
ecj-13852	65	40	elevation	elevation	NOUN
ecj-13852	65	41	in	in	ADP
ecj-13852	65	42	white	white	ADJ
ecj-13852	65	43	blood	blood	NOUN
ecj-13852	65	44	cell	cell	NOUN
ecj-13852	65	45	(	(	PUNCT
ecj-13852	65	46	wbc	wbc	PROPN
ecj-13852	65	47	)	)	PUNCT
ecj-13852	65	48	count	count	NOUN
ecj-13852	65	49	,	,	PUNCT
ecj-13852	65	50	often	often	ADV
ecj-13852	65	51	exceeding	exceed	VERB
ecj-13852	65	52	50,000	50,000	NUM
ecj-13852	65	53	cells	cell	NOUN
ecj-13852	65	54	/	/	SYM
ecj-13852	65	55	mm³	mm³	PROPN
ecj-13852	65	56	,	,	PUNCT
ecj-13852	65	57	in	in	ADP
ecj-13852	65	58	response	response	NOUN
ecj-13852	65	59	to	to	ADP
ecj-13852	65	60	infection	infection	NOUN
ecj-13852	65	61	.	.	PUNCT
ecj-13852	66	1	leukemoid	leukemoid	ADJ
ecj-13852	66	2	reactions	reaction	NOUN
ecj-13852	66	3	have	have	AUX
ecj-13852	66	4	been	be	AUX
ecj-13852	66	5	widely	widely	ADV
ecj-13852	66	6	reported	report	VERB
ecj-13852	66	7	in	in	ADP
ecj-13852	66	8	severe	severe	ADJ
ecj-13852	66	9	infections	infection	NOUN
ecj-13852	66	10	,	,	PUNCT
ecj-13852	66	11	malignancies	malignancy	NOUN
ecj-13852	66	12	,	,	PUNCT
ecj-13852	66	13	and	and	CCONJ
ecj-13852	66	14	stress	stress	NOUN
ecj-13852	66	15	responses	response	NOUN
ecj-13852	66	16	.	.	PUNCT
ecj-13852	67	1	leukocytosis	leukocytosis	NOUN
ecj-13852	67	2	in	in	ADP
ecj-13852	67	3	cdi	cdi	PROPN
ecj-13852	67	4	is	be	AUX
ecj-13852	67	5	thought	think	VERB
ecj-13852	67	6	to	to	PART
ecj-13852	67	7	be	be	AUX
ecj-13852	67	8	driven	drive	VERB
ecj-13852	67	9	by	by	ADP
ecj-13852	67	10	severe	severe	ADJ
ecj-13852	67	11	systemic	systemic	ADJ
ecj-13852	67	12	inflammation	inflammation	NOUN
ecj-13852	67	13	,	,	PUNCT
ecj-13852	67	14	cytokine	cytokine	NOUN
ecj-13852	67	15	release	release	NOUN
ecj-13852	67	16	,	,	PUNCT
ecj-13852	67	17	and	and	CCONJ
ecj-13852	67	18	toxin	toxin	NOUN
ecj-13852	67	19	production	production	NOUN
ecj-13852	67	20	.	.	PUNCT
ecj-13852	68	1	studies	study	NOUN
ecj-13852	68	2	suggest	suggest	VERB
ecj-13852	68	3	that	that	SCONJ
ecj-13852	68	4	extreme	extreme	ADJ
ecj-13852	68	5	wbc	wbc	NOUN
ecj-13852	68	6	elevations	elevation	NOUN
ecj-13852	68	7	may	may	AUX
ecj-13852	68	8	correlate	correlate	VERB
ecj-13852	68	9	with	with	ADP
ecj-13852	68	10	disease	disease	NOUN
ecj-13852	68	11	severity	severity	NOUN
ecj-13852	68	12	,	,	PUNCT
ecj-13852	68	13	potentially	potentially	ADV
ecj-13852	68	14	serving	serve	VERB
ecj-13852	68	15	as	as	ADP
ecj-13852	68	16	a	a	DET
ecj-13852	68	17	prognostic	prognostic	ADJ
ecj-13852	68	18	marker	marker	NOUN
ecj-13852	68	19	for	for	ADP
ecj-13852	68	20	adverse	adverse	ADJ
ecj-13852	68	21	outcomes	outcome	NOUN
ecj-13852	68	22	,	,	PUNCT
ecj-13852	68	23	including	include	VERB
ecj-13852	68	24	septic	septic	ADJ
ecj-13852	68	25	shock	shock	NOUN
ecj-13852	68	26	,	,	PUNCT
ecj-13852	68	27	multi	multi	ADJ
ecj-13852	68	28	-	-	ADJ
ecj-13852	68	29	organ	organ	ADJ
ecj-13852	68	30	dysfunction	dysfunction	NOUN
ecj-13852	68	31	,	,	PUNCT
ecj-13852	68	32	and	and	CCONJ
ecj-13852	68	33	mortality.11,12	mortality.11,12	VERB
ecj-13852	68	34	the	the	DET
ecj-13852	68	35	most	most	ADV
ecj-13852	68	36	significant	significant	ADJ
ecj-13852	68	37	risk	risk	NOUN
ecj-13852	68	38	factor	factor	NOUN
ecj-13852	68	39	for	for	ADP
ecj-13852	68	40	developing	develop	VERB
ecj-13852	68	41	cdi	cdi	PROPN
ecj-13852	68	42	is	be	AUX
ecj-13852	68	43	the	the	DET
ecj-13852	68	44	use	use	NOUN
ecj-13852	68	45	of	of	ADP
ecj-13852	68	46	broad	broad	ADJ
ecj-13852	68	47	-	-	PUNCT
ecj-13852	68	48	spectrum	spectrum	NOUN
ecj-13852	68	49	antibiotics	antibiotic	NOUN
ecj-13852	68	50	such	such	ADJ
ecj-13852	68	51	as	as	ADP
ecj-13852	68	52	penicillins	penicillin	NOUN
ecj-13852	68	53	,	,	PUNCT
ecj-13852	68	54	cephalosporins	cephalosporin	NOUN
ecj-13852	68	55	,	,	PUNCT
ecj-13852	68	56	fluoroquinolones	fluoroquinolone	NOUN
ecj-13852	68	57	,	,	PUNCT
ecj-13852	68	58	and	and	CCONJ
ecj-13852	68	59	clindamycin	clindamycin	NOUN
ecj-13852	68	60	which	which	PRON
ecj-13852	68	61	disrupt	disrupt	VERB
ecj-13852	68	62	the	the	DET
ecj-13852	68	63	normal	normal	ADJ
ecj-13852	68	64	gut	gut	NOUN
ecj-13852	68	65	microbiota	microbiota	NOUN
ecj-13852	68	66	,	,	PUNCT
ecj-13852	68	67	leading	lead	VERB
ecj-13852	68	68	to	to	ADP
ecj-13852	68	69	dysbiosis	dysbiosis	NOUN
ecj-13852	68	70	and	and	CCONJ
ecj-13852	68	71	allowing	allow	VERB
ecj-13852	68	72	c.	c.	NOUN
ecj-13852	68	73	difficile	difficile	VERB
ecj-13852	68	74	to	to	PART
ecj-13852	68	75	proliferate	proliferate	VERB
ecj-13852	68	76	and	and	CCONJ
ecj-13852	68	77	cause	cause	VERB
ecj-13852	68	78	infection.13,14	infection.13,14	ADV
ecj-13852	68	79	other	other	ADJ
ecj-13852	68	80	risk	risk	NOUN
ecj-13852	68	81	factors	factor	NOUN
ecj-13852	68	82	include	include	VERB
ecj-13852	68	83	proton	proton	NOUN
ecj-13852	68	84	pump	pump	NOUN
ecj-13852	68	85	inhibitor	inhibitor	NOUN
ecj-13852	68	86	use	use	NOUN
ecj-13852	68	87	,	,	PUNCT
ecj-13852	68	88	advanced	advanced	ADJ
ecj-13852	68	89	age	age	NOUN
ecj-13852	68	90	,	,	PUNCT
ecj-13852	68	91	immunosuppression	immunosuppression	NOUN
ecj-13852	68	92	,	,	PUNCT
ecj-13852	68	93	underlying	underlying	ADJ
ecj-13852	68	94	comorbidities	comorbiditie	NOUN
ecj-13852	68	95	,	,	PUNCT
ecj-13852	68	96	previous	previous	ADJ
ecj-13852	68	97	cdi	cdi	PROPN
ecj-13852	68	98	,	,	PUNCT
ecj-13852	68	99	renal	renal	ADJ
ecj-13852	68	100	or	or	CCONJ
ecj-13852	68	101	hepatic	hepatic	ADJ
ecj-13852	68	102	failure	failure	NOUN
ecj-13852	68	103	,	,	PUNCT
ecj-13852	68	104	recent	recent	ADJ
ecj-13852	68	105	hospitalization	hospitalization	NOUN
ecj-13852	68	106	,	,	PUNCT
ecj-13852	68	107	and	and	CCONJ
ecj-13852	68	108	prolonged	prolonged	ADJ
ecj-13852	68	109	hospital	hospital	NOUN
ecj-13852	68	110	stays.15,16	stays.15,16	NOUN
ecj-13852	68	111	mini	mini	PROPN
ecj-13852	68	112	review	review	NOUN
ecj-13852	68	113	figure	figure	NOUN
ecj-13852	68	114	1	1	NUM
ecj-13852	68	115	.	.	PUNCT
ecj-13852	68	116	abscess	abscess	NOUN
ecj-13852	68	117	in	in	ADP
ecj-13852	68	118	the	the	DET
ecj-13852	68	119	right	right	ADJ
ecj-13852	68	120	lumbar	lumbar	NOUN
ecj-13852	68	121	region	region	NOUN
ecj-13852	68	122	.	.	PUNCT
ecj-13852	69	1	[	[	X
ecj-13852	69	2	emergency	emergency	NOUN
ecj-13852	69	3	care	care	NOUN
ecj-13852	69	4	journal	journal	NOUN
ecj-13852	69	5	2025	2025	NUM
ecj-13852	69	6	;	;	PUNCT
ecj-13852	69	7	21:13852	21:13852	NUM
ecj-13852	69	8	]	]	X
ecj-13852	69	9	[	[	X
ecj-13852	69	10	page	page	NOUN
ecj-13852	69	11	15	15	NUM
ecj-13852	69	12	]	]	PUNCT
ecj-13852	69	13	although	although	SCONJ
ecj-13852	69	14	c.	c.	PROPN
ecj-13852	69	15	difficile	difficile	NOUN
ecj-13852	69	16	is	be	AUX
ecj-13852	69	17	predominantly	predominantly	ADV
ecj-13852	69	18	linked	link	VERB
ecj-13852	69	19	to	to	ADP
ecj-13852	69	20	gastrointestinal	gastrointestinal	ADJ
ecj-13852	69	21	pathology	pathology	NOUN
ecj-13852	69	22	,	,	PUNCT
ecj-13852	69	23	extra	extra	ADJ
ecj-13852	69	24	-	-	ADJ
ecj-13852	69	25	intestinal	intestinal	ADJ
ecj-13852	69	26	manifestations	manifestation	NOUN
ecj-13852	69	27	,	,	PUNCT
ecj-13852	69	28	including	include	VERB
ecj-13852	69	29	abscess	abscess	ADJ
ecj-13852	69	30	formation	formation	NOUN
ecj-13852	69	31	due	due	ADP
ecj-13852	69	32	to	to	ADP
ecj-13852	69	33	cdi	cdi	PROPN
ecj-13852	69	34	,	,	PUNCT
ecj-13852	69	35	are	be	AUX
ecj-13852	69	36	exceedingly	exceedingly	ADV
ecj-13852	69	37	rare	rare	ADJ
ecj-13852	69	38	,	,	PUNCT
ecj-13852	69	39	with	with	ADP
ecj-13852	69	40	only	only	ADV
ecj-13852	69	41	a	a	DET
ecj-13852	69	42	few	few	ADJ
ecj-13852	69	43	cases	case	NOUN
ecj-13852	69	44	documented	document	VERB
ecj-13852	69	45	in	in	ADP
ecj-13852	69	46	the	the	DET
ecj-13852	69	47	literature.17	literature.17	NOUN
ecj-13852	69	48	the	the	DET
ecj-13852	69	49	mechanism	mechanism	NOUN
ecj-13852	69	50	behind	behind	ADP
ecj-13852	69	51	extraintestinal	extraintestinal	ADJ
ecj-13852	69	52	dissemination	dissemination	NOUN
ecj-13852	69	53	remains	remain	VERB
ecj-13852	69	54	unclear	unclear	ADJ
ecj-13852	69	55	but	but	CCONJ
ecj-13852	69	56	may	may	AUX
ecj-13852	69	57	involve	involve	VERB
ecj-13852	69	58	hematogenous	hematogenous	ADJ
ecj-13852	69	59	spread	spread	NOUN
ecj-13852	69	60	,	,	PUNCT
ecj-13852	69	61	direct	direct	ADJ
ecj-13852	69	62	inoculation	inoculation	NOUN
ecj-13852	69	63	,	,	PUNCT
ecj-13852	69	64	or	or	CCONJ
ecj-13852	69	65	translocation	translocation	NOUN
ecj-13852	69	66	from	from	ADP
ecj-13852	69	67	the	the	DET
ecj-13852	69	68	gastrointestinal	gastrointestinal	ADJ
ecj-13852	69	69	tract	tract	NOUN
ecj-13852	69	70	.	.	PUNCT
ecj-13852	70	1	in	in	ADP
ecj-13852	70	2	this	this	DET
ecj-13852	70	3	case	case	NOUN
ecj-13852	70	4	,	,	PUNCT
ecj-13852	70	5	the	the	DET
ecj-13852	70	6	lack	lack	NOUN
ecj-13852	70	7	of	of	ADP
ecj-13852	70	8	gastrointestinal	gastrointestinal	ADJ
ecj-13852	70	9	symptoms	symptom	NOUN
ecj-13852	70	10	(	(	PUNCT
ecj-13852	70	11	such	such	ADJ
ecj-13852	70	12	as	as	ADP
ecj-13852	70	13	diarrhea	diarrhea	NOUN
ecj-13852	70	14	or	or	CCONJ
ecj-13852	70	15	colitis	colitis	NOUN
ecj-13852	70	16	)	)	PUNCT
ecj-13852	70	17	initially	initially	ADV
ecj-13852	70	18	obscured	obscure	VERB
ecj-13852	70	19	the	the	DET
ecj-13852	70	20	diagnosis	diagnosis	NOUN
ecj-13852	70	21	,	,	PUNCT
ecj-13852	70	22	emphasizing	emphasize	VERB
ecj-13852	70	23	the	the	DET
ecj-13852	70	24	importance	importance	NOUN
ecj-13852	70	25	of	of	ADP
ecj-13852	70	26	considering	consider	VERB
ecj-13852	70	27	cdi	cdi	PROPN
ecj-13852	70	28	in	in	ADP
ecj-13852	70	29	patients	patient	NOUN
ecj-13852	70	30	with	with	ADP
ecj-13852	70	31	soft	soft	ADJ
ecj-13852	70	32	tissue	tissue	NOUN
ecj-13852	70	33	infections	infection	NOUN
ecj-13852	70	34	and	and	CCONJ
ecj-13852	70	35	systemic	systemic	ADJ
ecj-13852	70	36	inflammatory	inflammatory	ADJ
ecj-13852	70	37	responses	response	NOUN
ecj-13852	70	38	.	.	PUNCT
ecj-13852	71	1	the	the	DET
ecj-13852	71	2	identification	identification	NOUN
ecj-13852	71	3	of	of	ADP
ecj-13852	71	4	c.	c.	NOUN
ecj-13852	71	5	difficile	difficile	VERB
ecj-13852	71	6	in	in	ADP
ecj-13852	71	7	the	the	DET
ecj-13852	71	8	abscess	abscess	NOUN
ecj-13852	71	9	culture	culture	NOUN
ecj-13852	71	10	was	be	AUX
ecj-13852	71	11	unexpected	unexpected	ADJ
ecj-13852	71	12	,	,	PUNCT
ecj-13852	71	13	reinforcing	reinforce	VERB
ecj-13852	71	14	the	the	DET
ecj-13852	71	15	need	need	NOUN
ecj-13852	71	16	for	for	ADP
ecj-13852	71	17	broad	broad	ADJ
ecj-13852	71	18	-	-	PUNCT
ecj-13852	71	19	spectrum	spectrum	NOUN
ecj-13852	71	20	microbiological	microbiological	ADJ
ecj-13852	71	21	testing	testing	NOUN
ecj-13852	71	22	in	in	ADP
ecj-13852	71	23	cases	case	NOUN
ecj-13852	71	24	of	of	ADP
ecj-13852	71	25	persistent	persistent	ADJ
ecj-13852	71	26	sepsis	sepsis	NOUN
ecj-13852	71	27	with	with	ADP
ecj-13852	71	28	unusual	unusual	ADJ
ecj-13852	71	29	presentations	presentation	NOUN
ecj-13852	71	30	.	.	PUNCT
ecj-13852	72	1	reports	report	NOUN
ecj-13852	72	2	in	in	ADP
ecj-13852	72	3	the	the	DET
ecj-13852	72	4	literature	literature	NOUN
ecj-13852	72	5	describe	describe	VERB
ecj-13852	72	6	cases	case	NOUN
ecj-13852	72	7	of	of	ADP
ecj-13852	72	8	c.	c.	NOUN
ecj-13852	72	9	difficile	difficile	ADJ
ecj-13852	72	10	bacteremia	bacteremia	NOUN
ecj-13852	72	11	without	without	ADP
ecj-13852	72	12	associated	associated	ADJ
ecj-13852	72	13	diarrhea	diarrhea	PROPN
ecj-13852	72	14	,	,	PUNCT
ecj-13852	72	15	highlighting	highlight	VERB
ecj-13852	72	16	its	its	PRON
ecj-13852	72	17	ability	ability	NOUN
ecj-13852	72	18	to	to	PART
ecj-13852	72	19	disseminate	disseminate	VERB
ecj-13852	72	20	systemically.18	systemically.18	PROPN
ecj-13852	72	21	furthermore	furthermore	ADV
ecj-13852	72	22	,	,	PUNCT
ecj-13852	72	23	a	a	DET
ecj-13852	72	24	documented	document	VERB
ecj-13852	72	25	case	case	NOUN
ecj-13852	72	26	of	of	ADP
ecj-13852	72	27	c.	c.	NOUN
ecj-13852	72	28	difficile	difficile	VERB
ecj-13852	72	29	spinal	spinal	ADJ
ecj-13852	72	30	epidural	epidural	ADJ
ecj-13852	72	31	abscess	abscess	NOUN
ecj-13852	72	32	illustrates	illustrate	VERB
ecj-13852	72	33	its	its	PRON
ecj-13852	72	34	capacity	capacity	NOUN
ecj-13852	72	35	to	to	PART
ecj-13852	72	36	infect	infect	VERB
ecj-13852	72	37	soft	soft	ADJ
ecj-13852	72	38	tissues	tissue	NOUN
ecj-13852	72	39	,	,	PUNCT
ecj-13852	72	40	albeit	albeit	SCONJ
ecj-13852	72	41	infrequently.19	infrequently.19	VERB
ecj-13852	72	42	the	the	DET
ecj-13852	72	43	study	study	NOUN
ecj-13852	72	44	by	by	ADP
ecj-13852	72	45	albrich	albrich	PROPN
ecj-13852	72	46	and	and	CCONJ
ecj-13852	72	47	rimland	rimland	PROPN
ecj-13852	72	48	found	find	VERB
ecj-13852	72	49	that	that	SCONJ
ecj-13852	72	50	among	among	ADP
ecj-13852	72	51	162	162	NUM
ecj-13852	72	52	cdi	cdi	PROPN
ecj-13852	72	53	patients	patient	NOUN
ecj-13852	72	54	,	,	PUNCT
ecj-13852	72	55	22	22	NUM
ecj-13852	72	56	%	%	NOUN
ecj-13852	72	57	had	have	VERB
ecj-13852	72	58	thrombocytosis	thrombocytosis	NOUN
ecj-13852	72	59	,	,	PUNCT
ecj-13852	72	60	and	and	CCONJ
ecj-13852	72	61	60	60	NUM
ecj-13852	72	62	%	%	NOUN
ecj-13852	72	63	had	have	VERB
ecj-13852	72	64	leukocytosis	leukocytosis	NOUN
ecj-13852	72	65	.	.	PUNCT
ecj-13852	73	1	c.	c.	NOUN
ecj-13852	73	2	difficile	difficile	VERB
ecj-13852	73	3	toxin	toxin	NOUN
ecj-13852	73	4	a	a	PRON
ecj-13852	73	5	was	be	AUX
ecj-13852	73	6	more	more	ADV
ecj-13852	73	7	common	common	ADJ
ecj-13852	73	8	in	in	ADP
ecj-13852	73	9	thrombocytosis	thrombocytosis	NOUN
ecj-13852	73	10	with	with	ADP
ecj-13852	73	11	leukocytosis	leukocytosis	NOUN
ecj-13852	73	12	,	,	PUNCT
ecj-13852	73	13	suggesting	suggest	VERB
ecj-13852	73	14	these	these	DET
ecj-13852	73	15	markers	marker	NOUN
ecj-13852	73	16	may	may	AUX
ecj-13852	73	17	help	help	VERB
ecj-13852	73	18	diagnose	diagnose	VERB
ecj-13852	73	19	infections.20	infections.20	PROPN
ecj-13852	73	20	unlike	unlike	ADP
ecj-13852	73	21	intestinal	intestinal	ADJ
ecj-13852	73	22	cdi	cdi	PROPN
ecj-13852	73	23	,	,	PUNCT
ecj-13852	73	24	for	for	ADP
ecj-13852	73	25	which	which	PRON
ecj-13852	73	26	treatment	treatment	NOUN
ecj-13852	73	27	guidelines	guideline	NOUN
ecj-13852	73	28	are	be	AUX
ecj-13852	73	29	well	well	ADV
ecj-13852	73	30	established	establish	VERB
ecj-13852	73	31	,	,	PUNCT
ecj-13852	73	32	there	there	PRON
ecj-13852	73	33	are	be	VERB
ecj-13852	73	34	no	no	DET
ecj-13852	73	35	standardized	standardized	ADJ
ecj-13852	73	36	protocols	protocol	NOUN
ecj-13852	73	37	for	for	ADP
ecj-13852	73	38	extraintestinal	extraintestinal	ADJ
ecj-13852	73	39	cdi	cdi	PROPN
ecj-13852	73	40	.	.	PUNCT
ecj-13852	74	1	current	current	ADJ
ecj-13852	74	2	guidelines	guideline	NOUN
ecj-13852	74	3	for	for	ADP
ecj-13852	74	4	treating	treat	VERB
ecj-13852	74	5	intestinal	intestinal	ADJ
ecj-13852	74	6	cdi	cdi	PROPN
ecj-13852	74	7	recommend	recommend	VERB
ecj-13852	74	8	oral	oral	ADJ
ecj-13852	74	9	vancomycin	vancomycin	PROPN
ecj-13852	74	10	or	or	CCONJ
ecj-13852	74	11	fidaxomicin	fidaxomicin	NOUN
ecj-13852	74	12	for	for	ADP
ecj-13852	74	13	first	first	ADJ
ecj-13852	74	14	episodes	episode	NOUN
ecj-13852	74	15	,	,	PUNCT
ecj-13852	74	16	recurrences	recurrence	NOUN
ecj-13852	74	17	,	,	PUNCT
ecj-13852	74	18	and	and	CCONJ
ecj-13852	74	19	severe	severe	ADJ
ecj-13852	74	20	cases	case	NOUN
ecj-13852	74	21	.	.	PUNCT
ecj-13852	75	1	metronidazole	metronidazole	NOUN
ecj-13852	75	2	is	be	AUX
ecj-13852	75	3	now	now	ADV
ecj-13852	75	4	reserved	reserve	VERB
ecj-13852	75	5	for	for	ADP
ecj-13852	75	6	mild	mild	ADJ
ecj-13852	75	7	infections	infection	NOUN
ecj-13852	75	8	and	and	CCONJ
ecj-13852	75	9	should	should	AUX
ecj-13852	75	10	only	only	ADV
ecj-13852	75	11	be	be	AUX
ecj-13852	75	12	considered	consider	VERB
ecj-13852	75	13	when	when	SCONJ
ecj-13852	75	14	vancomycin	vancomycin	PROPN
ecj-13852	75	15	or	or	CCONJ
ecj-13852	75	16	fidaxomicin	fidaxomicin	NOUN
ecj-13852	75	17	,	,	PUNCT
ecj-13852	75	18	are	be	AUX
ecj-13852	75	19	unavailable	unavailable	ADJ
ecj-13852	75	20	,	,	PUNCT
ecj-13852	75	21	as	as	SCONJ
ecj-13852	75	22	it	it	PRON
ecj-13852	75	23	is	be	AUX
ecj-13852	75	24	no	no	ADV
ecj-13852	75	25	longer	long	ADV
ecj-13852	75	26	recommended	recommend	VERB
ecj-13852	75	27	as	as	ADP
ecj-13852	75	28	first	first	ADJ
ecj-13852	75	29	-	-	PUNCT
ecj-13852	75	30	line	line	NOUN
ecj-13852	75	31	therapy	therapy	NOUN
ecj-13852	75	32	.	.	PUNCT
ecj-13852	76	1	however	however	ADV
ecj-13852	76	2	,	,	PUNCT
ecj-13852	76	3	the	the	DET
ecj-13852	76	4	role	role	NOUN
ecj-13852	76	5	of	of	ADP
ecj-13852	76	6	oral	oral	ADJ
ecj-13852	76	7	versus	versus	ADP
ecj-13852	76	8	intravenous	intravenous	ADJ
ecj-13852	76	9	antibiotics	antibiotic	NOUN
ecj-13852	76	10	in	in	ADP
ecj-13852	76	11	extraintestinal	extraintestinal	ADJ
ecj-13852	76	12	infections	infection	NOUN
ecj-13852	76	13	remains	remain	VERB
ecj-13852	76	14	uncertain	uncertain	ADJ
ecj-13852	76	15	.	.	PUNCT
ecj-13852	77	1	while	while	SCONJ
ecj-13852	77	2	cdi	cdi	PROPN
ecj-13852	77	3	is	be	AUX
ecj-13852	77	4	traditionally	traditionally	ADV
ecj-13852	77	5	linked	link	VERB
ecj-13852	77	6	to	to	ADP
ecj-13852	77	7	healthcare	healthcare	NOUN
ecj-13852	77	8	settings	setting	NOUN
ecj-13852	77	9	,	,	PUNCT
ecj-13852	77	10	recent	recent	ADJ
ecj-13852	77	11	reports	report	NOUN
ecj-13852	77	12	highlight	highlight	VERB
ecj-13852	77	13	a	a	DET
ecj-13852	77	14	rising	rise	VERB
ecj-13852	77	15	incidence	incidence	NOUN
ecj-13852	77	16	in	in	ADP
ecj-13852	77	17	the	the	DET
ecj-13852	77	18	community	community	NOUN
ecj-13852	77	19	even	even	ADV
ecj-13852	77	20	among	among	ADP
ecj-13852	77	21	individuals	individual	NOUN
ecj-13852	77	22	without	without	ADP
ecj-13852	77	23	prior	prior	ADJ
ecj-13852	77	24	healthcare	healthcare	NOUN
ecj-13852	77	25	exposure	exposure	NOUN
ecj-13852	77	26	or	or	CCONJ
ecj-13852	77	27	antibiotic	antibiotic	ADJ
ecj-13852	77	28	use	use	NOUN
ecj-13852	77	29	,	,	PUNCT
ecj-13852	77	30	as	as	SCONJ
ecj-13852	77	31	seen	see	VERB
ecj-13852	77	32	in	in	ADP
ecj-13852	77	33	our	our	PRON
ecj-13852	77	34	case.21	case.21	PROPN
ecj-13852	77	35	-	-	PUNCT
ecj-13852	77	36	22	22	NUM
ecj-13852	77	37	in	in	ADP
ecj-13852	77	38	our	our	PRON
ecj-13852	77	39	case	case	NOUN
ecj-13852	77	40	,	,	PUNCT
ecj-13852	77	41	initial	initial	ADJ
ecj-13852	77	42	empiric	empiric	ADJ
ecj-13852	77	43	therapy	therapy	NOUN
ecj-13852	77	44	with	with	ADP
ecj-13852	77	45	piperacillin	piperacillin	NOUN
ecj-13852	77	46	-	-	PUNCT
ecj-13852	77	47	tazobactam	tazobactam	NOUN
ecj-13852	77	48	and	and	CCONJ
ecj-13852	77	49	clindamycin	clindamycin	NOUN
ecj-13852	77	50	was	be	AUX
ecj-13852	77	51	insufficient	insufficient	ADJ
ecj-13852	77	52	,	,	PUNCT
ecj-13852	77	53	as	as	SCONJ
ecj-13852	77	54	evidenced	evidence	VERB
ecj-13852	77	55	by	by	ADP
ecj-13852	77	56	progressive	progressive	ADJ
ecj-13852	77	57	leukocytosis	leukocytosis	NOUN
ecj-13852	77	58	and	and	CCONJ
ecj-13852	77	59	persistent	persistent	ADJ
ecj-13852	77	60	fever	fever	NOUN
ecj-13852	77	61	.	.	PUNCT
ecj-13852	78	1	the	the	DET
ecj-13852	78	2	turning	turning	NOUN
ecj-13852	78	3	point	point	NOUN
ecj-13852	78	4	in	in	ADP
ecj-13852	78	5	management	management	NOUN
ecj-13852	78	6	was	be	AUX
ecj-13852	78	7	the	the	DET
ecj-13852	78	8	identification	identification	NOUN
ecj-13852	78	9	of	of	ADP
ecj-13852	78	10	c.	c.	NOUN
ecj-13852	78	11	difficile	difficile	VERB
ecj-13852	78	12	in	in	ADP
ecj-13852	78	13	the	the	DET
ecj-13852	78	14	abscess	abscess	NOUN
ecj-13852	78	15	culture	culture	NOUN
ecj-13852	78	16	,	,	PUNCT
ecj-13852	78	17	prompting	prompt	VERB
ecj-13852	78	18	a	a	DET
ecj-13852	78	19	switch	switch	NOUN
ecj-13852	78	20	to	to	ADP
ecj-13852	78	21	intravenous	intravenous	ADJ
ecj-13852	78	22	metronidazole	metronidazole	NOUN
ecj-13852	78	23	and	and	CCONJ
ecj-13852	78	24	vancomycin	vancomycin	PROPN
ecj-13852	78	25	,	,	PUNCT
ecj-13852	78	26	which	which	PRON
ecj-13852	78	27	led	lead	VERB
ecj-13852	78	28	to	to	ADP
ecj-13852	78	29	clinical	clinical	ADJ
ecj-13852	78	30	resolution	resolution	NOUN
ecj-13852	78	31	.	.	PUNCT
ecj-13852	79	1	this	this	DET
ecj-13852	79	2	case	case	NOUN
ecj-13852	79	3	underscores	underscore	VERB
ecj-13852	79	4	the	the	DET
ecj-13852	79	5	importance	importance	NOUN
ecj-13852	79	6	of	of	ADP
ecj-13852	79	7	early	early	ADJ
ecj-13852	79	8	surgical	surgical	ADJ
ecj-13852	79	9	intervention	intervention	NOUN
ecj-13852	79	10	for	for	ADP
ecj-13852	79	11	abscess	abscess	NOUN
ecj-13852	79	12	drainage	drainage	NOUN
ecj-13852	79	13	,	,	PUNCT
ecj-13852	79	14	as	as	SCONJ
ecj-13852	79	15	source	source	NOUN
ecj-13852	79	16	control	control	NOUN
ecj-13852	79	17	is	be	AUX
ecj-13852	79	18	essential	essential	ADJ
ecj-13852	79	19	in	in	ADP
ecj-13852	79	20	managing	manage	VERB
ecj-13852	79	21	deep	deep	ADJ
ecj-13852	79	22	-	-	PUNCT
ecj-13852	79	23	seated	seat	VERB
ecj-13852	79	24	infections	infection	NOUN
ecj-13852	79	25	.	.	PUNCT
ecj-13852	80	1	additionally	additionally	ADV
ecj-13852	80	2	,	,	PUNCT
ecj-13852	80	3	risk	risk	NOUN
ecj-13852	80	4	factors	factor	NOUN
ecj-13852	80	5	for	for	ADP
ecj-13852	80	6	extraintestinal	extraintestinal	ADJ
ecj-13852	80	7	cdi	cdi	PROPN
ecj-13852	80	8	should	should	AUX
ecj-13852	80	9	be	be	AUX
ecj-13852	80	10	carefully	carefully	ADV
ecj-13852	80	11	evaluated	evaluate	VERB
ecj-13852	80	12	.	.	PUNCT
ecj-13852	81	1	although	although	SCONJ
ecj-13852	81	2	our	our	PRON
ecj-13852	81	3	patient	patient	NOUN
ecj-13852	81	4	had	have	VERB
ecj-13852	81	5	no	no	DET
ecj-13852	81	6	prior	prior	ADJ
ecj-13852	81	7	history	history	NOUN
ecj-13852	81	8	of	of	ADP
ecj-13852	81	9	hospitalization	hospitalization	NOUN
ecj-13852	81	10	or	or	CCONJ
ecj-13852	81	11	antibiotic	antibiotic	ADJ
ecj-13852	81	12	use	use	NOUN
ecj-13852	81	13	,	,	PUNCT
ecj-13852	81	14	further	further	ADJ
ecj-13852	81	15	research	research	NOUN
ecj-13852	81	16	is	be	AUX
ecj-13852	81	17	warranted	warrant	VERB
ecj-13852	81	18	to	to	PART
ecj-13852	81	19	clarify	clarify	VERB
ecj-13852	81	20	host	host	NOUN
ecj-13852	81	21	susceptibility	susceptibility	NOUN
ecj-13852	81	22	,	,	PUNCT
ecj-13852	81	23	bacterial	bacterial	ADJ
ecj-13852	81	24	virulence	virulence	NOUN
ecj-13852	81	25	mechanisms	mechanism	NOUN
ecj-13852	81	26	,	,	PUNCT
ecj-13852	81	27	and	and	CCONJ
ecj-13852	81	28	optimal	optimal	ADJ
ecj-13852	81	29	treatment	treatment	NOUN
ecj-13852	81	30	approaches	approach	NOUN
ecj-13852	81	31	for	for	ADP
ecj-13852	81	32	extraintestinal	extraintestinal	ADJ
ecj-13852	81	33	cdi	cdi	PROPN
ecj-13852	81	34	.	.	PUNCT
ecj-13852	82	1	this	this	DET
ecj-13852	82	2	case	case	NOUN
ecj-13852	82	3	highlights	highlight	VERB
ecj-13852	82	4	the	the	DET
ecj-13852	82	5	importance	importance	NOUN
ecj-13852	82	6	of	of	ADP
ecj-13852	82	7	considering	consider	VERB
ecj-13852	82	8	atypical	atypical	ADJ
ecj-13852	82	9	infectious	infectious	ADJ
ecj-13852	82	10	sources	source	NOUN
ecj-13852	82	11	in	in	ADP
ecj-13852	82	12	patients	patient	NOUN
ecj-13852	82	13	with	with	ADP
ecj-13852	82	14	leukocytosis	leukocytosis	NOUN
ecj-13852	82	15	and	and	CCONJ
ecj-13852	82	16	fever	fever	NOUN
ecj-13852	82	17	.	.	PUNCT
ecj-13852	83	1	clinicians	clinician	NOUN
ecj-13852	83	2	should	should	AUX
ecj-13852	83	3	remain	remain	VERB
ecj-13852	83	4	vigilant	vigilant	ADJ
ecj-13852	83	5	in	in	ADP
ecj-13852	83	6	recognizing	recognize	VERB
ecj-13852	83	7	unusual	unusual	ADJ
ecj-13852	83	8	infectious	infectious	ADJ
ecj-13852	83	9	presentations	presentation	NOUN
ecj-13852	83	10	of	of	ADP
ecj-13852	83	11	c.	c.	PROPN
ecj-13852	83	12	difficile	difficile	PROPN
ecj-13852	83	13	,	,	PUNCT
ecj-13852	83	14	especially	especially	ADV
ecj-13852	83	15	in	in	ADP
ecj-13852	83	16	patients	patient	NOUN
ecj-13852	83	17	lacking	lack	VERB
ecj-13852	83	18	classical	classical	ADJ
ecj-13852	83	19	gastrointestinal	gastrointestinal	ADJ
ecj-13852	83	20	manifestations	manifestation	NOUN
ecj-13852	83	21	.	.	PUNCT
ecj-13852	84	1	cdi	cdi	PROPN
ecj-13852	84	2	is	be	AUX
ecj-13852	84	3	commonly	commonly	ADV
ecj-13852	84	4	transmitted	transmit	VERB
ecj-13852	84	5	through	through	ADP
ecj-13852	84	6	contaminated	contaminate	VERB
ecj-13852	84	7	surfaces	surface	NOUN
ecj-13852	84	8	in	in	ADP
ecj-13852	84	9	hospitals	hospital	NOUN
ecj-13852	84	10	.	.	PUNCT
ecj-13852	85	1	inadequately	inadequately	ADV
ecj-13852	85	2	cleaned	clean	VERB
ecj-13852	85	3	surfaces	surface	NOUN
ecj-13852	85	4	and	and	CCONJ
ecj-13852	85	5	medical	medical	ADJ
ecj-13852	85	6	equipment	equipment	NOUN
ecj-13852	85	7	can	can	AUX
ecj-13852	85	8	serve	serve	VERB
ecj-13852	85	9	as	as	ADP
ecj-13852	85	10	reservoirs	reservoir	NOUN
ecj-13852	85	11	for	for	ADP
ecj-13852	85	12	its	its	PRON
ecj-13852	85	13	spores	spore	NOUN
ecj-13852	85	14	,	,	PUNCT
ecj-13852	85	15	facilitating	facilitate	VERB
ecj-13852	85	16	transmission	transmission	NOUN
ecj-13852	85	17	to	to	ADP
ecj-13852	85	18	patients	patient	NOUN
ecj-13852	85	19	when	when	SCONJ
ecj-13852	85	20	infection	infection	NOUN
ecj-13852	85	21	prevention	prevention	NOUN
ecj-13852	85	22	and	and	CCONJ
ecj-13852	85	23	control	control	NOUN
ecj-13852	85	24	measures	measure	NOUN
ecj-13852	85	25	,	,	PUNCT
ecj-13852	85	26	including	include	VERB
ecj-13852	85	27	effective	effective	ADJ
ecj-13852	85	28	cleaning	clean	VERB
ecj-13852	85	29	protocols	protocol	NOUN
ecj-13852	85	30	,	,	PUNCT
ecj-13852	85	31	are	be	AUX
ecj-13852	85	32	not	not	PART
ecj-13852	85	33	properly	properly	ADV
ecj-13852	85	34	implemented.23	implemented.23	VERB
ecj-13852	85	35	conclusions	conclusion	NOUN
ecj-13852	85	36	clinicians	clinician	NOUN
ecj-13852	85	37	should	should	AUX
ecj-13852	85	38	consider	consider	VERB
ecj-13852	85	39	cdi	cdi	NOUN
ecj-13852	85	40	even	even	ADV
ecj-13852	85	41	in	in	ADP
ecj-13852	85	42	the	the	DET
ecj-13852	85	43	absence	absence	NOUN
ecj-13852	85	44	of	of	ADP
ecj-13852	85	45	classical	classical	ADJ
ecj-13852	85	46	gastrointestinal	gastrointestinal	ADJ
ecj-13852	85	47	symptoms	symptom	NOUN
ecj-13852	85	48	,	,	PUNCT
ecj-13852	85	49	particularly	particularly	ADV
ecj-13852	85	50	in	in	ADP
ecj-13852	85	51	patients	patient	NOUN
ecj-13852	85	52	presenting	present	VERB
ecj-13852	85	53	with	with	ADP
ecj-13852	85	54	abscesses	abscess	NOUN
ecj-13852	85	55	,	,	PUNCT
ecj-13852	85	56	sepsis	sepsis	NOUN
ecj-13852	85	57	,	,	PUNCT
ecj-13852	85	58	or	or	CCONJ
ecj-13852	85	59	unexplained	unexplained	ADJ
ecj-13852	85	60	leukemoid	leukemoid	ADJ
ecj-13852	85	61	reactions	reaction	NOUN
ecj-13852	85	62	.	.	PUNCT
ecj-13852	86	1	leukemoid	leukemoid	ADJ
ecj-13852	86	2	reactions	reaction	NOUN
ecj-13852	86	3	may	may	AUX
ecj-13852	86	4	serve	serve	VERB
ecj-13852	86	5	as	as	ADP
ecj-13852	86	6	a	a	DET
ecj-13852	86	7	surrogate	surrogate	ADJ
ecj-13852	86	8	marker	marker	NOUN
ecj-13852	86	9	of	of	ADP
ecj-13852	86	10	cdi	cdi	PROPN
ecj-13852	86	11	severity	severity	NOUN
ecj-13852	86	12	and	and	CCONJ
ecj-13852	86	13	could	could	AUX
ecj-13852	86	14	aid	aid	VERB
ecj-13852	86	15	in	in	ADP
ecj-13852	86	16	risk	risk	NOUN
ecj-13852	86	17	stratification	stratification	NOUN
ecj-13852	86	18	.	.	PUNCT
ecj-13852	87	1	references	reference	NOUN
ecj-13852	87	2	1	1	NUM
ecj-13852	87	3	.	.	PUNCT
ecj-13852	87	4	kyne	kyne	PROPN
ecj-13852	87	5	l	l	PROPN
ecj-13852	87	6	,	,	PUNCT
ecj-13852	87	7	hamel	hamel	PROPN
ecj-13852	87	8	mb	mb	PROPN
ecj-13852	87	9	,	,	PUNCT
ecj-13852	87	10	polavaram	polavaram	PROPN
ecj-13852	87	11	r	r	PROPN
ecj-13852	87	12	,	,	PUNCT
ecj-13852	87	13	kelly	kelly	PROPN
ecj-13852	87	14	cp	cp	PROPN
ecj-13852	87	15	.	.	PROPN
ecj-13852	87	16	health	health	PROPN
ecj-13852	87	17	care	care	NOUN
ecj-13852	87	18	costs	cost	NOUN
ecj-13852	87	19	and	and	CCONJ
ecj-13852	87	20	mortality	mortality	NOUN
ecj-13852	87	21	associated	associate	VERB
ecj-13852	87	22	with	with	ADP
ecj-13852	87	23	nosocomial	nosocomial	ADJ
ecj-13852	87	24	diarrhea	diarrhea	NOUN
ecj-13852	87	25	due	due	ADJ
ecj-13852	87	26	to	to	ADP
ecj-13852	87	27	clostridium	clostridium	NOUN
ecj-13852	87	28	difficile	difficile	ADJ
ecj-13852	87	29	.	.	PUNCT
ecj-13852	88	1	clin	clin	PROPN
ecj-13852	88	2	infect	infect	VERB
ecj-13852	88	3	dis	dis	PROPN
ecj-13852	88	4	2002;34:346	2002;34:346	PROPN
ecj-13852	88	5	-	-	SYM
ecj-13852	88	6	53	53	NUM
ecj-13852	88	7	.	.	NOUN
ecj-13852	89	1	2	2	X
ecj-13852	89	2	.	.	X
ecj-13852	89	3	gupta	gupta	PROPN
ecj-13852	89	4	a	a	PRON
ecj-13852	89	5	,	,	PUNCT
ecj-13852	89	6	patel	patel	PROPN
ecj-13852	89	7	r	r	PROPN
ecj-13852	89	8	,	,	PUNCT
ecj-13852	89	9	baddour	baddour	PROPN
ecj-13852	89	10	lm	lm	PROPN
ecj-13852	89	11	,	,	PUNCT
ecj-13852	89	12	et	et	PROPN
ecj-13852	89	13	al	al	PROPN
ecj-13852	89	14	.	.	PROPN
ecj-13852	89	15	extraintestinal	extraintestinal	ADJ
ecj-13852	89	16	clostridium	clostridium	NOUN
ecj-13852	89	17	difficile	difficile	ADJ
ecj-13852	89	18	infections	infection	NOUN
ecj-13852	89	19	:	:	PUNCT
ecj-13852	89	20	a	a	DET
ecj-13852	89	21	single	single	ADJ
ecj-13852	89	22	-	-	PUNCT
ecj-13852	89	23	center	center	NOUN
ecj-13852	89	24	experience	experience	NOUN
ecj-13852	89	25	.	.	PUNCT
ecj-13852	90	1	mayo	mayo	PROPN
ecj-13852	90	2	clin	clin	PROPN
ecj-13852	90	3	pro	pro	X
ecj-13852	90	4	2014;89:1525–36	2014;89:1525–36	NUM
ecj-13852	90	5	.	.	PUNCT
ecj-13852	91	1	3	3	X
ecj-13852	91	2	.	.	X
ecj-13852	91	3	jacobs	jacobs	PROPN
ecj-13852	91	4	a	a	PROPN
ecj-13852	91	5	,	,	PUNCT
ecj-13852	91	6	barnard	barnard	PROPN
ecj-13852	91	7	k	k	PROPN
ecj-13852	91	8	,	,	PUNCT
ecj-13852	91	9	fishel	fishel	PROPN
ecj-13852	91	10	r	r	PROPN
ecj-13852	91	11	,	,	PUNCT
ecj-13852	91	12	gradon	gradon	PROPN
ecj-13852	91	13	jd	jd	PROPN
ecj-13852	91	14	.	.	PUNCT
ecj-13852	91	15	extracolonic	extracolonic	ADJ
ecj-13852	91	16	manifestations	manifestation	NOUN
ecj-13852	91	17	of	of	ADP
ecj-13852	91	18	clostridium	clostridium	NOUN
ecj-13852	91	19	difficile	difficile	ADJ
ecj-13852	91	20	infections	infection	NOUN
ecj-13852	91	21	:	:	PUNCT
ecj-13852	91	22	presentation	presentation	NOUN
ecj-13852	91	23	of	of	ADP
ecj-13852	91	24	2	2	NUM
ecj-13852	91	25	cases	case	NOUN
ecj-13852	91	26	and	and	CCONJ
ecj-13852	91	27	review	review	NOUN
ecj-13852	91	28	of	of	ADP
ecj-13852	91	29	the	the	DET
ecj-13852	91	30	literature	literature	NOUN
ecj-13852	91	31	.	.	PUNCT
ecj-13852	92	1	medicine	medicine	NOUN
ecj-13852	92	2	(	(	PUNCT
ecj-13852	92	3	baltimore	baltimore	PROPN
ecj-13852	92	4	)	)	PUNCT
ecj-13852	92	5	2001;80:88–101	2001;80:88–101	NUM
ecj-13852	92	6	.	.	PUNCT
ecj-13852	93	1	4	4	X
ecj-13852	93	2	.	.	X
ecj-13852	93	3	amaya	amaya	PROPN
ecj-13852	93	4	sl	sl	PROPN
ecj-13852	93	5	,	,	PUNCT
ecj-13852	93	6	rosa	rosa	PROPN
ecj-13852	93	7	es	es	PROPN
ecj-13852	93	8	,	,	PUNCT
ecj-13852	93	9	sergio	sergio	PROPN
ecj-13852	93	10	gf	gf	PROPN
ecj-13852	93	11	,	,	PUNCT
ecj-13852	93	12	et	et	PROPN
ecj-13852	93	13	al	al	PROPN
ecj-13852	93	14	.	.	PROPN
ecj-13852	94	1	extraintestinal	extraintestinal	PROPN
ecj-13852	94	2	clostridioides	clostridioide	NOUN
ecj-13852	94	3	difficile	difficile	VERB
ecj-13852	94	4	infection	infection	NOUN
ecj-13852	94	5	:	:	PUNCT
ecj-13852	94	6	septic	septic	ADJ
ecj-13852	94	7	arthritis	arthritis	NOUN
ecj-13852	94	8	12	12	NUM
ecj-13852	94	9	months	month	NOUN
ecj-13852	94	10	after	after	ADP
ecj-13852	94	11	colitis	colitis	NOUN
ecj-13852	94	12	.	.	PUNCT
ecj-13852	95	1	anaerobe	anaerobe	PROPN
ecj-13852	95	2	2021;69:102318	2021;69:102318	NUM
ecj-13852	95	3	.	.	PUNCT
ecj-13852	95	4	5	5	NUM
ecj-13852	95	5	.	.	PUNCT
ecj-13852	95	6	hudson	hudson	PROPN
ecj-13852	95	7	da	da	PROPN
ecj-13852	95	8	,	,	PUNCT
ecj-13852	95	9	gibb	gibb	PROPN
ecj-13852	95	10	ap	ap	PROPN
ecj-13852	95	11	,	,	PUNCT
ecj-13852	95	12	gill	gill	PROPN
ecj-13852	95	13	mj	mj	PROPN
ecj-13852	95	14	.	.	PUNCT
ecj-13852	95	15	empyema	empyema	PROPN
ecj-13852	95	16	caused	cause	VERB
ecj-13852	95	17	by	by	ADP
ecj-13852	95	18	clostridium	clostridium	NOUN
ecj-13852	95	19	difficile	difficile	NOUN
ecj-13852	95	20	.	.	PUNCT
ecj-13852	96	1	can	can	AUX
ecj-13852	96	2	j	j	PROPN
ecj-13852	96	3	infect	infect	VERB
ecj-13852	96	4	dis	dis	PROPN
ecj-13852	96	5	1999;10:170–1	1999;10:170–1	NUM
ecj-13852	96	6	.	.	PUNCT
ecj-13852	97	1	6	6	NUM
ecj-13852	97	2	.	.	X
ecj-13852	97	3	bhargava	bhargava	PROPN
ecj-13852	97	4	a	a	PROPN
ecj-13852	97	5	,	,	PUNCT
ecj-13852	97	6	sen	sen	PROPN
ecj-13852	97	7	p	p	PROPN
ecj-13852	97	8	,	,	PUNCT
ecj-13852	97	9	swaminathan	swaminathan	ADV
ecj-13852	97	10	a	a	ADV
ecj-13852	97	11	,	,	PUNCT
ecj-13852	97	12	ogbolu	ogbolu	PROPN
ecj-13852	97	13	c	c	PROPN
ecj-13852	97	14	,	,	PUNCT
ecj-13852	97	15	chechko	chechko	PROPN
ecj-13852	97	16	s	s	PART
ecj-13852	97	17	,	,	PUNCT
ecj-13852	97	18	stone	stone	PROPN
ecj-13852	97	19	f.	f.	PROPN
ecj-13852	97	20	rapidly	rapidly	ADV
ecj-13852	97	21	progressive	progressive	ADJ
ecj-13852	97	22	necrotizing	necrotize	VERB
ecj-13852	97	23	fasciitis	fasciitis	NOUN
ecj-13852	97	24	and	and	CCONJ
ecj-13852	97	25	gangrene	gangrene	NOUN
ecj-13852	97	26	due	due	ADP
ecj-13852	97	27	to	to	ADP
ecj-13852	97	28	clostridium	clostridium	NOUN
ecj-13852	97	29	difficile	difficile	ADJ
ecj-13852	97	30	:	:	PUNCT
ecj-13852	97	31	case	case	NOUN
ecj-13852	97	32	report	report	NOUN
ecj-13852	97	33	.	.	PUNCT
ecj-13852	98	1	clin	clin	PROPN
ecj-13852	98	2	infect	infect	PROPN
ecj-13852	98	3	dis	dis	PROPN
ecj-13852	98	4	2000;30:954	2000;30:954	PROPN
ecj-13852	98	5	-	-	SYM
ecj-13852	98	6	5	5	NUM
ecj-13852	98	7	.	.	NOUN
ecj-13852	98	8	7	7	NUM
ecj-13852	98	9	.	.	X
ecj-13852	98	10	incavo	incavo	VERB
ecj-13852	98	11	sj	sj	PROPN
ecj-13852	98	12	,	,	PUNCT
ecj-13852	98	13	muller	muller	PROPN
ecj-13852	98	14	dl	dl	PROPN
ecj-13852	98	15	,	,	PUNCT
ecj-13852	98	16	krag	krag	PROPN
ecj-13852	98	17	mh	mh	PROPN
ecj-13852	98	18	,	,	PUNCT
ecj-13852	98	19	gump	gump	PROPN
ecj-13852	98	20	d.	d.	PROPN
ecj-13852	98	21	vertebral	vertebral	ADJ
ecj-13852	98	22	osteomyelitis	osteomyelitis	NOUN
ecj-13852	98	23	caused	cause	VERB
ecj-13852	98	24	by	by	ADP
ecj-13852	98	25	clostridium	clostridium	NOUN
ecj-13852	98	26	difficile	difficile	NOUN
ecj-13852	98	27	:	:	PUNCT
ecj-13852	98	28	a	a	DET
ecj-13852	98	29	case	case	NOUN
ecj-13852	98	30	report	report	NOUN
ecj-13852	98	31	and	and	CCONJ
ecj-13852	98	32	review	review	NOUN
ecj-13852	98	33	of	of	ADP
ecj-13852	98	34	the	the	DET
ecj-13852	98	35	literature	literature	NOUN
ecj-13852	98	36	.	.	PUNCT
ecj-13852	99	1	spine	spine	ADJ
ecj-13852	99	2	1988;13:111	1988;13:111	PROPN
ecj-13852	99	3	-	-	SYM
ecj-13852	99	4	3	3	NUM
ecj-13852	99	5	.	.	NOUN
ecj-13852	99	6	8	8	NUM
ecj-13852	99	7	.	.	PUNCT
ecj-13852	100	1	bartlett	bartlett	PROPN
ecj-13852	100	2	jg	jg	PROPN
ecj-13852	100	3	.	.	PROPN
ecj-13852	100	4	narrative	narrative	PROPN
ecj-13852	100	5	review	review	PROPN
ecj-13852	100	6	:	:	PUNCT
ecj-13852	100	7	the	the	DET
ecj-13852	100	8	new	new	ADJ
ecj-13852	100	9	epidemic	epidemic	NOUN
ecj-13852	100	10	of	of	ADP
ecj-13852	100	11	clostridium	clostridium	NOUN
ecj-13852	100	12	difficile	difficile	ADJ
ecj-13852	100	13	–	–	PUNCT
ecj-13852	100	14	associated	associated	ADJ
ecj-13852	100	15	enteric	enteric	ADJ
ecj-13852	100	16	disease	disease	NOUN
ecj-13852	100	17	.	.	PUNCT
ecj-13852	101	1	ann	ann	PROPN
ecj-13852	101	2	int	int	PROPN
ecj-13852	101	3	med	med	PROPN
ecj-13852	101	4	2006;145	2006;145	NUM
ecj-13852	101	5	:	:	PUNCT
ecj-13852	101	6	758	758	NUM
ecj-13852	101	7	-	-	SYM
ecj-13852	101	8	64	64	NUM
ecj-13852	101	9	.	.	PUNCT
ecj-13852	102	1	9	9	NUM
ecj-13852	102	2	.	.	X
ecj-13852	102	3	johnson	johnson	PROPN
ecj-13852	102	4	s	s	PROPN
ecj-13852	102	5	,	,	PUNCT
ecj-13852	102	6	lavergne	lavergne	PROPN
ecj-13852	102	7	v	v	NOUN
ecj-13852	102	8	,	,	PUNCT
ecj-13852	102	9	skinner	skinner	PROPN
ecj-13852	102	10	am	am	PROPN
ecj-13852	102	11	,	,	PUNCT
ecj-13852	102	12	et	et	PROPN
ecj-13852	102	13	al	al	PROPN
ecj-13852	102	14	.	.	PUNCT
ecj-13852	103	1	clinical	clinical	ADJ
ecj-13852	103	2	practice	practice	NOUN
ecj-13852	103	3	guideline	guideline	NOUN
ecj-13852	103	4	by	by	ADP
ecj-13852	103	5	the	the	DET
ecj-13852	103	6	infectious	infectious	ADJ
ecj-13852	103	7	diseases	disease	NOUN
ecj-13852	103	8	society	society	NOUN
ecj-13852	103	9	of	of	ADP
ecj-13852	103	10	america	america	PROPN
ecj-13852	103	11	(	(	PUNCT
ecj-13852	103	12	idsa	idsa	PROPN
ecj-13852	103	13	)	)	PUNCT
ecj-13852	103	14	and	and	CCONJ
ecj-13852	103	15	society	society	NOUN
ecj-13852	103	16	for	for	ADP
ecj-13852	103	17	healthcare	healthcare	PROPN
ecj-13852	103	18	epidemiology	epidemiology	PROPN
ecj-13852	103	19	of	of	ADP
ecj-13852	103	20	america	america	PROPN
ecj-13852	103	21	(	(	PUNCT
ecj-13852	103	22	shea	shea	PROPN
ecj-13852	103	23	):	):	PUNCT
ecj-13852	103	24	2021	2021	NUM
ecj-13852	103	25	focused	focus	VERB
ecj-13852	103	26	update	update	NOUN
ecj-13852	103	27	guidelines	guideline	NOUN
ecj-13852	103	28	on	on	ADP
ecj-13852	103	29	management	management	NOUN
ecj-13852	103	30	of	of	ADP
ecj-13852	103	31	clostridioides	clostridioide	NOUN
ecj-13852	103	32	difficile	difficile	VERB
ecj-13852	103	33	infection	infection	NOUN
ecj-13852	103	34	in	in	ADP
ecj-13852	103	35	adults	adult	NOUN
ecj-13852	103	36	.	.	PUNCT
ecj-13852	104	1	clin	clin	PROPN
ecj-13852	104	2	infect	infect	PROPN
ecj-13852	104	3	dis	dis	PROPN
ecj-13852	104	4	2021;73	2021;73	NUM
ecj-13852	104	5	:	:	PUNCT
ecj-13852	104	6	e1029	e1029	NUM
ecj-13852	104	7	–	–	PUNCT
ecj-13852	104	8	e1044	e1044	PROPN
ecj-13852	104	9	.	.	PROPN
ecj-13852	104	10	10	10	NUM
ecj-13852	104	11	.	.	PUNCT
ecj-13852	105	1	naaraayan	naaraayan	PROPN
ecj-13852	105	2	a	a	PROPN
ecj-13852	105	3	,	,	PUNCT
ecj-13852	105	4	aleta	aleta	PROPN
ecj-13852	105	5	m	m	PROPN
ecj-13852	105	6	,	,	PUNCT
ecj-13852	105	7	basak	basak	PROPN
ecj-13852	105	8	p	p	PROPN
ecj-13852	105	9	,	,	PUNCT
ecj-13852	105	10	et	et	PROPN
ecj-13852	105	11	al	al	PROPN
ecj-13852	105	12	.	.	PUNCT
ecj-13852	106	1	leukemoid	leukemoid	PROPN
ecj-13852	106	2	reaction	reaction	NOUN
ecj-13852	106	3	to	to	PART
ecj-13852	106	4	clostridium	clostridium	VERB
ecj-13852	106	5	difficile	difficile	ADJ
ecj-13852	106	6	infection	infection	NOUN
ecj-13852	106	7	.	.	PUNCT
ecj-13852	107	1	anaerobe	anaerobe	PROPN
ecj-13852	107	2	2015;34:158–60	2015;34:158–60	NUM
ecj-13852	107	3	.	.	PROPN
ecj-13852	108	1	11	11	NUM
ecj-13852	108	2	.	.	PUNCT
ecj-13852	109	1	wanahita	wanahita	PROPN
ecj-13852	109	2	a	a	X
ecj-13852	109	3	,	,	PUNCT
ecj-13852	109	4	goldsmith	goldsmith	PROPN
ecj-13852	109	5	ea	ea	NOUN
ecj-13852	109	6	,	,	PUNCT
ecj-13852	109	7	musher	musher	NOUN
ecj-13852	109	8	dm	dm	PROPN
ecj-13852	109	9	,	,	PUNCT
ecj-13852	109	10	et	et	PROPN
ecj-13852	109	11	al	al	PROPN
ecj-13852	109	12	.	.	PUNCT
ecj-13852	109	13	conditions	condition	NOUN
ecj-13852	109	14	associated	associate	VERB
ecj-13852	109	15	with	with	ADP
ecj-13852	109	16	leukocytosis	leukocytosis	NOUN
ecj-13852	109	17	in	in	ADP
ecj-13852	109	18	a	a	DET
ecj-13852	109	19	tertiary	tertiary	ADJ
ecj-13852	109	20	care	care	NOUN
ecj-13852	109	21	hospital	hospital	NOUN
ecj-13852	109	22	,	,	PUNCT
ecj-13852	109	23	with	with	ADP
ecj-13852	109	24	particular	particular	ADJ
ecj-13852	109	25	attention	attention	NOUN
ecj-13852	109	26	to	to	ADP
ecj-13852	109	27	the	the	DET
ecj-13852	109	28	role	role	NOUN
ecj-13852	109	29	of	of	ADP
ecj-13852	109	30	infection	infection	NOUN
ecj-13852	109	31	caused	cause	VERB
ecj-13852	109	32	by	by	ADP
ecj-13852	109	33	clostridium	clostridium	NOUN
ecj-13852	109	34	difficile	difficile	NOUN
ecj-13852	109	35	.	.	PUNCT
ecj-13852	110	1	clin	clin	PROPN
ecj-13852	110	2	infect	infect	PROPN
ecj-13852	110	3	dis	dis	PROPN
ecj-13852	110	4	2002;34:1585–92	2002;34:1585–92	NUM
ecj-13852	110	5	.	.	PROPN
ecj-13852	111	1	12	12	NUM
ecj-13852	111	2	.	.	PUNCT
ecj-13852	112	1	walker	walker	PROPN
ecj-13852	112	2	j	j	PROPN
ecj-13852	112	3	,	,	PUNCT
ecj-13852	112	4	sawhney	sawhney	PROPN
ecj-13852	112	5	r	r	PROPN
ecj-13852	112	6	,	,	PUNCT
ecj-13852	112	7	o’sullivan	o’sullivan	NOUN
ecj-13852	112	8	d	d	NOUN
ecj-13852	112	9	,	,	PUNCT
ecj-13852	112	10	et	et	PROPN
ecj-13852	112	11	al	al	PROPN
ecj-13852	112	12	.	.	PUNCT
ecj-13852	113	1	leukemoid	leukemoid	PROPN
ecj-13852	113	2	reactions	reaction	NOUN
ecj-13852	113	3	complicating	complicate	VERB
ecj-13852	113	4	colitis	colitis	NOUN
ecj-13852	113	5	due	due	ADP
ecj-13852	113	6	to	to	ADP
ecj-13852	113	7	clostridium	clostridium	NOUN
ecj-13852	113	8	difficile	difficile	ADJ
ecj-13852	113	9	.	.	PUNCT
ecj-13852	114	1	south	south	PROPN
ecj-13852	114	2	med	med	PROPN
ecj-13852	114	3	j	j	PROPN
ecj-13852	114	4	2004;97:775–8	2004;97:775–8	NUM
ecj-13852	114	5	.	.	PROPN
ecj-13852	114	6	13	13	NUM
ecj-13852	114	7	.	.	PUNCT
ecj-13852	115	1	gorbach	gorbach	PROPN
ecj-13852	115	2	sl	sl	PROPN
ecj-13852	115	3	,	,	PUNCT
ecj-13852	115	4	bartlett	bartlett	PROPN
ecj-13852	115	5	jg	jg	PROPN
ecj-13852	115	6	.	.	PUNCT
ecj-13852	116	1	contributions	contribution	NOUN
ecj-13852	116	2	to	to	ADP
ecj-13852	116	3	the	the	DET
ecj-13852	116	4	discovery	discovery	NOUN
ecj-13852	116	5	of	of	ADP
ecj-13852	116	6	clostridium	clostridium	NOUN
ecj-13852	116	7	difficile	difficile	VERB
ecj-13852	116	8	antibiotic	antibiotic	ADJ
ecj-13852	116	9	-	-	PUNCT
ecj-13852	116	10	associated	associate	VERB
ecj-13852	116	11	diarrhea	diarrhea	NOUN
ecj-13852	116	12	.	.	PUNCT
ecj-13852	117	1	clin	clin	PROPN
ecj-13852	117	2	infect	infect	PROPN
ecj-13852	117	3	dis	dis	PROPN
ecj-13852	117	4	2014;59	2014;59	PROPN
ecj-13852	117	5	:	:	PUNCT
ecj-13852	117	6	s66	s66	NOUN
ecj-13852	117	7	-	-	SYM
ecj-13852	117	8	70	70	NUM
ecj-13852	117	9	.	.	PUNCT
ecj-13852	118	1	14	14	NUM
ecj-13852	118	2	.	.	PUNCT
ecj-13852	119	1	kelly	kelly	PROPN
ecj-13852	119	2	cr	cr	PROPN
ecj-13852	119	3	,	,	PUNCT
ecj-13852	119	4	allegretti	allegretti	PROPN
ecj-13852	119	5	jr	jr	PROPN
ecj-13852	119	6	.	.	PROPN
ecj-13852	119	7	gastroenterology	gastroenterology	NOUN
ecj-13852	119	8	and	and	CCONJ
ecj-13852	119	9	clostridium	clostridium	NOUN
ecj-13852	119	10	difficile	difficile	ADJ
ecj-13852	119	11	infection	infection	NOUN
ecj-13852	119	12	:	:	PUNCT
ecj-13852	119	13	past	past	ADJ
ecj-13852	119	14	,	,	PUNCT
ecj-13852	119	15	present	present	ADJ
ecj-13852	119	16	,	,	PUNCT
ecj-13852	119	17	and	and	CCONJ
ecj-13852	119	18	future	future	NOUN
ecj-13852	119	19	.	.	PUNCT
ecj-13852	120	1	clin	clin	PROPN
ecj-13852	120	2	infect	infect	PROPN
ecj-13852	120	3	dis	dis	PROPN
ecj-13852	120	4	2023;77	2023;77	NUM
ecj-13852	120	5	:	:	PUNCT
ecj-13852	120	6	s463	s463	NUM
ecj-13852	120	7	-	-	SYM
ecj-13852	120	8	70	70	NUM
ecj-13852	120	9	.	.	PUNCT
ecj-13852	121	1	15	15	NUM
ecj-13852	121	2	.	.	PUNCT
ecj-13852	122	1	khanafer	khanafer	PROPN
ecj-13852	122	2	n	n	CCONJ
ecj-13852	122	3	,	,	PUNCT
ecj-13852	122	4	vanhems	vanhem	NOUN
ecj-13852	122	5	p	p	X
ecj-13852	122	6	,	,	PUNCT
ecj-13852	122	7	barbut	barbut	NOUN
ecj-13852	122	8	f	f	NOUN
ecj-13852	122	9	,	,	PUNCT
ecj-13852	122	10	luxemburger	luxemburger	ADJ
ecj-13852	122	11	c	c	NOUN
ecj-13852	122	12	,	,	PUNCT
ecj-13852	122	13	cdi01	cdi01	NOUN
ecj-13852	122	14	study	study	NOUN
ecj-13852	122	15	group	group	NOUN
ecj-13852	122	16	.	.	PUNCT
ecj-13852	123	1	factors	factor	NOUN
ecj-13852	123	2	associated	associate	VERB
ecj-13852	123	3	with	with	ADP
ecj-13852	123	4	clostridium	clostridium	NOUN
ecj-13852	123	5	difficile	difficile	ADJ
ecj-13852	123	6	infection	infection	NOUN
ecj-13852	123	7	:	:	PUNCT
ecj-13852	123	8	a	a	DET
ecj-13852	123	9	nested	nested	ADJ
ecj-13852	123	10	case	case	NOUN
ecj-13852	123	11	-	-	PUNCT
ecj-13852	123	12	control	control	NOUN
ecj-13852	123	13	study	study	NOUN
ecj-13852	123	14	in	in	ADP
ecj-13852	123	15	a	a	DET
ecj-13852	123	16	three	three	NUM
ecj-13852	123	17	year	year	NOUN
ecj-13852	123	18	prospective	prospective	ADJ
ecj-13852	123	19	cohort	cohort	NOUN
ecj-13852	123	20	.	.	PUNCT
ecj-13852	124	1	anaerobe	anaerobe	PROPN
ecj-13852	124	2	2017;44:117	2017;44:117	NUM
ecj-13852	124	3	-	-	SYM
ecj-13852	124	4	23	23	NUM
ecj-13852	124	5	.	.	PUNCT
ecj-13852	125	1	mini	mini	ADJ
ecj-13852	125	2	review	review	NOUN
ecj-13852	125	3	[	[	X
ecj-13852	125	4	page	page	NOUN
ecj-13852	125	5	16	16	NUM
ecj-13852	125	6	]	]	PUNCT
ecj-13852	126	1	[	[	X
ecj-13852	126	2	emergency	emergency	NOUN
ecj-13852	126	3	care	care	NOUN
ecj-13852	126	4	journal	journal	NOUN
ecj-13852	126	5	2025	2025	NUM
ecj-13852	126	6	;	;	PUNCT
ecj-13852	126	7	21:13852	21:13852	NUM
ecj-13852	126	8	]	]	X
ecj-13852	126	9	16	16	NUM
ecj-13852	126	10	.	.	PUNCT
ecj-13852	127	1	eeuwijk	eeuwijk	PROPN
ecj-13852	127	2	j	j	PROPN
ecj-13852	127	3	,	,	PUNCT
ecj-13852	127	4	ferreira	ferreira	PROPN
ecj-13852	127	5	g	g	PROPN
ecj-13852	127	6	,	,	PUNCT
ecj-13852	127	7	yarzabal	yarzabal	PROPN
ecj-13852	127	8	jp	jp	NOUN
ecj-13852	127	9	,	,	PUNCT
ecj-13852	127	10	et	et	PROPN
ecj-13852	127	11	al	al	PROPN
ecj-13852	127	12	.	.	PUNCT
ecj-13852	128	1	a	a	DET
ecj-13852	128	2	systematic	systematic	ADJ
ecj-13852	128	3	literature	literature	NOUN
ecj-13852	128	4	review	review	NOUN
ecj-13852	128	5	on	on	ADP
ecj-13852	128	6	risk	risk	NOUN
ecj-13852	128	7	factors	factor	NOUN
ecj-13852	128	8	for	for	ADP
ecj-13852	128	9	and	and	CCONJ
ecj-13852	128	10	timing	timing	NOUN
ecj-13852	128	11	of	of	ADP
ecj-13852	128	12	clostridioides	clostridioide	NOUN
ecj-13852	128	13	difficile	difficile	VERB
ecj-13852	128	14	infection	infection	NOUN
ecj-13852	128	15	in	in	ADP
ecj-13852	128	16	the	the	DET
ecj-13852	128	17	united	united	PROPN
ecj-13852	128	18	states	states	PROPN
ecj-13852	128	19	.	.	PUNCT
ecj-13852	129	1	infect	infect	VERB
ecj-13852	129	2	dis	dis	PROPN
ecj-13852	129	3	ther	ther	ADV
ecj-13852	129	4	2024;13:273	2024;13:273	NOUN
ecj-13852	129	5	-	-	SYM
ecj-13852	129	6	98	98	NUM
ecj-13852	129	7	.	.	PUNCT
ecj-13852	130	1	17	17	NUM
ecj-13852	130	2	.	.	PUNCT
ecj-13852	131	1	libby	libby	PROPN
ecj-13852	131	2	db	db	PROPN
ecj-13852	131	3	,	,	PUNCT
ecj-13852	131	4	bearman	bearman	PROPN
ecj-13852	131	5	g.	g.	PROPN
ecj-13852	131	6	bacteremia	bacteremia	PROPN
ecj-13852	131	7	due	due	ADP
ecj-13852	131	8	to	to	ADP
ecj-13852	131	9	clostridium	clostridium	NOUN
ecj-13852	131	10	difficile	difficile	ADJ
ecj-13852	131	11	—	—	PUNCT
ecj-13852	131	12	review	review	NOUN
ecj-13852	131	13	of	of	ADP
ecj-13852	131	14	the	the	DET
ecj-13852	131	15	literature	literature	NOUN
ecj-13852	131	16	.	.	PUNCT
ecj-13852	132	1	int	int	PROPN
ecj-13852	132	2	j	j	PROPN
ecj-13852	132	3	infect	infect	VERB
ecj-13852	132	4	dis	dis	PROPN
ecj-13852	132	5	2009;13	2009;13	NUM
ecj-13852	132	6	:	:	PUNCT
ecj-13852	132	7	e305	e305	PROPN
ecj-13852	132	8	-	-	SYM
ecj-13852	132	9	9	9	NUM
ecj-13852	132	10	.	.	NOUN
ecj-13852	132	11	18	18	NUM
ecj-13852	132	12	.	.	PUNCT
ecj-13852	133	1	lee	lee	PROPN
ecj-13852	133	2	ny	ny	PROPN
ecj-13852	133	3	,	,	PUNCT
ecj-13852	133	4	huang	huang	PROPN
ecj-13852	133	5	yt	yt	PROPN
ecj-13852	133	6	,	,	PUNCT
ecj-13852	133	7	hsueh	hsueh	PROPN
ecj-13852	133	8	pr	pr	PROPN
ecj-13852	133	9	,	,	PUNCT
ecj-13852	133	10	ko	ko	PROPN
ecj-13852	133	11	wc	wc	PROPN
ecj-13852	133	12	.	.	PROPN
ecj-13852	133	13	clostridium	clostridium	PROPN
ecj-13852	133	14	difficile	difficile	ADJ
ecj-13852	133	15	bacteremia	bacteremia	NOUN
ecj-13852	133	16	,	,	PUNCT
ecj-13852	133	17	taiwan	taiwan	PROPN
ecj-13852	133	18	.	.	PUNCT
ecj-13852	134	1	emerg	emerg	PROPN
ecj-13852	134	2	infect	infect	NOUN
ecj-13852	134	3	dis	dis	PROPN
ecj-13852	134	4	2010;16:1204	2010;16:1204	NUM
ecj-13852	134	5	.	.	PUNCT
ecj-13852	135	1	19	19	NUM
ecj-13852	135	2	.	.	PUNCT
ecj-13852	136	1	al	al	PROPN
ecj-13852	136	2	-	-	PUNCT
ecj-13852	136	3	hourani	hourani	PROPN
ecj-13852	136	4	k	k	PROPN
ecj-13852	136	5	,	,	PUNCT
ecj-13852	136	6	reddy	reddy	PROPN
ecj-13852	136	7	s	s	PROPN
ecj-13852	136	8	,	,	PUNCT
ecj-13852	136	9	parker	parker	PROPN
ecj-13852	136	10	a.	a.	PROPN
ecj-13852	136	11	primary	primary	ADJ
ecj-13852	136	12	clostridium	clostridium	NOUN
ecj-13852	136	13	difficile	difficile	VERB
ecj-13852	136	14	spinal	spinal	ADJ
ecj-13852	136	15	epidural	epidural	ADJ
ecj-13852	136	16	abscess	abscess	NOUN
ecj-13852	136	17	.	.	PUNCT
ecj-13852	137	1	j	j	PROPN
ecj-13852	137	2	r	r	NOUN
ecj-13852	137	3	soc	soc	NOUN
ecj-13852	137	4	med	me	VERB
ecj-13852	137	5	sh	sh	PROPN
ecj-13852	137	6	rep	rep	PROPN
ecj-13852	137	7	2010;1:41	2010;1:41	NOUN
ecj-13852	137	8	.	.	PUNCT
ecj-13852	138	1	20	20	NUM
ecj-13852	138	2	.	.	X
ecj-13852	139	1	albrich	albrich	PROPN
ecj-13852	139	2	,	,	PUNCT
ecj-13852	139	3	w.c	w.c	PROPN
ecj-13852	139	4	.	.	PROPN
ecj-13852	139	5	;	;	PUNCT
ecj-13852	140	1	rimland	rimland	PROPN
ecj-13852	140	2	,	,	PUNCT
ecj-13852	140	3	d.	d.	PROPN
ecj-13852	140	4	clostridium	clostridium	PROPN
ecj-13852	140	5	difficile	difficile	PROPN
ecj-13852	140	6	:	:	PUNCT
ecj-13852	140	7	association	association	NOUN
ecj-13852	140	8	with	with	ADP
ecj-13852	140	9	thrombocytosis	thrombocytosis	NOUN
ecj-13852	140	10	and	and	CCONJ
ecj-13852	140	11	leukocytosis	leukocytosis	NOUN
ecj-13852	140	12	.	.	PUNCT
ecj-13852	141	1	south	south	PROPN
ecj-13852	141	2	med	med	PROPN
ecj-13852	141	3	j	j	PROPN
ecj-13852	141	4	2007;100:149	2007;100:149	NUM
ecj-13852	141	5	-	-	SYM
ecj-13852	141	6	51	51	NUM
ecj-13852	141	7	.	.	PUNCT
ecj-13852	141	8	21	21	NUM
ecj-13852	141	9	.	.	PUNCT
ecj-13852	142	1	lessa	lessa	PROPN
ecj-13852	142	2	fc	fc	PROPN
ecj-13852	142	3	,	,	PUNCT
ecj-13852	142	4	mu	mu	PROPN
ecj-13852	142	5	y	y	PROPN
ecj-13852	142	6	,	,	PUNCT
ecj-13852	142	7	bamberg	bamberg	PROPN
ecj-13852	142	8	wm	wm	PROPN
ecj-13852	142	9	,	,	PUNCT
ecj-13852	142	10	et	et	PROPN
ecj-13852	142	11	al	al	PROPN
ecj-13852	142	12	.	.	PUNCT
ecj-13852	142	13	burden	burden	NOUN
ecj-13852	142	14	of	of	ADP
ecj-13852	142	15	clostridium	clostridium	NOUN
ecj-13852	142	16	difficile	difficile	ADJ
ecj-13852	142	17	infection	infection	NOUN
ecj-13852	142	18	in	in	ADP
ecj-13852	142	19	the	the	DET
ecj-13852	142	20	united	united	PROPN
ecj-13852	142	21	states	states	PROPN
ecj-13852	142	22	.	.	PUNCT
ecj-13852	143	1	new	new	PROPN
ecj-13852	143	2	england	england	PROPN
ecj-13852	143	3	j	j	PROPN
ecj-13852	143	4	med	med	PROPN
ecj-13852	143	5	2015;372:825	2015;372:825	PROPN
ecj-13852	143	6	-	-	SYM
ecj-13852	143	7	34	34	NUM
ecj-13852	143	8	.	.	PUNCT
ecj-13852	144	1	22	22	NUM
ecj-13852	144	2	.	.	PUNCT
ecj-13852	145	1	khanna	khanna	PROPN
ecj-13852	145	2	s	s	PROPN
ecj-13852	145	3	,	,	PUNCT
ecj-13852	145	4	baddour	baddour	PROPN
ecj-13852	145	5	lm	lm	NOUN
ecj-13852	145	6	,	,	PUNCT
ecj-13852	145	7	huskins	huskins	PROPN
ecj-13852	145	8	wc	wc	PROPN
ecj-13852	145	9	,	,	PUNCT
ecj-13852	145	10	et	et	PROPN
ecj-13852	145	11	al	al	PROPN
ecj-13852	145	12	.	.	PUNCT
ecj-13852	146	1	the	the	DET
ecj-13852	146	2	epidemiology	epidemiology	NOUN
ecj-13852	146	3	of	of	ADP
ecj-13852	146	4	clostridium	clostridium	NOUN
ecj-13852	146	5	difficile	difficile	ADJ
ecj-13852	146	6	infection	infection	NOUN
ecj-13852	146	7	in	in	ADP
ecj-13852	146	8	children	child	NOUN
ecj-13852	146	9	:	:	PUNCT
ecj-13852	146	10	a	a	DET
ecj-13852	146	11	populationbased	populationbase	VERB
ecj-13852	146	12	study	study	NOUN
ecj-13852	146	13	.	.	PUNCT
ecj-13852	147	1	clin	clin	PROPN
ecj-13852	147	2	infect	infect	PROPN
ecj-13852	147	3	dis	dis	PROPN
ecj-13852	147	4	2013;56:1401	2013;56:1401	NUM
ecj-13852	147	5	-	-	SYM
ecj-13852	147	6	6	6	NUM
ecj-13852	147	7	.	.	NOUN
ecj-13852	147	8	23	23	NUM
ecj-13852	147	9	.	.	PUNCT
ecj-13852	148	1	carling	carling	PROPN
ecj-13852	148	2	pc	pc	NOUN
ecj-13852	148	3	,	,	PUNCT
ecj-13852	148	4	parry	parry	VERB
ecj-13852	148	5	mf	mf	PROPN
ecj-13852	148	6	,	,	PUNCT
ecj-13852	148	7	olmstead	olmstead	PROPN
ecj-13852	148	8	r.	r.	PROPN
ecj-13852	148	9	environmental	environmental	PROPN
ecj-13852	148	10	approaches	approach	NOUN
ecj-13852	148	11	to	to	ADP
ecj-13852	148	12	controlling	control	VERB
ecj-13852	148	13	clostridioides	clostridioide	NOUN
ecj-13852	148	14	difficile	difficile	VERB
ecj-13852	148	15	infection	infection	NOUN
ecj-13852	148	16	in	in	ADP
ecj-13852	148	17	healthcare	healthcare	NOUN
ecj-13852	148	18	settings	setting	NOUN
ecj-13852	148	19	.	.	PUNCT
ecj-13852	149	1	antimicrob	antimicrob	ADJ
ecj-13852	149	2	resist	resist	VERB
ecj-13852	149	3	infection	infection	NOUN
ecj-13852	149	4	control	control	NOUN
ecj-13852	149	5	2023;12:94	2023;12:94	NUM
ecj-13852	149	6	.	.	PUNCT
ecj-13852	149	7	mini	mini	ADJ
ecj-13852	149	8	review	review	NOUN
ecj-13852	149	9	[	[	X
ecj-13852	149	10	emergency	emergency	NOUN
ecj-13852	149	11	care	care	NOUN
ecj-13852	149	12	journal	journal	NOUN
ecj-13852	149	13	2025	2025	NUM
ecj-13852	149	14	;	;	PUNCT
ecj-13852	149	15	21:13852	21:13852	NUM
ecj-13852	149	16	]	]	X
ecj-13852	149	17	[	[	X
ecj-13852	149	18	page	page	NOUN
ecj-13852	149	19	17	17	NUM
ecj-13852	149	20	]	]	PUNCT