id	sid	tid	token	lemma	pos
ecj-13919	1	1	hrev_master	hrev_master	NOUN
ecj-13919	2	1	[	[	X
ecj-13919	2	2	page	page	NOUN
ecj-13919	2	3	20	20	NUM
ecj-13919	2	4	]	]	PUNCT
ecj-13919	3	1	[	[	X
ecj-13919	3	2	emergency	emergency	NOUN
ecj-13919	3	3	care	care	NOUN
ecj-13919	3	4	journal	journal	NOUN
ecj-13919	3	5	2025	2025	NUM
ecj-13919	3	6	;	;	PUNCT
ecj-13919	3	7	21:13919	21:13919	NUM
ecj-13919	3	8	]	]	X
ecj-13919	3	9	emergency	emergency	NOUN
ecj-13919	3	10	care	care	NOUN
ecj-13919	3	11	journal	journal	PROPN
ecj-13919	3	12	2025	2025	NUM
ecj-13919	3	13	volume	volume	NOUN
ecj-13919	3	14	21:13919	21:13919	NUM
ecj-13919	3	15	abstract	abstract	ADJ
ecj-13919	3	16	scombroid	scombroid	NOUN
ecj-13919	3	17	syndrome	syndrome	NOUN
ecj-13919	3	18	is	be	AUX
ecj-13919	3	19	a	a	DET
ecj-13919	3	20	histamine	histamine	NOUN
ecj-13919	3	21	-	-	PUNCT
ecj-13919	3	22	induced	induce	VERB
ecj-13919	3	23	foodborne	foodborne	ADJ
ecj-13919	3	24	illness	illness	NOUN
ecj-13919	3	25	that	that	PRON
ecj-13919	3	26	can	can	AUX
ecj-13919	3	27	mimic	mimic	VERB
ecj-13919	3	28	anaphylaxis	anaphylaxis	ADJ
ecj-13919	3	29	.	.	PUNCT
ecj-13919	4	1	although	although	SCONJ
ecj-13919	4	2	typically	typically	ADV
ecj-13919	4	3	self	self	NOUN
ecj-13919	4	4	-	-	PUNCT
ecj-13919	4	5	limiting	limit	VERB
ecj-13919	4	6	,	,	PUNCT
ecj-13919	4	7	scombroid	scombroid	ADJ
ecj-13919	4	8	syndrome	syndrome	NOUN
ecj-13919	4	9	can	can	AUX
ecj-13919	4	10	,	,	PUNCT
ecj-13919	4	11	in	in	ADP
ecj-13919	4	12	rare	rare	ADJ
ecj-13919	4	13	cases	case	NOUN
ecj-13919	4	14	,	,	PUNCT
ecj-13919	4	15	lead	lead	VERB
ecj-13919	4	16	to	to	ADP
ecj-13919	4	17	severe	severe	ADJ
ecj-13919	4	18	complications	complication	NOUN
ecj-13919	4	19	.	.	PUNCT
ecj-13919	5	1	the	the	DET
ecj-13919	5	2	uniqueness	uniqueness	NOUN
ecj-13919	5	3	of	of	ADP
ecj-13919	5	4	this	this	DET
ecj-13919	5	5	clinical	clinical	ADJ
ecj-13919	5	6	case	case	NOUN
ecj-13919	5	7	lies	lie	VERB
ecj-13919	5	8	in	in	ADP
ecj-13919	5	9	the	the	DET
ecj-13919	5	10	unusually	unusually	ADV
ecj-13919	5	11	severe	severe	ADJ
ecj-13919	5	12	presentation	presentation	NOUN
ecj-13919	5	13	of	of	ADP
ecj-13919	5	14	scombroid	scombroid	ADJ
ecj-13919	5	15	syndrome	syndrome	NOUN
ecj-13919	5	16	,	,	PUNCT
ecj-13919	5	17	which	which	PRON
ecj-13919	5	18	typically	typically	ADV
ecj-13919	5	19	follows	follow	VERB
ecj-13919	5	20	a	a	DET
ecj-13919	5	21	benign	benign	ADJ
ecj-13919	5	22	course	course	NOUN
ecj-13919	5	23	.	.	PUNCT
ecj-13919	6	1	this	this	PRON
ecj-13919	6	2	is	be	AUX
ecj-13919	6	3	particularly	particularly	ADV
ecj-13919	6	4	noteworthy	noteworthy	ADJ
ecj-13919	6	5	given	give	VERB
ecj-13919	6	6	the	the	DET
ecj-13919	6	7	concurrent	concurrent	ADJ
ecj-13919	6	8	presence	presence	NOUN
ecj-13919	6	9	of	of	ADP
ecj-13919	6	10	severe	severe	ADJ
ecj-13919	6	11	respiratory	respiratory	ADJ
ecj-13919	6	12	symptoms	symptom	NOUN
ecj-13919	6	13	,	,	PUNCT
ecj-13919	6	14	shock	shock	NOUN
ecj-13919	6	15	,	,	PUNCT
ecj-13919	6	16	and	and	CCONJ
ecj-13919	6	17	kounis	kounis	PROPN
ecj-13919	6	18	syndrome	syndrome	PROPN
ecj-13919	6	19	.	.	PUNCT
ecj-13919	7	1	we	we	PRON
ecj-13919	7	2	present	present	VERB
ecj-13919	7	3	a	a	DET
ecj-13919	7	4	case	case	NOUN
ecj-13919	7	5	of	of	ADP
ecj-13919	7	6	a	a	DET
ecj-13919	7	7	59	59	NUM
ecj-13919	7	8	-	-	PUNCT
ecj-13919	7	9	year	year	NOUN
ecj-13919	7	10	-	-	PUNCT
ecj-13919	7	11	old	old	ADJ
ecj-13919	7	12	woman	woman	NOUN
ecj-13919	7	13	who	who	PRON
ecj-13919	7	14	developed	develop	VERB
ecj-13919	7	15	severe	severe	ADJ
ecj-13919	7	16	scombroid	scombroid	ADJ
ecj-13919	7	17	poisoning	poisoning	NOUN
ecj-13919	7	18	after	after	ADP
ecj-13919	7	19	ingesting	ingest	VERB
ecj-13919	7	20	improperly	improperly	ADV
ecj-13919	7	21	stored	store	VERB
ecj-13919	7	22	canned	canned	ADJ
ecj-13919	7	23	tuna	tuna	NOUN
ecj-13919	7	24	.	.	PUNCT
ecj-13919	8	1	her	her	PRON
ecj-13919	8	2	presentation	presentation	NOUN
ecj-13919	8	3	was	be	AUX
ecj-13919	8	4	complicated	complicate	VERB
ecj-13919	8	5	by	by	ADP
ecj-13919	8	6	distributive	distributive	ADJ
ecj-13919	8	7	shock	shock	NOUN
ecj-13919	8	8	,	,	PUNCT
ecj-13919	8	9	acute	acute	ADJ
ecj-13919	8	10	respiratory	respiratory	ADJ
ecj-13919	8	11	distress	distress	NOUN
ecj-13919	8	12	,	,	PUNCT
ecj-13919	8	13	and	and	CCONJ
ecj-13919	8	14	ecg	ecg	PROPN
ecj-13919	8	15	changes	change	NOUN
ecj-13919	8	16	suggestive	suggestive	ADJ
ecj-13919	8	17	of	of	ADP
ecj-13919	8	18	kounis	kounis	PROPN
ecj-13919	8	19	syndrome	syndrome	PROPN
ecj-13919	8	20	.	.	PUNCT
ecj-13919	9	1	management	management	NOUN
ecj-13919	9	2	required	require	VERB
ecj-13919	9	3	high	high	ADJ
ecj-13919	9	4	-	-	PUNCT
ecj-13919	9	5	dose	dose	NOUN
ecj-13919	9	6	intravenous	intravenous	ADJ
ecj-13919	9	7	epinephrine	epinephrine	NOUN
ecj-13919	9	8	,	,	PUNCT
ecj-13919	9	9	non	non	ADJ
ecj-13919	9	10	-	-	ADJ
ecj-13919	9	11	invasive	invasive	ADJ
ecj-13919	9	12	ventilation	ventilation	NOUN
ecj-13919	9	13	,	,	PUNCT
ecj-13919	9	14	and	and	CCONJ
ecj-13919	9	15	intensive	intensive	ADJ
ecj-13919	9	16	hemodynamic	hemodynamic	ADJ
ecj-13919	9	17	monitoring	monitoring	NOUN
ecj-13919	9	18	.	.	PUNCT
ecj-13919	10	1	coronary	coronary	ADJ
ecj-13919	10	2	ct	ct	NUM
ecj-13919	10	3	angiography	angiography	NOUN
ecj-13919	10	4	later	later	ADV
ecj-13919	10	5	excluded	exclude	VERB
ecj-13919	10	6	obstructive	obstructive	ADJ
ecj-13919	10	7	coronary	coronary	ADJ
ecj-13919	10	8	disease	disease	NOUN
ecj-13919	10	9	.	.	PUNCT
ecj-13919	11	1	this	this	DET
ecj-13919	11	2	case	case	NOUN
ecj-13919	11	3	highlights	highlight	VERB
ecj-13919	11	4	the	the	DET
ecj-13919	11	5	potential	potential	ADJ
ecj-13919	11	6	severity	severity	NOUN
ecj-13919	11	7	of	of	ADP
ecj-13919	11	8	scombroid	scombroid	ADJ
ecj-13919	11	9	syndrome	syndrome	NOUN
ecj-13919	11	10	,	,	PUNCT
ecj-13919	11	11	its	its	PRON
ecj-13919	11	12	overlap	overlap	NOUN
ecj-13919	11	13	with	with	ADP
ecj-13919	11	14	allergic	allergic	ADJ
ecj-13919	11	15	coronary	coronary	ADJ
ecj-13919	11	16	syndromes	syndrome	NOUN
ecj-13919	11	17	,	,	PUNCT
ecj-13919	11	18	and	and	CCONJ
ecj-13919	11	19	the	the	DET
ecj-13919	11	20	diagnostic	diagnostic	ADJ
ecj-13919	11	21	challenges	challenge	NOUN
ecj-13919	11	22	they	they	PRON
ecj-13919	11	23	pose	pose	VERB
ecj-13919	11	24	.	.	PUNCT
ecj-13919	12	1	prompt	prompt	ADJ
ecj-13919	12	2	recognition	recognition	NOUN
ecj-13919	12	3	and	and	CCONJ
ecj-13919	12	4	tailored	tailor	VERB
ecj-13919	12	5	therapy	therapy	NOUN
ecj-13919	12	6	are	be	AUX
ecj-13919	12	7	essential	essential	ADJ
ecj-13919	12	8	.	.	PUNCT
ecj-13919	13	1	clinicians	clinician	NOUN
ecj-13919	13	2	should	should	AUX
ecj-13919	13	3	be	be	AUX
ecj-13919	13	4	aware	aware	ADJ
ecj-13919	13	5	that	that	SCONJ
ecj-13919	13	6	improperly	improperly	ADV
ecj-13919	13	7	stored	store	VERB
ecj-13919	13	8	fish	fish	NOUN
ecj-13919	13	9	can	can	AUX
ecj-13919	13	10	precipitate	precipitate	VERB
ecj-13919	13	11	life	life	NOUN
ecj-13919	13	12	-	-	PUNCT
ecj-13919	13	13	threatening	threaten	VERB
ecj-13919	13	14	systemic	systemic	ADJ
ecj-13919	13	15	reactions	reaction	NOUN
ecj-13919	13	16	,	,	PUNCT
ecj-13919	13	17	requiring	require	VERB
ecj-13919	13	18	management	management	NOUN
ecj-13919	13	19	beyond	beyond	ADP
ecj-13919	13	20	standard	standard	ADJ
ecj-13919	13	21	antihistamine	antihistamine	PROPN
ecj-13919	13	22	treatment	treatment	NOUN
ecj-13919	13	23	.	.	PUNCT
ecj-13919	14	1	introduction	introduction	NOUN
ecj-13919	14	2	scombroid	scombroid	PROPN
ecj-13919	14	3	syndrome	syndrome	NOUN
ecj-13919	14	4	,	,	PUNCT
ecj-13919	14	5	also	also	ADV
ecj-13919	14	6	known	know	VERB
ecj-13919	14	7	as	as	ADP
ecj-13919	14	8	scombroid	scombroid	ADJ
ecj-13919	14	9	poisoning	poisoning	NOUN
ecj-13919	14	10	,	,	PUNCT
ecj-13919	14	11	is	be	AUX
ecj-13919	14	12	a	a	DET
ecj-13919	14	13	foodborne	foodborne	ADJ
ecj-13919	14	14	illness	illness	NOUN
ecj-13919	14	15	resulting	result	VERB
ecj-13919	14	16	from	from	ADP
ecj-13919	14	17	the	the	DET
ecj-13919	14	18	ingestion	ingestion	NOUN
ecj-13919	14	19	of	of	ADP
ecj-13919	14	20	improperly	improperly	ADV
ecj-13919	14	21	stored	store	VERB
ecj-13919	14	22	fish	fish	NOUN
ecj-13919	14	23	,	,	PUNCT
ecj-13919	14	24	particularly	particularly	ADV
ecj-13919	14	25	from	from	ADP
ecj-13919	14	26	the	the	DET
ecj-13919	14	27	scombridae	scombridae	ADJ
ecj-13919	14	28	family	family	NOUN
ecj-13919	14	29	such	such	ADJ
ecj-13919	14	30	as	as	ADP
ecj-13919	14	31	tuna	tuna	NOUN
ecj-13919	14	32	and	and	CCONJ
ecj-13919	14	33	mackerel	mackerel	NOUN
ecj-13919	14	34	.	.	PUNCT
ecj-13919	15	1	this	this	DET
ecj-13919	15	2	condition	condition	NOUN
ecj-13919	15	3	is	be	AUX
ecj-13919	15	4	caused	cause	VERB
ecj-13919	15	5	by	by	ADP
ecj-13919	15	6	high	high	ADJ
ecj-13919	15	7	levels	level	NOUN
ecj-13919	15	8	of	of	ADP
ecj-13919	15	9	histamine	histamine	NOUN
ecj-13919	15	10	and	and	CCONJ
ecj-13919	15	11	other	other	ADJ
ecj-13919	15	12	biogenic	biogenic	ADJ
ecj-13919	15	13	amines	amine	NOUN
ecj-13919	15	14	produced	produce	VERB
ecj-13919	15	15	through	through	ADP
ecj-13919	15	16	bacterial	bacterial	ADJ
ecj-13919	15	17	decarboxylation	decarboxylation	NOUN
ecj-13919	15	18	of	of	ADP
ecj-13919	15	19	histidine	histidine	NOUN
ecj-13919	15	20	in	in	ADP
ecj-13919	15	21	the	the	DET
ecj-13919	15	22	flesh	flesh	NOUN
ecj-13919	15	23	of	of	ADP
ecj-13919	15	24	spoiled	spoiled	ADJ
ecj-13919	15	25	fish.1	fish.1	PROPN
ecj-13919	15	26	clinically	clinically	ADV
ecj-13919	15	27	,	,	PUNCT
ecj-13919	15	28	scombroid	scombroid	ADJ
ecj-13919	15	29	syndrome	syndrome	NOUN
ecj-13919	15	30	can	can	AUX
ecj-13919	15	31	mimic	mimic	VERB
ecj-13919	15	32	a	a	DET
ecj-13919	15	33	type	type	NOUN
ecj-13919	15	34	i	i	PRON
ecj-13919	15	35	hypersensitivity	hypersensitivity	NOUN
ecj-13919	15	36	reaction	reaction	NOUN
ecj-13919	15	37	,	,	PUNCT
ecj-13919	15	38	with	with	ADP
ecj-13919	15	39	symptoms	symptom	NOUN
ecj-13919	15	40	ranging	range	VERB
ecj-13919	15	41	from	from	ADP
ecj-13919	15	42	flushing	flush	VERB
ecj-13919	15	43	,	,	PUNCT
ecj-13919	15	44	urticaria	urticaria	NOUN
ecj-13919	15	45	,	,	PUNCT
ecj-13919	15	46	and	and	CCONJ
ecj-13919	15	47	gastrointestinal	gastrointestinal	ADJ
ecj-13919	15	48	distress	distress	NOUN
ecj-13919	15	49	to	to	ADP
ecj-13919	15	50	more	more	ADV
ecj-13919	15	51	severe	severe	ADJ
ecj-13919	15	52	manifestations	manifestation	NOUN
ecj-13919	15	53	such	such	ADJ
ecj-13919	15	54	as	as	ADP
ecj-13919	15	55	bronchospasm	bronchospasm	NOUN
ecj-13919	15	56	,	,	PUNCT
ecj-13919	15	57	hypotension	hypotension	NOUN
ecj-13919	15	58	,	,	PUNCT
ecj-13919	15	59	and	and	CCONJ
ecj-13919	15	60	cardiovascular	cardiovascular	ADJ
ecj-13919	15	61	compromise.2	compromise.2	NOUN
ecj-13919	15	62	although	although	SCONJ
ecj-13919	15	63	most	most	ADJ
ecj-13919	15	64	cases	case	NOUN
ecj-13919	15	65	are	be	AUX
ecj-13919	15	66	self	self	NOUN
ecj-13919	15	67	-	-	PUNCT
ecj-13919	15	68	limiting	limit	VERB
ecj-13919	15	69	and	and	CCONJ
ecj-13919	15	70	resolve	resolve	VERB
ecj-13919	15	71	with	with	ADP
ecj-13919	15	72	antihistamine	antihistamine	NOUN
ecj-13919	15	73	therapy	therapy	NOUN
ecj-13919	15	74	,	,	PUNCT
ecj-13919	15	75	severe	severe	ADJ
ecj-13919	15	76	presentations	presentation	NOUN
ecj-13919	15	77	may	may	AUX
ecj-13919	15	78	require	require	VERB
ecj-13919	15	79	advanced	advanced	ADJ
ecj-13919	15	80	supportive	supportive	ADJ
ecj-13919	15	81	measures	measure	NOUN
ecj-13919	15	82	.	.	PUNCT
ecj-13919	16	1	rarely	rarely	ADV
ecj-13919	16	2	,	,	PUNCT
ecj-13919	16	3	complications	complication	NOUN
ecj-13919	16	4	such	such	ADJ
ecj-13919	16	5	as	as	ADP
ecj-13919	16	6	distributive	distributive	ADJ
ecj-13919	16	7	shock	shock	NOUN
ecj-13919	16	8	and	and	CCONJ
ecj-13919	16	9	myocardial	myocardial	ADJ
ecj-13919	16	10	involvement	involvement	NOUN
ecj-13919	16	11	can	can	AUX
ecj-13919	16	12	occur	occur	VERB
ecj-13919	16	13	,	,	PUNCT
ecj-13919	16	14	raising	raise	VERB
ecj-13919	16	15	diagnostic	diagnostic	ADJ
ecj-13919	16	16	and	and	CCONJ
ecj-13919	16	17	therapeutic	therapeutic	ADJ
ecj-13919	16	18	challenges	challenge	NOUN
ecj-13919	16	19	in	in	ADP
ecj-13919	16	20	the	the	DET
ecj-13919	16	21	emergency	emergency	NOUN
ecj-13919	16	22	setting	setting	NOUN
ecj-13919	16	23	.	.	PUNCT
ecj-13919	17	1	one	one	NUM
ecj-13919	17	2	such	such	ADJ
ecj-13919	17	3	complication	complication	NOUN
ecj-13919	17	4	is	be	AUX
ecj-13919	17	5	kounis	kounis	PROPN
ecj-13919	17	6	syndrome	syndrome	PROPN
ecj-13919	17	7	,	,	PUNCT
ecj-13919	17	8	an	an	DET
ecj-13919	17	9	underrecognized	underrecognized	ADJ
ecj-13919	17	10	but	but	CCONJ
ecj-13919	17	11	increasingly	increasingly	ADV
ecj-13919	17	12	reported	report	VERB
ecj-13919	17	13	condition	condition	NOUN
ecj-13919	17	14	defined	define	VERB
ecj-13919	17	15	as	as	SCONJ
ecj-13919	17	16	the	the	DET
ecj-13919	17	17	concurrence	concurrence	NOUN
ecj-13919	17	18	of	of	ADP
ecj-13919	17	19	acute	acute	ADJ
ecj-13919	17	20	coronary	coronary	ADJ
ecj-13919	17	21	syndromes	syndrome	NOUN
ecj-13919	17	22	with	with	ADP
ecj-13919	17	23	hypersensitivity	hypersensitivity	NOUN
ecj-13919	17	24	reactions.3	reactions.3	NOUN
ecj-13919	17	25	kounis	kounis	PROPN
ecj-13919	17	26	syndrome	syndrome	PROPN
ecj-13919	17	27	can	can	AUX
ecj-13919	17	28	be	be	AUX
ecj-13919	17	29	triggered	trigger	VERB
ecj-13919	17	30	by	by	ADP
ecj-13919	17	31	various	various	ADJ
ecj-13919	17	32	allergens	allergen	NOUN
ecj-13919	17	33	,	,	PUNCT
ecj-13919	17	34	including	include	VERB
ecj-13919	17	35	drugs	drug	NOUN
ecj-13919	17	36	,	,	PUNCT
ecj-13919	17	37	insect	insect	NOUN
ecj-13919	17	38	stings	sting	NOUN
ecj-13919	17	39	,	,	PUNCT
ecj-13919	17	40	and	and	CCONJ
ecj-13919	17	41	food	food	NOUN
ecj-13919	17	42	,	,	PUNCT
ecj-13919	17	43	leading	lead	VERB
ecj-13919	17	44	to	to	ADP
ecj-13919	17	45	coronary	coronary	ADJ
ecj-13919	17	46	vasospasm	vasospasm	NOUN
ecj-13919	17	47	or	or	CCONJ
ecj-13919	17	48	plaque	plaque	NOUN
ecj-13919	17	49	rupture	rupture	NOUN
ecj-13919	17	50	through	through	ADP
ecj-13919	17	51	mast	mast	NOUN
ecj-13919	17	52	cell	cell	NOUN
ecj-13919	17	53	activation	activation	NOUN
ecj-13919	17	54	and	and	CCONJ
ecj-13919	17	55	inflammatory	inflammatory	ADJ
ecj-13919	17	56	mediator	mediator	NOUN
ecj-13919	17	57	release.4	release.4	PROPN
ecj-13919	17	58	we	we	PRON
ecj-13919	17	59	report	report	VERB
ecj-13919	17	60	the	the	DET
ecj-13919	17	61	case	case	NOUN
ecj-13919	17	62	of	of	ADP
ecj-13919	17	63	a	a	DET
ecj-13919	17	64	59	59	NUM
ecj-13919	17	65	-	-	PUNCT
ecj-13919	17	66	year	year	NOUN
ecj-13919	17	67	-	-	PUNCT
ecj-13919	17	68	old	old	ADJ
ecj-13919	17	69	woman	woman	NOUN
ecj-13919	17	70	with	with	ADP
ecj-13919	17	71	history	history	NOUN
ecj-13919	17	72	of	of	ADP
ecj-13919	17	73	arterial	arterial	ADJ
ecj-13919	17	74	hypertension	hypertension	NOUN
ecj-13919	17	75	and	and	CCONJ
ecj-13919	17	76	chronic	chronic	ADJ
ecj-13919	17	77	headache	headache	NOUN
ecj-13919	17	78	,	,	PUNCT
ecj-13919	17	79	who	who	PRON
ecj-13919	17	80	developed	develop	VERB
ecj-13919	17	81	severe	severe	ADJ
ecj-13919	17	82	scombroid	scombroid	NOUN
ecj-13919	17	83	syndrome	syndrome	NOUN
ecj-13919	17	84	after	after	ADP
ecj-13919	17	85	consuming	consume	VERB
ecj-13919	17	86	improperly	improperly	ADV
ecj-13919	17	87	stored	store	VERB
ecj-13919	17	88	tuna	tuna	NOUN
ecj-13919	17	89	,	,	PUNCT
ecj-13919	17	90	complicated	complicate	VERB
ecj-13919	17	91	by	by	ADP
ecj-13919	17	92	distributive	distributive	ADJ
ecj-13919	17	93	shock	shock	NOUN
ecj-13919	17	94	and	and	CCONJ
ecj-13919	17	95	features	feature	VERB
ecj-13919	17	96	consistent	consistent	ADJ
ecj-13919	17	97	with	with	ADP
ecj-13919	17	98	kounis	kounis	PROPN
ecj-13919	17	99	syndrome	syndrome	PROPN
ecj-13919	17	100	.	.	PUNCT
ecj-13919	18	1	the	the	DET
ecj-13919	18	2	clinical	clinical	ADJ
ecj-13919	18	3	severity	severity	NOUN
ecj-13919	18	4	of	of	ADP
ecj-13919	18	5	this	this	DET
ecj-13919	18	6	case	case	NOUN
ecj-13919	18	7	necessitated	necessitate	VERB
ecj-13919	18	8	intensive	intensive	ADJ
ecj-13919	18	9	care	care	NOUN
ecj-13919	18	10	management	management	NOUN
ecj-13919	18	11	with	with	ADP
ecj-13919	18	12	intravenous	intravenous	ADJ
ecj-13919	18	13	epinephrine	epinephrine	NOUN
ecj-13919	18	14	and	and	CCONJ
ecj-13919	18	15	noninvasive	noninvasive	ADJ
ecj-13919	18	16	ventilation	ventilation	NOUN
ecj-13919	18	17	,	,	PUNCT
ecj-13919	18	18	followed	follow	VERB
ecj-13919	18	19	by	by	ADP
ecj-13919	18	20	admission	admission	NOUN
ecj-13919	18	21	to	to	ADP
ecj-13919	18	22	an	an	DET
ecj-13919	18	23	emergency	emergency	NOUN
ecj-13919	18	24	sub	sub	ADJ
ecj-13919	18	25	-	-	ADJ
ecj-13919	18	26	intensive	intensive	ADJ
ecj-13919	18	27	care	care	NOUN
ecj-13919	18	28	unit	unit	NOUN
ecj-13919	18	29	.	.	PUNCT
ecj-13919	19	1	to	to	ADP
ecj-13919	19	2	our	our	PRON
ecj-13919	19	3	knowledge	knowledge	NOUN
ecj-13919	19	4	,	,	PUNCT
ecj-13919	19	5	this	this	PRON
ecj-13919	19	6	is	be	AUX
ecj-13919	19	7	one	one	NUM
ecj-13919	19	8	of	of	ADP
ecj-13919	19	9	the	the	DET
ecj-13919	19	10	few	few	ADJ
ecj-13919	19	11	correspondence	correspondence	NOUN
ecj-13919	19	12	:	:	PUNCT
ecj-13919	19	13	lorenzo	lorenzo	PROPN
ecj-13919	19	14	pelagatti	pelagatti	PROPN
ecj-13919	19	15	,	,	PUNCT
ecj-13919	19	16	emergency	emergency	NOUN
ecj-13919	19	17	department	department	NOUN
ecj-13919	19	18	,	,	PUNCT
ecj-13919	19	19	careggi	careggi	PROPN
ecj-13919	19	20	university	university	NOUN
ecj-13919	19	21	hospital	hospital	NOUN
ecj-13919	19	22	,	,	PUNCT
ecj-13919	19	23	largo	largo	PROPN
ecj-13919	19	24	brambilla	brambilla	PROPN
ecj-13919	19	25	3	3	NUM
ecj-13919	19	26	,	,	PUNCT
ecj-13919	19	27	50141	50141	NUM
ecj-13919	19	28	,	,	PUNCT
ecj-13919	19	29	florence	florence	NOUN
ecj-13919	19	30	,	,	PUNCT
ecj-13919	19	31	italy	italy	PROPN
ecj-13919	19	32	.	.	PUNCT
ecj-13919	20	1	e	e	X
ecj-13919	20	2	-	-	NOUN
ecj-13919	20	3	mail	mail	NOUN
ecj-13919	20	4	:	:	PUNCT
ecj-13919	20	5	pelagattil@aou-careggi.toscana.it	pelagattil@aou-careggi.toscana.it	NOUN
ecj-13919	20	6	,	,	PUNCT
ecj-13919	20	7	lorenzo.pelagatti@unifi.it	lorenzo.pelagatti@unifi.it	PRON
ecj-13919	20	8	key	key	ADJ
ecj-13919	20	9	words	word	NOUN
ecj-13919	20	10	:	:	PUNCT
ecj-13919	20	11	scombroid	scombroid	ADJ
ecj-13919	20	12	syndrome	syndrome	NOUN
ecj-13919	20	13	,	,	PUNCT
ecj-13919	20	14	kounis	kounis	PROPN
ecj-13919	20	15	syndrome	syndrome	PROPN
ecj-13919	20	16	,	,	PUNCT
ecj-13919	20	17	epinephrine	epinephrine	NOUN
ecj-13919	20	18	,	,	PUNCT
ecj-13919	20	19	histamine	histamine	NOUN
ecj-13919	20	20	,	,	PUNCT
ecj-13919	20	21	distributive	distributive	ADJ
ecj-13919	20	22	shock	shock	NOUN
ecj-13919	20	23	contributions	contribution	NOUN
ecj-13919	20	24	:	:	PUNCT
ecj-13919	20	25	all	all	DET
ecj-13919	20	26	authors	author	NOUN
ecj-13919	20	27	contributed	contribute	VERB
ecj-13919	20	28	to	to	ADP
ecj-13919	20	29	the	the	DET
ecj-13919	20	30	drafting	drafting	NOUN
ecj-13919	20	31	of	of	ADP
ecj-13919	20	32	the	the	DET
ecj-13919	20	33	manuscript	manuscript	NOUN
ecj-13919	20	34	and	and	CCONJ
ecj-13919	20	35	approve	approve	VERB
ecj-13919	20	36	its	its	PRON
ecj-13919	20	37	final	final	ADJ
ecj-13919	20	38	version	version	NOUN
ecj-13919	20	39	.	.	PUNCT
ecj-13919	21	1	lp	lp	NOUN
ecj-13919	21	2	and	and	CCONJ
ecj-13919	21	3	fg	fg	PROPN
ecj-13919	21	4	were	be	AUX
ecj-13919	21	5	responsible	responsible	ADJ
ecj-13919	21	6	for	for	ADP
ecj-13919	21	7	the	the	DET
ecj-13919	21	8	patient	patient	NOUN
ecj-13919	21	9	workup	workup	NOUN
ecj-13919	21	10	and	and	CCONJ
ecj-13919	21	11	diagnosis	diagnosis	NOUN
ecj-13919	21	12	.	.	PUNCT
ecj-13919	22	1	lp	lp	PROPN
ecj-13919	22	2	was	be	AUX
ecj-13919	22	3	responsible	responsible	ADJ
ecj-13919	22	4	for	for	ADP
ecj-13919	22	5	consent	consent	NOUN
ecj-13919	22	6	and	and	CCONJ
ecj-13919	22	7	data	datum	NOUN
ecj-13919	22	8	collection	collection	NOUN
ecj-13919	22	9	.	.	PUNCT
ecj-13919	23	1	lp	lp	NOUN
ecj-13919	23	2	and	and	CCONJ
ecj-13919	23	3	fg	fg	PROPN
ecj-13919	23	4	contributed	contribute	VERB
ecj-13919	23	5	to	to	PART
ecj-13919	23	6	manuscript	manuscript	VERB
ecj-13919	23	7	writing	writing	NOUN
ecj-13919	23	8	.	.	PUNCT
ecj-13919	24	1	ai	ai	VERB
ecj-13919	24	2	,	,	PUNCT
ecj-13919	24	3	yb	yb	PROPN
ecj-13919	24	4	and	and	CCONJ
ecj-13919	24	5	sv	sv	PROPN
ecj-13919	24	6	participated	participate	VERB
ecj-13919	24	7	in	in	ADP
ecj-13919	24	8	the	the	DET
ecj-13919	24	9	critical	critical	ADJ
ecj-13919	24	10	revision	revision	NOUN
ecj-13919	24	11	of	of	ADP
ecj-13919	24	12	the	the	DET
ecj-13919	24	13	manuscript	manuscript	NOUN
ecj-13919	24	14	.	.	PUNCT
ecj-13919	25	1	conflict	conflict	NOUN
ecj-13919	25	2	of	of	ADP
ecj-13919	25	3	interest	interest	NOUN
ecj-13919	25	4	:	:	PUNCT
ecj-13919	25	5	the	the	DET
ecj-13919	25	6	authors	author	NOUN
ecj-13919	25	7	declare	declare	VERB
ecj-13919	25	8	no	no	DET
ecj-13919	25	9	potential	potential	ADJ
ecj-13919	25	10	conflict	conflict	NOUN
ecj-13919	25	11	of	of	ADP
ecj-13919	25	12	interest	interest	NOUN
ecj-13919	25	13	,	,	PUNCT
ecj-13919	25	14	and	and	CCONJ
ecj-13919	25	15	all	all	DET
ecj-13919	25	16	authors	author	NOUN
ecj-13919	25	17	confirm	confirm	VERB
ecj-13919	25	18	accuracy	accuracy	NOUN
ecj-13919	25	19	.	.	PUNCT
ecj-13919	26	1	ethics	ethic	NOUN
ecj-13919	26	2	approval	approval	NOUN
ecj-13919	26	3	and	and	CCONJ
ecj-13919	26	4	consent	consent	NOUN
ecj-13919	26	5	to	to	PART
ecj-13919	26	6	participate	participate	VERB
ecj-13919	26	7	:	:	PUNCT
ecj-13919	26	8	no	no	DET
ecj-13919	26	9	ethical	ethical	ADJ
ecj-13919	26	10	committee	committee	NOUN
ecj-13919	26	11	approval	approval	NOUN
ecj-13919	26	12	was	be	AUX
ecj-13919	26	13	required	require	VERB
ecj-13919	26	14	for	for	ADP
ecj-13919	26	15	this	this	DET
ecj-13919	26	16	case	case	NOUN
ecj-13919	26	17	report	report	NOUN
ecj-13919	26	18	by	by	ADP
ecj-13919	26	19	the	the	DET
ecj-13919	26	20	department	department	NOUN
ecj-13919	26	21	,	,	PUNCT
ecj-13919	26	22	because	because	SCONJ
ecj-13919	26	23	this	this	DET
ecj-13919	26	24	article	article	NOUN
ecj-13919	26	25	does	do	AUX
ecj-13919	26	26	not	not	PART
ecj-13919	26	27	contain	contain	VERB
ecj-13919	26	28	any	any	DET
ecj-13919	26	29	studies	study	NOUN
ecj-13919	26	30	with	with	ADP
ecj-13919	26	31	human	human	ADJ
ecj-13919	26	32	participants	participant	NOUN
ecj-13919	26	33	or	or	CCONJ
ecj-13919	26	34	animals	animal	NOUN
ecj-13919	26	35	.	.	PUNCT
ecj-13919	27	1	informed	inform	VERB
ecj-13919	27	2	consent	consent	NOUN
ecj-13919	27	3	was	be	AUX
ecj-13919	27	4	obtained	obtain	VERB
ecj-13919	27	5	from	from	ADP
ecj-13919	27	6	the	the	DET
ecj-13919	27	7	patient	patient	NOUN
ecj-13919	27	8	included	include	VERB
ecj-13919	27	9	in	in	ADP
ecj-13919	27	10	this	this	DET
ecj-13919	27	11	study	study	NOUN
ecj-13919	27	12	.	.	PUNCT
ecj-13919	28	1	patient	patient	ADJ
ecj-13919	28	2	consent	consent	NOUN
ecj-13919	28	3	for	for	ADP
ecj-13919	28	4	publication	publication	NOUN
ecj-13919	28	5	:	:	PUNCT
ecj-13919	28	6	the	the	DET
ecj-13919	28	7	patient	patient	NOUN
ecj-13919	28	8	gave	give	VERB
ecj-13919	28	9	her	she	PRON
ecj-13919	28	10	written	write	VERB
ecj-13919	28	11	consent	consent	NOUN
ecj-13919	28	12	to	to	PART
ecj-13919	28	13	use	use	VERB
ecj-13919	28	14	her	her	PRON
ecj-13919	28	15	personal	personal	ADJ
ecj-13919	28	16	data	datum	NOUN
ecj-13919	28	17	for	for	ADP
ecj-13919	28	18	the	the	DET
ecj-13919	28	19	publication	publication	NOUN
ecj-13919	28	20	of	of	ADP
ecj-13919	28	21	this	this	DET
ecj-13919	28	22	case	case	NOUN
ecj-13919	28	23	report	report	NOUN
ecj-13919	28	24	and	and	CCONJ
ecj-13919	28	25	any	any	DET
ecj-13919	28	26	accompanying	accompanying	ADJ
ecj-13919	28	27	images	image	NOUN
ecj-13919	28	28	.	.	PUNCT
ecj-13919	29	1	availability	availability	NOUN
ecj-13919	29	2	of	of	ADP
ecj-13919	29	3	data	datum	NOUN
ecj-13919	29	4	and	and	CCONJ
ecj-13919	29	5	materials	material	NOUN
ecj-13919	29	6	:	:	PUNCT
ecj-13919	29	7	all	all	DET
ecj-13919	29	8	data	datum	NOUN
ecj-13919	29	9	underlying	underlie	VERB
ecj-13919	29	10	the	the	DET
ecj-13919	29	11	findings	finding	NOUN
ecj-13919	29	12	are	be	AUX
ecj-13919	29	13	fully	fully	ADV
ecj-13919	29	14	available	available	ADJ
ecj-13919	29	15	.	.	PUNCT
ecj-13919	30	1	received	receive	VERB
ecj-13919	30	2	:	:	PUNCT
ecj-13919	30	3	21	21	NUM
ecj-13919	30	4	april	april	PROPN
ecj-13919	30	5	2025	2025	NUM
ecj-13919	30	6	.	.	PUNCT
ecj-13919	31	1	accepted	accept	VERB
ecj-13919	31	2	:	:	PUNCT
ecj-13919	31	3	19	19	NUM
ecj-13919	31	4	august	august	PROPN
ecj-13919	31	5	2025	2025	NUM
ecj-13919	31	6	.	.	PUNCT
ecj-13919	32	1	early	early	ADJ
ecj-13919	32	2	view	view	NOUN
ecj-13919	32	3	:	:	PUNCT
ecj-13919	32	4	1	1	NUM
ecj-13919	32	5	september	september	PROPN
ecj-13919	32	6	2025	2025	NUM
ecj-13919	32	7	.	.	PUNCT
ecj-13919	33	1	this	this	DET
ecj-13919	33	2	work	work	NOUN
ecj-13919	33	3	is	be	AUX
ecj-13919	33	4	licensed	license	VERB
ecj-13919	33	5	under	under	ADP
ecj-13919	33	6	a	a	DET
ecj-13919	33	7	creative	creative	ADJ
ecj-13919	33	8	commons	common	NOUN
ecj-13919	33	9	attribution	attribution	NOUN
ecj-13919	33	10	4.0	4.0	NUM
ecj-13919	33	11	license	license	NOUN
ecj-13919	33	12	(	(	PUNCT
ecj-13919	33	13	by	by	ADP
ecj-13919	33	14	-	-	PUNCT
ecj-13919	33	15	nc	nc	PROPN
ecj-13919	33	16	4.0	4.0	NUM
ecj-13919	33	17	)	)	PUNCT
ecj-13919	33	18	.	.	PUNCT
ecj-13919	34	1	©	©	PROPN
ecj-13919	34	2	copyright	copyright	NOUN
ecj-13919	34	3	:	:	PUNCT
ecj-13919	34	4	the	the	DET
ecj-13919	34	5	author(s	author(s	PROPN
ecj-13919	34	6	)	)	PUNCT
ecj-13919	34	7	,	,	PUNCT
ecj-13919	34	8	2025	2025	NUM
ecj-13919	34	9	licensee	licensee	NOUN
ecj-13919	34	10	pagepress	pagepress	NOUN
ecj-13919	34	11	,	,	PUNCT
ecj-13919	34	12	italy	italy	PROPN
ecj-13919	34	13	emergency	emergency	PROPN
ecj-13919	34	14	care	care	PROPN
ecj-13919	34	15	journal	journal	PROPN
ecj-13919	34	16	2025	2025	NUM
ecj-13919	34	17	;	;	PUNCT
ecj-13919	34	18	21:13919	21:13919	NUM
ecj-13919	34	19	doi:10.4081	doi:10.4081	ADJ
ecj-13919	34	20	/	/	SYM
ecj-13919	34	21	ecj.2025.13919	ecj.2025.13919	PROPN
ecj-13919	34	22	publisher	publisher	NOUN
ecj-13919	34	23	's	's	PART
ecj-13919	34	24	note	note	NOUN
ecj-13919	34	25	:	:	PUNCT
ecj-13919	34	26	all	all	DET
ecj-13919	34	27	claims	claim	NOUN
ecj-13919	34	28	expressed	express	VERB
ecj-13919	34	29	in	in	ADP
ecj-13919	34	30	this	this	DET
ecj-13919	34	31	article	article	NOUN
ecj-13919	34	32	are	be	AUX
ecj-13919	34	33	solely	solely	ADV
ecj-13919	34	34	those	those	PRON
ecj-13919	34	35	of	of	ADP
ecj-13919	34	36	the	the	DET
ecj-13919	34	37	authors	author	NOUN
ecj-13919	34	38	and	and	CCONJ
ecj-13919	34	39	do	do	AUX
ecj-13919	34	40	not	not	PART
ecj-13919	34	41	necessarily	necessarily	ADV
ecj-13919	34	42	represent	represent	VERB
ecj-13919	34	43	those	those	PRON
ecj-13919	34	44	of	of	ADP
ecj-13919	34	45	their	their	PRON
ecj-13919	34	46	affiliated	affiliated	ADJ
ecj-13919	34	47	organizations	organization	NOUN
ecj-13919	34	48	,	,	PUNCT
ecj-13919	34	49	or	or	CCONJ
ecj-13919	34	50	those	those	PRON
ecj-13919	34	51	of	of	ADP
ecj-13919	34	52	the	the	DET
ecj-13919	34	53	publisher	publisher	NOUN
ecj-13919	34	54	,	,	PUNCT
ecj-13919	34	55	the	the	DET
ecj-13919	34	56	editors	editor	NOUN
ecj-13919	34	57	and	and	CCONJ
ecj-13919	34	58	the	the	DET
ecj-13919	34	59	reviewers	reviewer	NOUN
ecj-13919	34	60	.	.	PUNCT
ecj-13919	35	1	any	any	DET
ecj-13919	35	2	product	product	NOUN
ecj-13919	35	3	that	that	PRON
ecj-13919	35	4	may	may	AUX
ecj-13919	35	5	be	be	AUX
ecj-13919	35	6	evaluated	evaluate	VERB
ecj-13919	35	7	in	in	ADP
ecj-13919	35	8	this	this	DET
ecj-13919	35	9	article	article	NOUN
ecj-13919	35	10	or	or	CCONJ
ecj-13919	35	11	claim	claim	NOUN
ecj-13919	35	12	that	that	PRON
ecj-13919	35	13	may	may	AUX
ecj-13919	35	14	be	be	AUX
ecj-13919	35	15	made	make	VERB
ecj-13919	35	16	by	by	ADP
ecj-13919	35	17	its	its	PRON
ecj-13919	35	18	manufacturer	manufacturer	NOUN
ecj-13919	35	19	is	be	AUX
ecj-13919	35	20	not	not	PART
ecj-13919	35	21	guaranteed	guarantee	VERB
ecj-13919	35	22	or	or	CCONJ
ecj-13919	35	23	endorsed	endorse	VERB
ecj-13919	35	24	by	by	ADP
ecj-13919	35	25	the	the	DET
ecj-13919	35	26	publisher	publisher	NOUN
ecj-13919	35	27	.	.	PUNCT
ecj-13919	36	1	severe	severe	ADJ
ecj-13919	36	2	scombroid	scombroid	ADJ
ecj-13919	36	3	poisoning	poisoning	NOUN
ecj-13919	36	4	complicated	complicate	VERB
ecj-13919	36	5	by	by	ADP
ecj-13919	36	6	distributive	distributive	ADJ
ecj-13919	36	7	shock	shock	NOUN
ecj-13919	36	8	,	,	PUNCT
ecj-13919	36	9	acute	acute	ADJ
ecj-13919	36	10	respiratory	respiratory	ADJ
ecj-13919	36	11	distress	distress	NOUN
ecj-13919	36	12	syndrome	syndrome	PROPN
ecj-13919	36	13	and	and	CCONJ
ecj-13919	36	14	kounis	kounis	PROPN
ecj-13919	36	15	syndrome	syndrome	PROPN
ecj-13919	36	16	:	:	PUNCT
ecj-13919	36	17	a	a	DET
ecj-13919	36	18	case	case	NOUN
ecj-13919	36	19	report	report	VERB
ecj-13919	36	20	lorenzo	lorenzo	PROPN
ecj-13919	36	21	pelagatti,1	pelagatti,1	PROPN
ecj-13919	36	22	francesco	francesco	PROPN
ecj-13919	36	23	gambassi,2	gambassi,2	PROPN
ecj-13919	36	24	alessandra	alessandra	PROPN
ecj-13919	36	25	ieri,2	ieri,2	PROPN
ecj-13919	36	26	yari	yari	PROPN
ecj-13919	36	27	bardacci,1	bardacci,1	VERB
ecj-13919	36	28	simone	simone	PROPN
ecj-13919	36	29	vanni3	vanni3	PROPN
ecj-13919	37	1	1emergency	1emergency	NUM
ecj-13919	37	2	department	department	NOUN
ecj-13919	37	3	,	,	PUNCT
ecj-13919	37	4	careggi	careggi	PROPN
ecj-13919	37	5	university	university	NOUN
ecj-13919	37	6	hospital	hospital	NOUN
ecj-13919	37	7	,	,	PUNCT
ecj-13919	37	8	florence	florence	NOUN
ecj-13919	37	9	;	;	PUNCT
ecj-13919	37	10	2toxicology	2toxicology	NUM
ecj-13919	37	11	unit	unit	NOUN
ecj-13919	37	12	,	,	PUNCT
ecj-13919	37	13	careggi	careggi	PROPN
ecj-13919	37	14	university	university	NOUN
ecj-13919	37	15	hospital	hospital	NOUN
ecj-13919	37	16	,	,	PUNCT
ecj-13919	37	17	florence	florence	NOUN
ecj-13919	37	18	;	;	PUNCT
ecj-13919	37	19	3high	3high	NUM
ecj-13919	37	20	dependency	dependency	NOUN
ecj-13919	37	21	unit	unit	NOUN
ecj-13919	37	22	,	,	PUNCT
ecj-13919	37	23	careggi	careggi	PROPN
ecj-13919	37	24	university	university	NOUN
ecj-13919	37	25	hospital	hospital	NOUN
ecj-13919	37	26	,	,	PUNCT
ecj-13919	37	27	florence	florence	NOUN
ecj-13919	37	28	,	,	PUNCT
ecj-13919	37	29	italy	italy	PROPN
ecj-13919	37	30	reported	report	VERB
ecj-13919	37	31	cases	case	NOUN
ecj-13919	37	32	illustrating	illustrate	VERB
ecj-13919	37	33	the	the	DET
ecj-13919	37	34	intersection	intersection	NOUN
ecj-13919	37	35	of	of	ADP
ecj-13919	37	36	scombroid	scombroid	ADJ
ecj-13919	37	37	poisoning	poisoning	NOUN
ecj-13919	37	38	,	,	PUNCT
ecj-13919	37	39	distributive	distributive	ADJ
ecj-13919	37	40	shock	shock	NOUN
ecj-13919	37	41	,	,	PUNCT
ecj-13919	37	42	and	and	CCONJ
ecj-13919	37	43	kounis	kounis	PROPN
ecj-13919	37	44	syndrome	syndrome	PROPN
ecj-13919	37	45	,	,	PUNCT
ecj-13919	37	46	highlighting	highlight	VERB
ecj-13919	37	47	the	the	DET
ecj-13919	37	48	importance	importance	NOUN
ecj-13919	37	49	of	of	ADP
ecj-13919	37	50	prompt	prompt	ADJ
ecj-13919	37	51	recognition	recognition	NOUN
ecj-13919	37	52	and	and	CCONJ
ecj-13919	37	53	multidisciplinary	multidisciplinary	ADJ
ecj-13919	37	54	management	management	NOUN
ecj-13919	37	55	.	.	PUNCT
ecj-13919	38	1	case	case	NOUN
ecj-13919	38	2	report	report	VERB
ecj-13919	38	3	a	a	DET
ecj-13919	38	4	59	59	NUM
ecj-13919	38	5	-	-	PUNCT
ecj-13919	38	6	year	year	NOUN
ecj-13919	38	7	-	-	PUNCT
ecj-13919	38	8	old	old	ADJ
ecj-13919	38	9	caucasian	caucasian	ADJ
ecj-13919	38	10	female	female	NOUN
ecj-13919	38	11	presented	present	VERB
ecj-13919	38	12	to	to	ADP
ecj-13919	38	13	the	the	DET
ecj-13919	38	14	emergency	emergency	NOUN
ecj-13919	38	15	department	department	NOUN
ecj-13919	38	16	(	(	PUNCT
ecj-13919	38	17	ed	ed	NOUN
ecj-13919	38	18	)	)	PUNCT
ecj-13919	38	19	via	via	ADP
ecj-13919	38	20	an	an	DET
ecj-13919	38	21	advanced	advanced	ADJ
ecj-13919	38	22	life	life	NOUN
ecj-13919	38	23	support	support	NOUN
ecj-13919	38	24	ambulance	ambulance	NOUN
ecj-13919	38	25	with	with	ADP
ecj-13919	38	26	medical	medical	ADJ
ecj-13919	38	27	personnel	personnel	NOUN
ecj-13919	38	28	on	on	ADP
ecj-13919	38	29	board	board	NOUN
ecj-13919	38	30	,	,	PUNCT
ecj-13919	38	31	due	due	ADP
ecj-13919	38	32	to	to	ADP
ecj-13919	38	33	the	the	DET
ecj-13919	38	34	onset	onset	NOUN
ecj-13919	38	35	of	of	ADP
ecj-13919	38	36	a	a	DET
ecj-13919	38	37	generalized	generalized	ADJ
ecj-13919	38	38	cutaneous	cutaneous	ADJ
ecj-13919	38	39	rash	rash	NOUN
ecj-13919	38	40	involving	involve	VERB
ecj-13919	38	41	the	the	DET
ecj-13919	38	42	entire	entire	ADJ
ecj-13919	38	43	body	body	NOUN
ecj-13919	38	44	,	,	PUNCT
ecj-13919	38	45	one	one	NUM
ecj-13919	38	46	episode	episode	NOUN
ecj-13919	38	47	of	of	ADP
ecj-13919	38	48	diarrhea	diarrhea	NOUN
ecj-13919	38	49	,	,	PUNCT
ecj-13919	38	50	associated	associate	VERB
ecj-13919	38	51	with	with	ADP
ecj-13919	38	52	low	low	ADJ
ecj-13919	38	53	blood	blood	NOUN
ecj-13919	38	54	pressure	pressure	NOUN
ecj-13919	38	55	and	and	CCONJ
ecj-13919	38	56	sinus	sinus	NOUN
ecj-13919	38	57	tachycardia	tachycardia	NOUN
ecj-13919	38	58	,	,	PUNCT
ecj-13919	38	59	without	without	ADP
ecj-13919	38	60	airway	airway	NOUN
ecj-13919	38	61	compromise	compromise	NOUN
ecj-13919	38	62	or	or	CCONJ
ecj-13919	38	63	respiratory	respiratory	ADJ
ecj-13919	38	64	distress	distress	NOUN
ecj-13919	38	65	.	.	PUNCT
ecj-13919	39	1	emergency	emergency	NOUN
ecj-13919	39	2	medical	medical	ADJ
ecj-13919	39	3	personnel	personnel	NOUN
ecj-13919	39	4	administered	administer	VERB
ecj-13919	39	5	intramuscular	intramuscular	ADJ
ecj-13919	39	6	adrenaline	adrenaline	NOUN
ecj-13919	39	7	(	(	PUNCT
ecj-13919	39	8	0.5	0.5	NUM
ecj-13919	39	9	mg	mg	NOUN
ecj-13919	39	10	)	)	PUNCT
ecj-13919	39	11	,	,	PUNCT
ecj-13919	39	12	intravenous	intravenous	ADJ
ecj-13919	39	13	chlorphenamine	chlorphenamine	NOUN
ecj-13919	39	14	(	(	PUNCT
ecj-13919	39	15	10	10	NUM
ecj-13919	39	16	mg	mg	NUM
ecj-13919	39	17	)	)	PUNCT
ecj-13919	39	18	,	,	PUNCT
ecj-13919	39	19	intravenous	intravenous	ADJ
ecj-13919	39	20	hydrocortisone	hydrocortisone	NOUN
ecj-13919	39	21	(	(	PUNCT
ecj-13919	39	22	500	500	NUM
ecj-13919	39	23	mg	mg	NUM
ecj-13919	39	24	)	)	PUNCT
ecj-13919	39	25	,	,	PUNCT
ecj-13919	39	26	and	and	CCONJ
ecj-13919	39	27	1000	1000	NUM
ecj-13919	39	28	ml	ml	NOUN
ecj-13919	39	29	of	of	ADP
ecj-13919	39	30	0.9	0.9	NUM
ecj-13919	39	31	%	%	NOUN
ecj-13919	39	32	normal	normal	ADJ
ecj-13919	39	33	saline	saline	NOUN
ecj-13919	39	34	en	en	ADP
ecj-13919	39	35	route	route	NOUN
ecj-13919	39	36	to	to	ADP
ecj-13919	39	37	the	the	DET
ecj-13919	39	38	ed	ed	NOUN
ecj-13919	39	39	,	,	PUNCT
ecj-13919	39	40	with	with	ADP
ecj-13919	39	41	limited	limited	ADJ
ecj-13919	39	42	clinical	clinical	ADJ
ecj-13919	39	43	benefit	benefit	NOUN
ecj-13919	39	44	.	.	PUNCT
ecj-13919	40	1	the	the	DET
ecj-13919	40	2	patient	patient	NOUN
ecj-13919	40	3	’s	’s	PART
ecj-13919	40	4	medical	medical	ADJ
ecj-13919	40	5	history	history	NOUN
ecj-13919	40	6	was	be	AUX
ecj-13919	40	7	significant	significant	ADJ
ecj-13919	40	8	for	for	ADP
ecj-13919	40	9	arterial	arterial	ADJ
ecj-13919	40	10	hypertension	hypertension	NOUN
ecj-13919	40	11	and	and	CCONJ
ecj-13919	40	12	migraine	migraine	NOUN
ecj-13919	40	13	.	.	PUNCT
ecj-13919	41	1	her	her	PRON
ecj-13919	41	2	home	home	NOUN
ecj-13919	41	3	medications	medication	NOUN
ecj-13919	41	4	included	include	VERB
ecj-13919	41	5	nebivolol	nebivolol	PROPN
ecj-13919	41	6	5	5	NUM
ecj-13919	41	7	mg	mg	ADP
ecj-13919	41	8	once	once	ADV
ecj-13919	41	9	daily	daily	ADV
ecj-13919	41	10	,	,	PUNCT
ecj-13919	41	11	rizatriptan	rizatriptan	ADJ
ecj-13919	41	12	10	10	NUM
ecj-13919	41	13	mg	mg	ADV
ecj-13919	41	14	as	as	SCONJ
ecj-13919	41	15	needed	need	VERB
ecj-13919	41	16	,	,	PUNCT
ecj-13919	41	17	and	and	CCONJ
ecj-13919	41	18	vitamin	vitamin	NOUN
ecj-13919	41	19	d	d	NOUN
ecj-13919	41	20	once	once	ADV
ecj-13919	41	21	weekly	weekly	ADV
ecj-13919	41	22	.	.	PUNCT
ecj-13919	42	1	she	she	PRON
ecj-13919	42	2	reported	report	VERB
ecj-13919	42	3	no	no	DET
ecj-13919	42	4	known	know	VERB
ecj-13919	42	5	drug	drug	NOUN
ecj-13919	42	6	allergies	allergy	NOUN
ecj-13919	42	7	.	.	PUNCT
ecj-13919	43	1	she	she	PRON
ecj-13919	43	2	led	lead	VERB
ecj-13919	43	3	an	an	DET
ecj-13919	43	4	active	active	ADJ
ecj-13919	43	5	lifestyle	lifestyle	NOUN
ecj-13919	43	6	,	,	PUNCT
ecj-13919	43	7	followed	follow	VERB
ecj-13919	43	8	a	a	DET
ecj-13919	43	9	varied	varied	ADJ
ecj-13919	43	10	diet	diet	NOUN
ecj-13919	43	11	,	,	PUNCT
ecj-13919	43	12	and	and	CCONJ
ecj-13919	43	13	was	be	AUX
ecj-13919	43	14	currently	currently	ADV
ecj-13919	43	15	employed	employ	VERB
ecj-13919	43	16	as	as	ADP
ecj-13919	43	17	an	an	DET
ecj-13919	43	18	office	office	NOUN
ecj-13919	43	19	worker	worker	NOUN
ecj-13919	43	20	.	.	PUNCT
ecj-13919	44	1	there	there	PRON
ecj-13919	44	2	was	be	VERB
ecj-13919	44	3	no	no	DET
ecj-13919	44	4	family	family	NOUN
ecj-13919	44	5	history	history	NOUN
ecj-13919	44	6	of	of	ADP
ecj-13919	44	7	cardiovascular	cardiovascular	ADJ
ecj-13919	44	8	,	,	PUNCT
ecj-13919	44	9	cerebrovascular	cerebrovascular	ADJ
ecj-13919	44	10	,	,	PUNCT
ecj-13919	44	11	or	or	CCONJ
ecj-13919	44	12	oncological	oncological	ADJ
ecj-13919	44	13	diseases	disease	NOUN
ecj-13919	44	14	.	.	PUNCT
ecj-13919	45	1	upon	upon	SCONJ
ecj-13919	45	2	arrival	arrival	NOUN
ecj-13919	45	3	in	in	ADP
ecj-13919	45	4	the	the	DET
ecj-13919	45	5	ed	ed	NOUN
ecj-13919	45	6	,	,	PUNCT
ecj-13919	45	7	the	the	DET
ecj-13919	45	8	patient	patient	NOUN
ecj-13919	45	9	reported	report	VERB
ecj-13919	45	10	a	a	DET
ecj-13919	45	11	diffuse	diffuse	ADJ
ecj-13919	45	12	sensation	sensation	NOUN
ecj-13919	45	13	of	of	ADP
ecj-13919	45	14	warmth	warmth	NOUN
ecj-13919	45	15	throughout	throughout	ADP
ecj-13919	45	16	the	the	DET
ecj-13919	45	17	body	body	NOUN
ecj-13919	45	18	,	,	PUNCT
ecj-13919	45	19	accompanied	accompany	VERB
ecj-13919	45	20	by	by	ADP
ecj-13919	45	21	widespread	widespread	ADJ
ecj-13919	45	22	erythema	erythema	ADJ
ecj-13919	45	23	and	and	CCONJ
ecj-13919	45	24	oppressive	oppressive	ADJ
ecj-13919	45	25	chest	chest	NOUN
ecj-13919	45	26	pain	pain	NOUN
ecj-13919	45	27	radiating	radiate	VERB
ecj-13919	45	28	to	to	ADP
ecj-13919	45	29	the	the	DET
ecj-13919	45	30	interscapular	interscapular	ADJ
ecj-13919	45	31	region	region	NOUN
ecj-13919	45	32	.	.	PUNCT
ecj-13919	46	1	on	on	ADP
ecj-13919	46	2	further	further	ADJ
ecj-13919	46	3	history	history	NOUN
ecj-13919	46	4	,	,	PUNCT
ecj-13919	46	5	the	the	DET
ecj-13919	46	6	patient	patient	NOUN
ecj-13919	46	7	reported	report	VERB
ecj-13919	46	8	having	having	AUX
ecj-13919	46	9	consumed	consume	VERB
ecj-13919	46	10	approximately	approximately	ADV
ecj-13919	46	11	200	200	NUM
ecj-13919	46	12	grams	gram	NOUN
ecj-13919	46	13	of	of	ADP
ecj-13919	46	14	canned	can	VERB
ecj-13919	46	15	tuna	tuna	NOUN
ecj-13919	46	16	about	about	ADV
ecj-13919	46	17	five	five	NUM
ecj-13919	46	18	hours	hour	NOUN
ecj-13919	46	19	prior	prior	ADV
ecj-13919	46	20	to	to	ADP
ecj-13919	46	21	ed	ed	NOUN
ecj-13919	46	22	admission	admission	NOUN
ecj-13919	46	23	.	.	PUNCT
ecj-13919	47	1	the	the	DET
ecj-13919	47	2	tuna	tuna	NOUN
ecj-13919	47	3	had	have	AUX
ecj-13919	47	4	been	be	AUX
ecj-13919	47	5	opened	open	VERB
ecj-13919	47	6	over	over	ADP
ecj-13919	47	7	three	three	NUM
ecj-13919	47	8	weeks	week	NOUN
ecj-13919	47	9	earlier	early	ADV
ecj-13919	47	10	,	,	PUNCT
ecj-13919	47	11	no	no	ADV
ecj-13919	47	12	longer	long	ADV
ecj-13919	47	13	preserved	preserve	VERB
ecj-13919	47	14	in	in	ADP
ecj-13919	47	15	oil	oil	NOUN
ecj-13919	47	16	,	,	PUNCT
ecj-13919	47	17	and	and	CCONJ
ecj-13919	47	18	had	have	AUX
ecj-13919	47	19	been	be	AUX
ecj-13919	47	20	stored	store	VERB
ecj-13919	47	21	unrefrigerated	unrefrigerated	ADJ
ecj-13919	47	22	.	.	PUNCT
ecj-13919	48	1	approximately	approximately	ADV
ecj-13919	48	2	4.5	4.5	NUM
ecj-13919	48	3	hours	hour	NOUN
ecj-13919	48	4	before	before	ADP
ecj-13919	48	5	ed	ed	PROPN
ecj-13919	48	6	arrival	arrival	NOUN
ecj-13919	48	7	,	,	PUNCT
ecj-13919	48	8	she	she	PRON
ecj-13919	48	9	developed	develop	VERB
ecj-13919	48	10	a	a	DET
ecj-13919	48	11	generalized	generalized	ADJ
ecj-13919	48	12	rash	rash	NOUN
ecj-13919	48	13	and	and	CCONJ
ecj-13919	48	14	pruritus	pruritus	NOUN
ecj-13919	48	15	,	,	PUNCT
ecj-13919	48	16	prompting	prompt	VERB
ecj-13919	48	17	her	she	PRON
ecj-13919	48	18	to	to	PART
ecj-13919	48	19	consult	consult	VERB
ecj-13919	48	20	her	her	PRON
ecj-13919	48	21	general	general	ADJ
ecj-13919	48	22	practitioner	practitioner	NOUN
ecj-13919	48	23	.	.	PUNCT
ecj-13919	49	1	given	give	VERB
ecj-13919	49	2	her	she	PRON
ecj-13919	49	3	recent	recent	ADJ
ecj-13919	49	4	history	history	NOUN
ecj-13919	49	5	and	and	CCONJ
ecj-13919	49	6	hypotension	hypotension	NOUN
ecj-13919	49	7	,	,	PUNCT
ecj-13919	49	8	the	the	DET
ecj-13919	49	9	physician	physician	NOUN
ecj-13919	49	10	contacted	contact	VERB
ecj-13919	49	11	emergency	emergency	NOUN
ecj-13919	49	12	medical	medical	ADJ
ecj-13919	49	13	services	service	NOUN
ecj-13919	49	14	for	for	ADP
ecj-13919	49	15	urgent	urgent	ADJ
ecj-13919	49	16	transport	transport	NOUN
ecj-13919	49	17	to	to	ADP
ecj-13919	49	18	the	the	DET
ecj-13919	49	19	hospital	hospital	NOUN
ecj-13919	49	20	.	.	PUNCT
ecj-13919	50	1	on	on	ADP
ecj-13919	50	2	physical	physical	ADJ
ecj-13919	50	3	examination	examination	NOUN
ecj-13919	50	4	,	,	PUNCT
ecj-13919	50	5	the	the	DET
ecj-13919	50	6	patient	patient	NOUN
ecj-13919	50	7	appeared	appear	VERB
ecj-13919	50	8	flushed	flushed	ADJ
ecj-13919	50	9	,	,	PUNCT
ecj-13919	50	10	mildly	mildly	ADV
ecj-13919	50	11	tachypneic	tachypneic	VERB
ecj-13919	50	12	,	,	PUNCT
ecj-13919	50	13	and	and	CCONJ
ecj-13919	50	14	agitated	agitated	ADJ
ecj-13919	50	15	.	.	PUNCT
ecj-13919	51	1	cardiac	cardiac	ADJ
ecj-13919	51	2	auscultation	auscultation	NOUN
ecj-13919	51	3	revealed	reveal	VERB
ecj-13919	51	4	tachycardic	tachycardic	ADJ
ecj-13919	51	5	and	and	CCONJ
ecj-13919	51	6	regular	regular	ADJ
ecj-13919	51	7	heart	heart	NOUN
ecj-13919	51	8	sounds	sound	VERB
ecj-13919	51	9	.	.	PUNCT
ecj-13919	52	1	isolated	isolated	ADJ
ecj-13919	52	2	crackles	crackle	NOUN
ecj-13919	52	3	were	be	AUX
ecj-13919	52	4	heard	hear	VERB
ecj-13919	52	5	diffusely	diffusely	ADV
ecj-13919	52	6	on	on	ADP
ecj-13919	52	7	lung	lung	NOUN
ecj-13919	52	8	auscultation	auscultation	NOUN
ecj-13919	52	9	.	.	PUNCT
ecj-13919	53	1	peripheral	peripheral	ADJ
ecj-13919	53	2	pulses	pulse	NOUN
ecj-13919	53	3	were	be	AUX
ecj-13919	53	4	weak	weak	ADJ
ecj-13919	53	5	.	.	PUNCT
ecj-13919	54	1	the	the	DET
ecj-13919	54	2	airways	airways	PROPN
ecj-13919	54	3	were	be	AUX
ecj-13919	54	4	patent	patent	NOUN
ecj-13919	54	5	without	without	ADP
ecj-13919	54	6	stridor	stridor	NOUN
ecj-13919	54	7	,	,	PUNCT
ecj-13919	54	8	dysphonia	dysphonia	NOUN
ecj-13919	54	9	,	,	PUNCT
ecj-13919	54	10	or	or	CCONJ
ecj-13919	54	11	hoarseness	hoarseness	NOUN
ecj-13919	54	12	.	.	PUNCT
ecj-13919	55	1	no	no	DET
ecj-13919	55	2	wheezing	wheezing	NOUN
ecj-13919	55	3	or	or	CCONJ
ecj-13919	55	4	expiratory	expiratory	NOUN
ecj-13919	55	5	phase	phase	NOUN
ecj-13919	55	6	prolongation	prolongation	NOUN
ecj-13919	55	7	was	be	AUX
ecj-13919	55	8	detected	detect	VERB
ecj-13919	55	9	on	on	ADP
ecj-13919	55	10	lung	lung	NOUN
ecj-13919	55	11	auscultation	auscultation	NOUN
ecj-13919	55	12	,	,	PUNCT
ecj-13919	55	13	and	and	CCONJ
ecj-13919	55	14	there	there	PRON
ecj-13919	55	15	were	be	VERB
ecj-13919	55	16	no	no	DET
ecj-13919	55	17	clinical	clinical	ADJ
ecj-13919	55	18	signs	sign	NOUN
ecj-13919	55	19	of	of	ADP
ecj-13919	55	20	bronchospasm	bronchospasm	NOUN
ecj-13919	55	21	during	during	ADP
ecj-13919	55	22	the	the	DET
ecj-13919	55	23	ed	ed	NOUN
ecj-13919	55	24	stay	stay	NOUN
ecj-13919	55	25	.	.	PUNCT
ecj-13919	56	1	the	the	DET
ecj-13919	56	2	remainder	remainder	NOUN
ecj-13919	56	3	of	of	ADP
ecj-13919	56	4	the	the	DET
ecj-13919	56	5	physical	physical	ADJ
ecj-13919	56	6	examination	examination	NOUN
ecj-13919	56	7	was	be	AUX
ecj-13919	56	8	unremarkable	unremarkable	ADJ
ecj-13919	56	9	.	.	PUNCT
ecj-13919	57	1	upon	upon	SCONJ
ecj-13919	57	2	ed	ed	NOUN
ecj-13919	57	3	admission	admission	NOUN
ecj-13919	57	4	,	,	PUNCT
ecj-13919	57	5	the	the	DET
ecj-13919	57	6	following	follow	VERB
ecj-13919	57	7	were	be	AUX
ecj-13919	57	8	performed	perform	VERB
ecj-13919	57	9	:	:	PUNCT
ecj-13919	57	10	i	i	PRON
ecj-13919	57	11	)	)	PUNCT
ecj-13919	57	12	measurement	measurement	NOUN
ecj-13919	57	13	of	of	ADP
ecj-13919	57	14	vital	vital	ADJ
ecj-13919	57	15	sign	sign	NOUN
ecj-13919	57	16	:	:	PUNCT
ecj-13919	57	17	blood	blood	NOUN
ecj-13919	57	18	pressure	pressure	NOUN
ecj-13919	57	19	70/50	70/50	NUM
ecj-13919	57	20	mmhg	mmhg	NOUN
ecj-13919	57	21	(	(	PUNCT
ecj-13919	57	22	mean	mean	VERB
ecj-13919	57	23	arterial	arterial	ADJ
ecj-13919	57	24	pressure	pressure	NOUN
ecj-13919	57	25	–	–	PUNCT
ecj-13919	57	26	map	map	NOUN
ecj-13919	57	27	–	–	PUNCT
ecj-13919	57	28	55	55	NUM
ecj-13919	57	29	mmhg	mmhg	NOUN
ecj-13919	57	30	)	)	PUNCT
ecj-13919	57	31	,	,	PUNCT
ecj-13919	57	32	heart	heart	NOUN
ecj-13919	57	33	rate	rate	NOUN
ecj-13919	57	34	110	110	NUM
ecj-13919	57	35	min	min	NOUN
ecj-13919	57	36	r	r	NOUN
ecj-13919	57	37	,	,	PUNCT
ecj-13919	57	38	spo2	spo2	PROPN
ecj-13919	57	39	92	92	NUM
ecj-13919	57	40	%	%	NOUN
ecj-13919	57	41	on	on	ADP
ecj-13919	57	42	nasal	nasal	NOUN
ecj-13919	57	43	cannula	cannula	VERB
ecj-13919	57	44	4	4	NUM
ecj-13919	57	45	l	l	NOUN
ecj-13919	57	46	/	/	SYM
ecj-13919	57	47	min	min	NOUN
ecj-13919	57	48	,	,	PUNCT
ecj-13919	57	49	respiratory	respiratory	ADJ
ecj-13919	57	50	rate	rate	NOUN
ecj-13919	57	51	24	24	NUM
ecj-13919	57	52	/	/	SYM
ecj-13919	57	53	min	min	PROPN
ecj-13919	57	54	,	,	PUNCT
ecj-13919	57	55	gcs	gcs	PROPN
ecj-13919	57	56	15	15	NUM
ecj-13919	57	57	;	;	PUNCT
ecj-13919	57	58	ii	ii	X
ecj-13919	57	59	)	)	PUNCT
ecj-13919	57	60	abg	abg	NOUN
ecj-13919	58	1	on	on	ADP
ecj-13919	58	2	nasal	nasal	PROPN
ecj-13919	58	3	cannula	cannula	VERB
ecj-13919	58	4	4	4	NUM
ecj-13919	58	5	l	l	NOUN
ecj-13919	58	6	/	/	SYM
ecj-13919	58	7	min	min	NOUN
ecj-13919	58	8	(	(	PUNCT
ecj-13919	58	9	table	table	NOUN
ecj-13919	58	10	1	1	NUM
ecj-13919	58	11	):	):	PUNCT
ecj-13919	58	12	ph	ph	PROPN
ecj-13919	58	13	7.297	7.297	NUM
ecj-13919	58	14	,	,	PUNCT
ecj-13919	58	15	po2	po2	PROPN
ecj-13919	58	16	71.2	71.2	NUM
ecj-13919	58	17	mmhg	mmhg	NOUN
ecj-13919	58	18	,	,	PUNCT
ecj-13919	58	19	pco2	pco2	NOUN
ecj-13919	58	20	42.5	42.5	NUM
ecj-13919	58	21	mmhg	mmhg	NOUN
ecj-13919	58	22	,	,	PUNCT
ecj-13919	58	23	hb	hb	PROPN
ecj-13919	58	24	10.2	10.2	NUM
ecj-13919	58	25	g	g	NOUN
ecj-13919	58	26	/	/	SYM
ecj-13919	58	27	dl	dl	PROPN
ecj-13919	58	28	,	,	PUNCT
ecj-13919	58	29	meta	meta	X
ecj-13919	58	30	-	-	PUNCT
ecj-13919	58	31	hb	hb	NOUN
ecj-13919	58	32	0.0	0.0	NUM
ecj-13919	58	33	%	%	NOUN
ecj-13919	58	34	hb	hb	PROPN
ecj-13919	58	35	total	total	NOUN
ecj-13919	58	36	,	,	PUNCT
ecj-13919	58	37	k+	k+	X
ecj-13919	58	38	3	3	NUM
ecj-13919	58	39	meq	meq	NOUN
ecj-13919	58	40	/	/	SYM
ecj-13919	58	41	l	l	NOUN
ecj-13919	58	42	,	,	PUNCT
ecj-13919	58	43	na+	na+	NOUN
ecj-13919	58	44	141	141	NUM
ecj-13919	58	45	meq	meq	NOUN
ecj-13919	58	46	/	/	SYM
ecj-13919	58	47	l	l	NOUN
ecj-13919	58	48	,	,	PUNCT
ecj-13919	58	49	ca2	ca2	PROPN
ecj-13919	58	50	+	+	PROPN
ecj-13919	58	51	4.29	4.29	NUM
ecj-13919	58	52	meq	meq	NOUN
ecj-13919	58	53	/	/	SYM
ecj-13919	58	54	l	l	PROPN
ecj-13919	58	55	,	,	PUNCT
ecj-13919	58	56	cl108	cl108	PROPN
ecj-13919	58	57	meq	meq	PROPN
ecj-13919	58	58	/	/	SYM
ecj-13919	58	59	l	l	PROPN
ecj-13919	58	60	,	,	PUNCT
ecj-13919	58	61	glu	glu	NOUN
ecj-13919	58	62	251	251	NUM
ecj-13919	58	63	mg	mg	PROPN
ecj-13919	58	64	/	/	SYM
ecj-13919	58	65	dl	dl	PROPN
ecj-13919	58	66	,	,	PUNCT
ecj-13919	58	67	lac	lac	PROPN
ecj-13919	58	68	4.1	4.1	NUM
ecj-13919	58	69	mmol	mmol	NOUN
ecj-13919	58	70	/	/	SYM
ecj-13919	58	71	l	l	PROPN
ecj-13919	58	72	,	,	PUNCT
ecj-13919	58	73	ag	ag	PROPN
ecj-13919	58	74	14.7	14.7	NUM
ecj-13919	58	75	meq	meq	NUM
ecj-13919	58	76	/	/	SYM
ecj-13919	58	77	l	l	NOUN
ecj-13919	58	78	,	,	PUNCT
ecj-13919	58	79	hco320.7	hco320.7	PROPN
ecj-13919	58	80	mmol	mmol	PROPN
ecj-13919	58	81	/	/	SYM
ecj-13919	58	82	l	l	NOUN
ecj-13919	58	83	;	;	PUNCT
ecj-13919	58	84	iv	iv	X
ecj-13919	58	85	)	)	PUNCT
ecj-13919	58	86	electrocardiogram	electrocardiogram	NOUN
ecj-13919	58	87	(	(	PUNCT
ecj-13919	58	88	figure	figure	NOUN
ecj-13919	58	89	1	1	NUM
ecj-13919	58	90	):	):	PUNCT
ecj-13919	58	91	sinus	sinus	NOUN
ecj-13919	58	92	tachycardia	tachycardia	NOUN
ecj-13919	58	93	with	with	ADP
ecj-13919	58	94	st	st	PROPN
ecj-13919	58	95	depression	depression	PROPN
ecj-13919	58	96	case	case	NOUN
ecj-13919	58	97	report	report	NOUN
ecj-13919	58	98	[	[	X
ecj-13919	58	99	emergency	emergency	NOUN
ecj-13919	58	100	care	care	NOUN
ecj-13919	58	101	journal	journal	NOUN
ecj-13919	58	102	2025	2025	NUM
ecj-13919	58	103	;	;	PUNCT
ecj-13919	58	104	21:13919	21:13919	NUM
ecj-13919	58	105	]	]	X
ecj-13919	59	1	[	[	X
ecj-13919	59	2	page	page	NOUN
ecj-13919	59	3	21	21	NUM
ecj-13919	59	4	]	]	PUNCT
ecj-13919	59	5	figure	figure	NOUN
ecj-13919	59	6	1	1	NUM
ecj-13919	59	7	.	.	PUNCT
ecj-13919	60	1	ecg	ecg	PROPN
ecj-13919	60	2	alteration	alteration	NOUN
ecj-13919	60	3	on	on	ADP
ecj-13919	60	4	arrival	arrival	NOUN
ecj-13919	60	5	in	in	ADP
ecj-13919	60	6	ed	ed	PROPN
ecj-13919	60	7	(	(	PUNCT
ecj-13919	60	8	upper	upper	ADJ
ecj-13919	60	9	panel	panel	NOUN
ecj-13919	60	10	)	)	PUNCT
ecj-13919	60	11	and	and	CCONJ
ecj-13919	60	12	4	4	NUM
ecj-13919	60	13	hours	hour	NOUN
ecj-13919	60	14	after	after	ADP
ecj-13919	60	15	therapy	therapy	NOUN
ecj-13919	60	16	when	when	SCONJ
ecj-13919	60	17	haemodynamic	haemodynamic	ADJ
ecj-13919	60	18	stability	stability	NOUN
ecj-13919	60	19	was	be	AUX
ecj-13919	60	20	archieved	archieve	VERB
ecj-13919	60	21	(	(	PUNCT
ecj-13919	60	22	lower	low	ADJ
ecj-13919	60	23	panel	panel	NOUN
ecj-13919	60	24	)	)	PUNCT
ecj-13919	60	25	(	(	PUNCT
ecj-13919	60	26	25	25	NUM
ecj-13919	60	27	mm	mm	PROPN
ecj-13919	60	28	/	/	SYM
ecj-13919	60	29	s	s	PROPN
ecj-13919	60	30	;	;	PUNCT
ecj-13919	60	31	10	10	NUM
ecj-13919	60	32	mm	mm	NOUN
ecj-13919	60	33	/	/	SYM
ecj-13919	60	34	mv	mv	PROPN
ecj-13919	60	35	)	)	PUNCT
ecj-13919	60	36	.	.	PUNCT
ecj-13919	61	1	in	in	ADP
ecj-13919	61	2	leads	lead	NOUN
ecj-13919	61	3	v3	v3	PROPN
ecj-13919	61	4	–	–	PUNCT
ecj-13919	61	5	v6	v6	NOUN
ecj-13919	61	6	,	,	PUNCT
ecj-13919	61	7	i	i	PROPN
ecj-13919	61	8	,	,	PUNCT
ecj-13919	61	9	ii	ii	PROPN
ecj-13919	61	10	,	,	PUNCT
ecj-13919	61	11	iii	iii	PROPN
ecj-13919	61	12	,	,	PUNCT
ecj-13919	61	13	avl	avl	PROPN
ecj-13919	61	14	,	,	PUNCT
ecj-13919	61	15	avf	avf	NOUN
ecj-13919	61	16	,	,	PUNCT
ecj-13919	61	17	and	and	CCONJ
ecj-13919	61	18	st	st	PROPN
ecj-13919	61	19	elevation	elevation	NOUN
ecj-13919	61	20	in	in	ADP
ecj-13919	61	21	avr	avr	PROPN
ecj-13919	61	22	.	.	PROPN
ecj-13919	62	1	methemoglobin	methemoglobin	PROPN
ecj-13919	62	2	(	(	PUNCT
ecj-13919	62	3	meta	meta	X
ecj-13919	62	4	-	-	PUNCT
ecj-13919	62	5	hb	hb	NOUN
ecj-13919	62	6	)	)	PUNCT
ecj-13919	62	7	levels	level	NOUN
ecj-13919	62	8	were	be	AUX
ecj-13919	62	9	measured	measure	VERB
ecj-13919	62	10	and	and	CCONJ
ecj-13919	62	11	found	find	VERB
ecj-13919	62	12	to	to	PART
ecj-13919	62	13	be	be	AUX
ecj-13919	62	14	within	within	ADP
ecj-13919	62	15	normal	normal	ADJ
ecj-13919	62	16	limits	limit	NOUN
ecj-13919	62	17	.	.	PUNCT
ecj-13919	63	1	this	this	PRON
ecj-13919	63	2	is	be	AUX
ecj-13919	63	3	noteworthy	noteworthy	ADJ
ecj-13919	63	4	given	give	VERB
ecj-13919	63	5	prior	prior	ADJ
ecj-13919	63	6	reports	report	NOUN
ecj-13919	63	7	of	of	ADP
ecj-13919	63	8	scombroid	scombroid	NOUN
ecj-13919	63	9	-	-	PUNCT
ecj-13919	63	10	like	like	ADJ
ecj-13919	63	11	poisoning	poisoning	NOUN
ecj-13919	63	12	due	due	ADP
ecj-13919	63	13	to	to	ADP
ecj-13919	63	14	nitrate	nitrate	NOUN
ecj-13919	63	15	-	-	PUNCT
ecj-13919	63	16	contaminated	contaminate	VERB
ecj-13919	63	17	tuna	tuna	NOUN
ecj-13919	63	18	in	in	ADP
ecj-13919	63	19	italy	italy	PROPN
ecj-13919	63	20	,	,	PUNCT
ecj-13919	63	21	where	where	SCONJ
ecj-13919	63	22	elevated	elevated	ADJ
ecj-13919	63	23	meta	meta	ADJ
ecj-13919	63	24	-	-	PUNCT
ecj-13919	63	25	hb	hb	NOUN
ecj-13919	63	26	levels	level	NOUN
ecj-13919	63	27	were	be	AUX
ecj-13919	63	28	documented	document	VERB
ecj-13919	63	29	.	.	PUNCT
ecj-13919	64	1	continuous	continuous	ADJ
ecj-13919	64	2	vital	vital	ADJ
ecj-13919	64	3	sign	sign	NOUN
ecj-13919	64	4	monitoring	monitoring	NOUN
ecj-13919	64	5	was	be	AUX
ecj-13919	64	6	initiated	initiate	VERB
ecj-13919	64	7	.	.	PUNCT
ecj-13919	65	1	two	two	NUM
ecj-13919	65	2	16	16	NUM
ecj-13919	65	3	-	-	PUNCT
ecj-13919	65	4	gauge	gauge	NOUN
ecj-13919	65	5	peripheral	peripheral	ADJ
ecj-13919	65	6	venous	venous	ADJ
ecj-13919	65	7	catheters	catheter	NOUN
ecj-13919	65	8	were	be	AUX
ecj-13919	65	9	placed	place	VERB
ecj-13919	65	10	and	and	CCONJ
ecj-13919	65	11	blood	blood	NOUN
ecj-13919	65	12	tests	test	NOUN
ecj-13919	65	13	were	be	AUX
ecj-13919	65	14	obtained	obtain	VERB
ecj-13919	65	15	(	(	PUNCT
ecj-13919	65	16	table	table	NOUN
ecj-13919	65	17	1	1	NUM
ecj-13919	65	18	)	)	PUNCT
ecj-13919	65	19	.	.	PUNCT
ecj-13919	66	1	given	give	VERB
ecj-13919	66	2	the	the	DET
ecj-13919	66	3	clinical	clinical	ADJ
ecj-13919	66	4	presentation	presentation	NOUN
ecj-13919	66	5	and	and	CCONJ
ecj-13919	66	6	vital	vital	ADJ
ecj-13919	66	7	signs	sign	NOUN
ecj-13919	66	8	,	,	PUNCT
ecj-13919	66	9	an	an	DET
ecj-13919	66	10	additional	additional	ADJ
ecj-13919	66	11	intramuscular	intramuscular	ADJ
ecj-13919	66	12	adrenaline	adrenaline	NOUN
ecj-13919	66	13	0.5	0.5	NUM
ecj-13919	66	14	mg	mg	NOUN
ecj-13919	66	15	and	and	CCONJ
ecj-13919	66	16	1000	1000	NUM
ecj-13919	66	17	ml	ml	NOUN
ecj-13919	66	18	of	of	ADP
ecj-13919	66	19	0.9	0.9	NUM
ecj-13919	66	20	%	%	NOUN
ecj-13919	66	21	normal	normal	ADJ
ecj-13919	66	22	saline	saline	NOUN
ecj-13919	66	23	were	be	AUX
ecj-13919	66	24	administered	administer	VERB
ecj-13919	66	25	.	.	PUNCT
ecj-13919	67	1	after	after	ADP
ecj-13919	67	2	5	5	NUM
ecj-13919	67	3	minutes	minute	NOUN
ecj-13919	67	4	,	,	PUNCT
ecj-13919	67	5	due	due	ADP
ecj-13919	67	6	to	to	ADP
ecj-13919	67	7	insufficient	insufficient	ADJ
ecj-13919	67	8	clinical	clinical	ADJ
ecj-13919	67	9	response	response	NOUN
ecj-13919	67	10	,	,	PUNCT
ecj-13919	67	11	a	a	DET
ecj-13919	67	12	further	further	ADJ
ecj-13919	67	13	dose	dose	NOUN
ecj-13919	67	14	of	of	ADP
ecj-13919	67	15	adrenaline	adrenaline	NOUN
ecj-13919	67	16	0.5	0.5	NUM
ecj-13919	67	17	mg	mg	PROPN
ecj-13919	68	1	i	i	PRON
ecj-13919	68	2	m	m	VERB
ecj-13919	68	3	was	be	AUX
ecj-13919	68	4	given	give	VERB
ecj-13919	68	5	.	.	PUNCT
ecj-13919	69	1	however	however	ADV
ecj-13919	69	2	,	,	PUNCT
ecj-13919	69	3	5	5	NUM
ecj-13919	69	4	minutes	minute	NOUN
ecj-13919	69	5	later	later	ADV
ecj-13919	69	6	,	,	PUNCT
ecj-13919	69	7	in	in	ADP
ecj-13919	69	8	the	the	DET
ecj-13919	69	9	absence	absence	NOUN
ecj-13919	69	10	of	of	ADP
ecj-13919	69	11	therapeutic	therapeutic	ADJ
ecj-13919	69	12	response	response	NOUN
ecj-13919	69	13	,	,	PUNCT
ecj-13919	69	14	a	a	DET
ecj-13919	69	15	continuous	continuous	ADJ
ecj-13919	69	16	intravenous	intravenous	ADJ
ecj-13919	69	17	infusion	infusion	NOUN
ecj-13919	69	18	of	of	ADP
ecj-13919	69	19	epinephrine	epinephrine	NOUN
ecj-13919	69	20	was	be	AUX
ecj-13919	69	21	initiated	initiate	VERB
ecj-13919	69	22	at	at	ADP
ecj-13919	69	23	0.1	0.1	NUM
ecj-13919	69	24	mcg	mcg	NOUN
ecj-13919	69	25	/	/	SYM
ecj-13919	69	26	kg	kg	PROPN
ecj-13919	69	27	/	/	SYM
ecj-13919	69	28	min	min	PROPN
ecj-13919	69	29	,	,	PUNCT
ecj-13919	69	30	and	and	CCONJ
ecj-13919	69	31	titrated	titrate	VERB
ecj-13919	69	32	after	after	ADP
ecj-13919	69	33	approximately	approximately	ADV
ecj-13919	69	34	10	10	NUM
ecj-13919	69	35	minutes	minute	NOUN
ecj-13919	69	36	until	until	SCONJ
ecj-13919	69	37	a	a	DET
ecj-13919	69	38	map	map	NOUN
ecj-13919	69	39	of	of	ADP
ecj-13919	69	40	65	65	NUM
ecj-13919	69	41	mmhg	mmhg	NOUN
ecj-13919	69	42	was	be	AUX
ecj-13919	69	43	achieved	achieve	VERB
ecj-13919	69	44	.	.	PUNCT
ecj-13919	70	1	an	an	DET
ecj-13919	70	2	additional	additional	ADJ
ecj-13919	70	3	10	10	NUM
ecj-13919	70	4	mg	mg	NOUN
ecj-13919	70	5	of	of	ADP
ecj-13919	70	6	intravenous	intravenous	ADJ
ecj-13919	70	7	chlorphenamine	chlorphenamine	NOUN
ecj-13919	70	8	was	be	AUX
ecj-13919	70	9	administered	administer	VERB
ecj-13919	70	10	.	.	PUNCT
ecj-13919	71	1	simultaneously	simultaneously	ADV
ecj-13919	71	2	,	,	PUNCT
ecj-13919	71	3	the	the	DET
ecj-13919	71	4	following	follow	VERB
ecj-13919	71	5	were	be	AUX
ecj-13919	71	6	placed	place	VERB
ecj-13919	71	7	:	:	PUNCT
ecj-13919	71	8	a	a	DET
ecj-13919	71	9	radial	radial	ADJ
ecj-13919	71	10	arterial	arterial	ADJ
ecj-13919	71	11	line	line	NOUN
ecj-13919	71	12	for	for	ADP
ecj-13919	71	13	continuous	continuous	ADJ
ecj-13919	71	14	blood	blood	NOUN
ecj-13919	71	15	pressure	pressure	NOUN
ecj-13919	71	16	monitoring	monitoring	NOUN
ecj-13919	71	17	,	,	PUNCT
ecj-13919	71	18	a	a	DET
ecj-13919	71	19	central	central	ADJ
ecj-13919	71	20	venous	venous	ADJ
ecj-13919	71	21	catheter	catheter	NOUN
ecj-13919	71	22	(	(	PUNCT
ecj-13919	71	23	cvc	cvc	NOUN
ecj-13919	71	24	)	)	PUNCT
ecj-13919	71	25	for	for	ADP
ecj-13919	71	26	vasopressor	vasopressor	PROPN
ecj-13919	71	27	administration	administration	NOUN
ecj-13919	71	28	–	–	PUNCT
ecj-13919	71	29	initially	initially	ADV
ecj-13919	71	30	started	start	VERB
ecj-13919	71	31	via	via	ADP
ecj-13919	71	32	peripheral	peripheral	ADJ
ecj-13919	71	33	access	access	NOUN
ecj-13919	71	34	–	–	PUNCT
ecj-13919	71	35	and	and	CCONJ
ecj-13919	71	36	a	a	DET
ecj-13919	71	37	urinary	urinary	ADJ
ecj-13919	71	38	catheter	catheter	NOUN
ecj-13919	71	39	for	for	ADP
ecj-13919	71	40	monitoring	monitoring	NOUN
ecj-13919	71	41	of	of	ADP
ecj-13919	71	42	urine	urine	NOUN
ecj-13919	71	43	output	output	NOUN
ecj-13919	71	44	.	.	PUNCT
ecj-13919	72	1	given	give	VERB
ecj-13919	72	2	the	the	DET
ecj-13919	72	3	clinical	clinical	ADJ
ecj-13919	72	4	picture	picture	NOUN
ecj-13919	72	5	and	and	CCONJ
ecj-13919	72	6	the	the	DET
ecj-13919	72	7	patient	patient	NOUN
ecj-13919	72	8	’s	’s	PART
ecj-13919	72	9	history	history	NOUN
ecj-13919	72	10	suggestive	suggestive	ADJ
ecj-13919	72	11	of	of	ADP
ecj-13919	72	12	scombroid	scombroid	ADJ
ecj-13919	72	13	syndrome	syndrome	NOUN
ecj-13919	72	14	,	,	PUNCT
ecj-13919	72	15	a	a	DET
ecj-13919	72	16	toxicology	toxicology	NOUN
ecj-13919	72	17	consult	consult	NOUN
ecj-13919	72	18	was	be	AUX
ecj-13919	72	19	requested	request	VERB
ecj-13919	72	20	.	.	PUNCT
ecj-13919	73	1	the	the	DET
ecj-13919	73	2	diagnosis	diagnosis	NOUN
ecj-13919	73	3	was	be	AUX
ecj-13919	73	4	confirmed	confirm	VERB
ecj-13919	73	5	,	,	PUNCT
ecj-13919	73	6	and	and	CCONJ
ecj-13919	73	7	the	the	DET
ecj-13919	73	8	recommendation	recommendation	NOUN
ecj-13919	73	9	was	be	AUX
ecj-13919	73	10	to	to	PART
ecj-13919	73	11	continue	continue	VERB
ecj-13919	73	12	the	the	DET
ecj-13919	73	13	current	current	ADJ
ecj-13919	73	14	treatment	treatment	NOUN
ecj-13919	73	15	.	.	PUNCT
ecj-13919	74	1	furthermore	furthermore	ADV
ecj-13919	74	2	,	,	PUNCT
ecj-13919	74	3	due	due	ADP
ecj-13919	74	4	to	to	ADP
ecj-13919	74	5	the	the	DET
ecj-13919	74	6	ecg	ecg	PROPN
ecj-13919	74	7	findings	finding	NOUN
ecj-13919	74	8	suggestive	suggestive	ADJ
ecj-13919	74	9	of	of	ADP
ecj-13919	74	10	acute	acute	ADJ
ecj-13919	74	11	coronary	coronary	ADJ
ecj-13919	74	12	syndrome	syndrome	NOUN
ecj-13919	74	13	occurring	occur	VERB
ecj-13919	74	14	in	in	ADP
ecj-13919	74	15	the	the	DET
ecj-13919	74	16	context	context	NOUN
ecj-13919	74	17	of	of	ADP
ecj-13919	74	18	a	a	DET
ecj-13919	74	19	hypersensitivity	hypersensitivity	NOUN
ecj-13919	74	20	reaction	reaction	NOUN
ecj-13919	74	21	/	/	SYM
ecj-13919	74	22	histamine	histamine	NOUN
ecj-13919	74	23	excess	excess	ADJ
ecj-13919	74	24	—	—	PUNCT
ecj-13919	74	25	also	also	ADV
ecj-13919	74	26	known	know	VERB
ecj-13919	74	27	as	as	ADP
ecj-13919	74	28	kounis	kounis	PROPN
ecj-13919	74	29	syndrome	syndrome	PROPN
ecj-13919	74	30	—	—	PUNCT
ecj-13919	74	31	a	a	DET
ecj-13919	74	32	cardiology	cardiology	NOUN
ecj-13919	74	33	consult	consult	NOUN
ecj-13919	74	34	was	be	AUX
ecj-13919	74	35	requested	request	VERB
ecj-13919	74	36	.	.	PUNCT
ecj-13919	75	1	the	the	DET
ecj-13919	75	2	transthoracic	transthoracic	PROPN
ecj-13919	75	3	echocardiogram	echocardiogram	NOUN
ecj-13919	75	4	revealed	reveal	VERB
ecj-13919	75	5	normal	normal	ADJ
ecj-13919	75	6	biventricular	biventricular	NOUN
ecj-13919	75	7	function	function	NOUN
ecj-13919	75	8	with	with	ADP
ecj-13919	75	9	preserved	preserve	VERB
ecj-13919	75	10	wall	wall	PROPN
ecj-13919	75	11	motion	motion	NOUN
ecj-13919	75	12	.	.	PUNCT
ecj-13919	76	1	the	the	DET
ecj-13919	76	2	cardiologist	cardiologist	ADJ
ecj-13919	76	3	recommended	recommend	VERB
ecj-13919	76	4	continuation	continuation	NOUN
ecj-13919	76	5	of	of	ADP
ecj-13919	76	6	the	the	DET
ecj-13919	76	7	current	current	ADJ
ecj-13919	76	8	treatment	treatment	NOUN
ecj-13919	76	9	for	for	ADP
ecj-13919	76	10	scombroid	scombroid	ADJ
ecj-13919	76	11	syndrome	syndrome	NOUN
ecj-13919	76	12	and	and	CCONJ
ecj-13919	76	13	suggested	suggest	VERB
ecj-13919	76	14	that	that	SCONJ
ecj-13919	76	15	further	further	ADJ
ecj-13919	76	16	investigations	investigation	NOUN
ecj-13919	76	17	for	for	ADP
ecj-13919	76	18	coronary	coronary	ADJ
ecj-13919	76	19	disease	disease	NOUN
ecj-13919	76	20	be	be	AUX
ecj-13919	76	21	postponed	postpone	VERB
ecj-13919	76	22	to	to	ADP
ecj-13919	76	23	a	a	DET
ecj-13919	76	24	later	later	ADJ
ecj-13919	76	25	stage	stage	NOUN
ecj-13919	76	26	.	.	PUNCT
ecj-13919	77	1	although	although	SCONJ
ecj-13919	77	2	the	the	DET
ecj-13919	77	3	patient	patient	NOUN
ecj-13919	77	4	had	have	VERB
ecj-13919	77	5	a	a	DET
ecj-13919	77	6	history	history	NOUN
ecj-13919	77	7	of	of	ADP
ecj-13919	77	8	migraine	migraine	NOUN
ecj-13919	77	9	and	and	CCONJ
ecj-13919	77	10	was	be	AUX
ecj-13919	77	11	case	case	NOUN
ecj-13919	77	12	report	report	NOUN
ecj-13919	78	1	[	[	X
ecj-13919	78	2	page	page	NOUN
ecj-13919	78	3	22	22	NUM
ecj-13919	78	4	]	]	PUNCT
ecj-13919	79	1	[	[	X
ecj-13919	79	2	emergency	emergency	NOUN
ecj-13919	79	3	care	care	NOUN
ecj-13919	79	4	journal	journal	NOUN
ecj-13919	79	5	2025	2025	NUM
ecj-13919	79	6	;	;	PUNCT
ecj-13919	79	7	21:13919	21:13919	NUM
ecj-13919	79	8	]	]	X
ecj-13919	79	9	table	table	NOUN
ecj-13919	79	10	1	1	NUM
ecj-13919	79	11	.	.	PUNCT
ecj-13919	79	12	arterial	arterial	ADJ
ecj-13919	79	13	blood	blood	NOUN
ecj-13919	79	14	gas	gas	NOUN
ecj-13919	79	15	analysis	analysis	NOUN
ecj-13919	79	16	and	and	CCONJ
ecj-13919	79	17	blood	blood	NOUN
ecj-13919	79	18	exams	exam	NOUN
ecj-13919	79	19	.	.	PUNCT
ecj-13919	80	1	arterial	arterial	ADJ
ecj-13919	80	2	blood	blood	NOUN
ecj-13919	80	3	gas	gas	NOUN
ecj-13919	80	4	analysis	analysis	NOUN
ecj-13919	80	5	t0h	t0h	ADP
ecj-13919	80	6	t2h	t2h	PROPN
ecj-13919	80	7	t6h	t6h	PROPN
ecj-13919	80	8	t12h	t12h	X
ecj-13919	80	9	t24h	t24h	PROPN
ecj-13919	80	10	fio2	fio2	PROPN
ecj-13919	80	11	(	(	PUNCT
ecj-13919	80	12	%	%	INTJ
ecj-13919	80	13	)	)	PUNCT
ecj-13919	80	14	36	36	NUM
ecj-13919	80	15	60	60	NUM
ecj-13919	80	16	60	60	NUM
ecj-13919	80	17	50	50	NUM
ecj-13919	80	18	28	28	NUM
ecj-13919	80	19	ph	ph	NOUN
ecj-13919	80	20	7.29	7.29	NUM
ecj-13919	80	21	7.32	7.32	NUM
ecj-13919	80	22	7.32	7.32	NUM
ecj-13919	80	23	7.35	7.35	NUM
ecj-13919	80	24	7.45	7.45	NUM
ecj-13919	80	25	po2	po2	X
ecj-13919	80	26	(	(	PUNCT
ecj-13919	80	27	mmhg	mmhg	PROPN
ecj-13919	80	28	)	)	PUNCT
ecj-13919	80	29	71.2	71.2	NUM
ecj-13919	80	30	59	59	NUM
ecj-13919	80	31	85	85	NUM
ecj-13919	80	32	113	113	NUM
ecj-13919	80	33	82.2	82.2	NUM
ecj-13919	80	34	pco2	pco2	NOUN
ecj-13919	80	35	(	(	PUNCT
ecj-13919	80	36	mmhg	mmhg	PROPN
ecj-13919	80	37	)	)	PUNCT
ecj-13919	80	38	42.5	42.5	NUM
ecj-13919	80	39	40	40	NUM
ecj-13919	80	40	44	44	NUM
ecj-13919	80	41	40	40	NUM
ecj-13919	80	42	41	41	NUM
ecj-13919	80	43	sao2	sao2	NOUN
ecj-13919	80	44	(	(	PUNCT
ecj-13919	80	45	%	%	NOUN
ecj-13919	80	46	)	)	PUNCT
ecj-13919	80	47	94	94	NUM
ecj-13919	80	48	90	90	NUM
ecj-13919	80	49	97	97	NUM
ecj-13919	80	50	99	99	NUM
ecj-13919	80	51	98	98	NUM
ecj-13919	80	52	hb	hb	NOUN
ecj-13919	80	53	(	(	PUNCT
ecj-13919	80	54	g	g	PROPN
ecj-13919	80	55	/	/	SYM
ecj-13919	80	56	dl	dl	NOUN
ecj-13919	80	57	)	)	PUNCT
ecj-13919	80	58	10.2	10.2	NUM
ecj-13919	80	59	11.3	11.3	NUM
ecj-13919	80	60	10.6	10.6	NUM
ecj-13919	80	61	10.1	10.1	NUM
ecj-13919	80	62	9.8	9.8	NUM
ecj-13919	80	63	lac	lac	X
ecj-13919	80	64	(	(	PUNCT
ecj-13919	80	65	mmol	mmol	NOUN
ecj-13919	80	66	/	/	SYM
ecj-13919	80	67	l	l	NOUN
ecj-13919	80	68	)	)	PUNCT
ecj-13919	80	69	4.1	4.1	NUM
ecj-13919	80	70	0.2	0.2	NUM
ecj-13919	80	71	5.6	5.6	NUM
ecj-13919	80	72	3.3	3.3	NUM
ecj-13919	80	73	0.5	0.5	NUM
ecj-13919	80	74	ag	ag	PROPN
ecj-13919	80	75	(	(	PUNCT
ecj-13919	80	76	meq	meq	PROPN
ecj-13919	80	77	/	/	SYM
ecj-13919	80	78	l	l	NOUN
ecj-13919	80	79	)	)	PUNCT
ecj-13919	80	80	14.7	14.7	NUM
ecj-13919	80	81	14.9	14.9	NUM
ecj-13919	80	82	17.2	17.2	NUM
ecj-13919	80	83	12.7	12.7	NUM
ecj-13919	80	84	10.6	10.6	NUM
ecj-13919	80	85	hco3(mmol	hco3(mmol	NOUN
ecj-13919	80	86	/	/	SYM
ecj-13919	80	87	l	l	NOUN
ecj-13919	80	88	)	)	PUNCT
ecj-13919	80	89	20.7	20.7	NUM
ecj-13919	80	90	21.7	21.7	NUM
ecj-13919	80	91	22.6	22.6	NUM
ecj-13919	80	92	22.2	22.2	NUM
ecj-13919	80	93	27.2	27.2	NUM
ecj-13919	80	94	na+	na+	NOUN
ecj-13919	80	95	(	(	PUNCT
ecj-13919	80	96	meq	meq	NOUN
ecj-13919	80	97	/	/	SYM
ecj-13919	80	98	l	l	NOUN
ecj-13919	80	99	)	)	PUNCT
ecj-13919	80	100	141	141	NUM
ecj-13919	80	101	144	144	NUM
ecj-13919	80	102	145	145	NUM
ecj-13919	80	103	141	141	NUM
ecj-13919	80	104	144	144	NUM
ecj-13919	80	105	k+	k+	NOUN
ecj-13919	80	106	(	(	PUNCT
ecj-13919	80	107	meq	meq	NOUN
ecj-13919	80	108	/	/	SYM
ecj-13919	80	109	l	l	NOUN
ecj-13919	80	110	)	)	PUNCT
ecj-13919	80	111	3.0	3.0	NUM
ecj-13919	80	112	3.1	3.1	NUM
ecj-13919	80	113	3.3	3.3	NUM
ecj-13919	80	114	3	3	NUM
ecj-13919	80	115	4	4	NUM
ecj-13919	80	116	cl(meq	cl(meq	ADV
ecj-13919	80	117	/	/	SYM
ecj-13919	80	118	l	l	NOUN
ecj-13919	80	119	)	)	PUNCT
ecj-13919	80	120	108	108	NUM
ecj-13919	80	121	109	109	NUM
ecj-13919	80	122	108	108	NUM
ecj-13919	80	123	109	109	NUM
ecj-13919	80	124	110	110	NUM
ecj-13919	80	125	ca2	ca2	PROPN
ecj-13919	80	126	+	+	CCONJ
ecj-13919	80	127	(	(	PUNCT
ecj-13919	80	128	meq	meq	NOUN
ecj-13919	80	129	/	/	SYM
ecj-13919	80	130	l	l	NOUN
ecj-13919	80	131	)	)	PUNCT
ecj-13919	80	132	4.29	4.29	NUM
ecj-13919	80	133	4.62	4.62	NUM
ecj-13919	80	134	3.85	3.85	NUM
ecj-13919	80	135	4.62	4.62	NUM
ecj-13919	80	136	4.90	4.90	NUM
ecj-13919	80	137	pao2	pao2	PROPN
ecj-13919	80	138	/	/	SYM
ecj-13919	80	139	fio2	fio2	PROPN
ecj-13919	80	140	197.8	197.8	NUM
ecj-13919	80	141	98.3	98.3	NUM
ecj-13919	80	142	141.7	141.7	NUM
ecj-13919	80	143	226.0	226.0	NUM
ecj-13919	80	144	293.6	293.6	NUM
ecj-13919	80	145	blood	blood	NOUN
ecj-13919	80	146	exams	exam	NOUN
ecj-13919	80	147	t0h	t0h	ADP
ecj-13919	80	148	t1h	t1h	PROPN
ecj-13919	80	149	t12h	t12h	PROPN
ecj-13919	81	1	t36h	t36h	PROPN
ecj-13919	81	2	t60h	t60h	X
ecj-13919	82	1	wbc	wbc	PROPN
ecj-13919	82	2	(	(	PUNCT
ecj-13919	82	3	x109	x109	PROPN
ecj-13919	82	4	/	/	SYM
ecj-13919	82	5	l	l	NOUN
ecj-13919	82	6	)	)	PUNCT
ecj-13919	82	7	26.50	26.50	NUM
ecj-13919	82	8	13.70	13.70	NUM
ecj-13919	82	9	20.10	20.10	NUM
ecj-13919	82	10	10.60	10.60	NUM
ecj-13919	82	11	rbc	rbc	PROPN
ecj-13919	82	12	(	(	PUNCT
ecj-13919	82	13	x109	x109	PROPN
ecj-13919	82	14	/	/	SYM
ecj-13919	82	15	l	l	NOUN
ecj-13919	82	16	)	)	PUNCT
ecj-13919	82	17	3.42	3.42	NUM
ecj-13919	82	18	3.65	3.65	NUM
ecj-13919	82	19	3.26	3.26	NUM
ecj-13919	82	20	3.67	3.67	NUM
ecj-13919	82	21	hb	hb	NOUN
ecj-13919	82	22	(	(	PUNCT
ecj-13919	82	23	g	g	PROPN
ecj-13919	82	24	/	/	SYM
ecj-13919	82	25	dl	dl	NOUN
ecj-13919	82	26	)	)	PUNCT
ecj-13919	82	27	10	10	NUM
ecj-13919	82	28	10.4	10.4	NUM
ecj-13919	82	29	9.2	9.2	NUM
ecj-13919	82	30	11.4	11.4	NUM
ecj-13919	82	31	plt	plt	NOUN
ecj-13919	82	32	(	(	PUNCT
ecj-13919	82	33	x109	x109	PROPN
ecj-13919	82	34	/	/	SYM
ecj-13919	82	35	l	l	NOUN
ecj-13919	82	36	)	)	PUNCT
ecj-13919	82	37	298	298	NUM
ecj-13919	82	38	229	229	NUM
ecj-13919	82	39	195	195	NUM
ecj-13919	82	40	278	278	NUM
ecj-13919	82	41	neut	neut	NOUN
ecj-13919	82	42	(	(	PUNCT
ecj-13919	82	43	x1099	x1099	PROPN
ecj-13919	82	44	/	/	SYM
ecj-13919	82	45	l	l	NOUN
ecj-13919	82	46	)	)	PUNCT
ecj-13919	82	47	22.58	22.58	NUM
ecj-13919	82	48	12.4	12.4	NUM
ecj-13919	82	49	17.63	17.63	NUM
ecj-13919	82	50	8.29	8.29	NUM
ecj-13919	82	51	eos	eos	PROPN
ecj-13919	82	52	(	(	PUNCT
ecj-13919	82	53	x109	x109	PROPN
ecj-13919	82	54	/	/	SYM
ecj-13919	82	55	l	l	NOUN
ecj-13919	82	56	)	)	PUNCT
ecj-13919	82	57	0.03	0.03	NUM
ecj-13919	82	58	0.00	0.00	NUM
ecj-13919	82	59	0.00	0.00	NUM
ecj-13919	82	60	0.02	0.02	NUM
ecj-13919	82	61	bas	bas	X
ecj-13919	82	62	(	(	PUNCT
ecj-13919	82	63	x10	x10	NOUN
ecj-13919	82	64	^	^	SYM
ecj-13919	82	65	9	9	NUM
ecj-13919	82	66	/	/	SYM
ecj-13919	82	67	l	l	NOUN
ecj-13919	82	68	)	)	PUNCT
ecj-13919	82	69	0.05	0.05	NUM
ecj-13919	82	70	0.01	0.01	NUM
ecj-13919	82	71	0.02	0.02	NUM
ecj-13919	82	72	0.07	0.07	NUM
ecj-13919	82	73	lym	lym	PROPN
ecj-13919	82	74	(	(	PUNCT
ecj-13919	82	75	x109	x109	PROPN
ecj-13919	82	76	/	/	SYM
ecj-13919	82	77	l	l	NOUN
ecj-13919	82	78	)	)	PUNCT
ecj-13919	82	79	3.10	3.10	NUM
ecj-13919	82	80	0.63	0.63	NUM
ecj-13919	82	81	1.25	1.25	NUM
ecj-13919	82	82	2.81	2.81	NUM
ecj-13919	82	83	mono	mono	NOUN
ecj-13919	82	84	(	(	PUNCT
ecj-13919	82	85	x109	x109	PROPN
ecj-13919	82	86	/	/	SYM
ecj-13919	82	87	l	l	NOUN
ecj-13919	82	88	)	)	PUNCT
ecj-13919	82	89	0.74	0.74	NUM
ecj-13919	82	90	0.62	0.62	NUM
ecj-13919	82	91	1.21	1.21	NUM
ecj-13919	82	92	0.70	0.70	NUM
ecj-13919	82	93	inr	inr	PROPN
ecj-13919	82	94	1.0	1.0	NUM
ecj-13919	82	95	1.0	1.0	NUM
ecj-13919	82	96	1	1	NUM
ecj-13919	82	97	0.9	0.9	NUM
ecj-13919	82	98	pt	pt	NOUN
ecj-13919	82	99	sec	sec	PROPN
ecj-13919	82	100	11.4	11.4	NUM
ecj-13919	82	101	11.3	11.3	NUM
ecj-13919	82	102	12.1	12.1	NUM
ecj-13919	82	103	11	11	NUM
ecj-13919	82	104	aptt	aptt	NOUN
ecj-13919	82	105	sec	sec	PROPN
ecj-13919	82	106	25.2	25.2	NUM
ecj-13919	82	107	28.2	28.2	NUM
ecj-13919	82	108	28.7	28.7	NUM
ecj-13919	82	109	28	28	NUM
ecj-13919	82	110	gpt	gpt	NOUN
ecj-13919	82	111	(	(	PUNCT
ecj-13919	82	112	u	u	NOUN
ecj-13919	82	113	/	/	SYM
ecj-13919	82	114	l	l	NOUN
ecj-13919	82	115	)	)	PUNCT
ecj-13919	82	116	14	14	NUM
ecj-13919	82	117	25	25	NUM
ecj-13919	82	118	18	18	NUM
ecj-13919	82	119	17	17	NUM
ecj-13919	82	120	creatinine	creatinine	NOUN
ecj-13919	82	121	(	(	PUNCT
ecj-13919	82	122	mg	mg	PROPN
ecj-13919	82	123	/	/	SYM
ecj-13919	82	124	dl	dl	NOUN
ecj-13919	82	125	)	)	PUNCT
ecj-13919	82	126	1.34	1.34	NUM
ecj-13919	82	127	0.72	0.72	NUM
ecj-13919	82	128	0.68	0.68	NUM
ecj-13919	82	129	0.71	0.71	NUM
ecj-13919	82	130	tnt	tnt	PROPN
ecj-13919	82	131	hs	hs	PROPN
ecj-13919	82	132	(	(	PUNCT
ecj-13919	82	133	pg	pg	NOUN
ecj-13919	82	134	/	/	SYM
ecj-13919	82	135	ml	ml	VERB
ecj-13919	82	136	)	)	PUNCT
ecj-13919	82	137	6.15	6.15	NUM
ecj-13919	82	138	26.20	26.20	NUM
ecj-13919	82	139	116	116	NUM
ecj-13919	82	140	90.80	90.80	NUM
ecj-13919	82	141	18.70	18.70	NUM
ecj-13919	82	142	crp	crp	NOUN
ecj-13919	82	143	(	(	PUNCT
ecj-13919	82	144	mg	mg	PROPN
ecj-13919	82	145	/	/	SYM
ecj-13919	82	146	l	l	NOUN
ecj-13919	82	147	)	)	PUNCT
ecj-13919	82	148	<	<	X
ecj-13919	82	149	5	5	NUM
ecj-13919	82	150	25	25	NUM
ecj-13919	82	151	12	12	NUM
ecj-13919	82	152	<	<	SYM
ecj-13919	82	153	5	5	NUM
ecj-13919	82	154	fio2	fio2	NOUN
ecj-13919	82	155	,	,	PUNCT
ecj-13919	82	156	fraction	fraction	NOUN
ecj-13919	82	157	of	of	ADP
ecj-13919	82	158	inspired	inspire	VERB
ecj-13919	82	159	oxygen	oxygen	NOUN
ecj-13919	82	160	;	;	PUNCT
ecj-13919	82	161	hb	hb	PROPN
ecj-13919	82	162	,	,	PUNCT
ecj-13919	82	163	haemoglobin	haemoglobin	PROPN
ecj-13919	82	164	;	;	PUNCT
ecj-13919	82	165	lac	lac	PROPN
ecj-13919	82	166	,	,	PUNCT
ecj-13919	82	167	serum	serum	NOUN
ecj-13919	82	168	lactate	lactate	PROPN
ecj-13919	82	169	;	;	PUNCT
ecj-13919	82	170	ag	ag	PROPN
ecj-13919	82	171	,	,	PUNCT
ecj-13919	82	172	anion	anion	NOUN
ecj-13919	82	173	gap	gap	NOUN
ecj-13919	82	174	;	;	PUNCT
ecj-13919	82	175	wbc	wbc	PROPN
ecj-13919	82	176	,	,	PUNCT
ecj-13919	82	177	white	white	ADJ
ecj-13919	82	178	blood	blood	NOUN
ecj-13919	82	179	cells	cell	NOUN
ecj-13919	82	180	;	;	PUNCT
ecj-13919	82	181	rbc	rbc	PROPN
ecj-13919	82	182	,	,	PUNCT
ecj-13919	82	183	red	red	ADJ
ecj-13919	82	184	blood	blood	NOUN
ecj-13919	82	185	cells	cell	NOUN
ecj-13919	82	186	;	;	PUNCT
ecj-13919	82	187	plt	plt	NOUN
ecj-13919	82	188	,	,	PUNCT
ecj-13919	82	189	platelets	platelet	NOUN
ecj-13919	82	190	;	;	PUNCT
ecj-13919	82	191	neut	neut	NOUN
ecj-13919	82	192	,	,	PUNCT
ecj-13919	82	193	neutrophils	neutrophil	NOUN
ecj-13919	82	194	;	;	PUNCT
ecj-13919	82	195	eos	eos	PROPN
ecj-13919	82	196	,	,	PUNCT
ecj-13919	82	197	eosinophils	eosinophil	VERB
ecj-13919	82	198	;	;	PUNCT
ecj-13919	82	199	bas	bas	X
ecj-13919	82	200	,	,	PUNCT
ecj-13919	82	201	basophils	basophils	PROPN
ecj-13919	82	202	;	;	PUNCT
ecj-13919	82	203	lym	lym	PROPN
ecj-13919	82	204	,	,	PUNCT
ecj-13919	82	205	lymphocytes	lymphocyte	VERB
ecj-13919	82	206	;	;	PUNCT
ecj-13919	82	207	mono	mono	NOUN
ecj-13919	82	208	,	,	PUNCT
ecj-13919	82	209	monocytes	monocyte	NOUN
ecj-13919	82	210	;	;	PUNCT
ecj-13919	82	211	inr	inr	PROPN
ecj-13919	82	212	,	,	PUNCT
ecj-13919	82	213	international	international	ADJ
ecj-13919	82	214	normalized	normalize	VERB
ecj-13919	82	215	ratio	ratio	NOUN
ecj-13919	82	216	;	;	PUNCT
ecj-13919	82	217	pt	pt	NOUN
ecj-13919	82	218	,	,	PUNCT
ecj-13919	82	219	prothrombin	prothrombin	ADJ
ecj-13919	82	220	time	time	NOUN
ecj-13919	82	221	;	;	PUNCT
ecj-13919	82	222	aptt	aptt	ADJ
ecj-13919	82	223	,	,	PUNCT
ecj-13919	82	224	activated	activate	VERB
ecj-13919	82	225	partial	partial	ADJ
ecj-13919	82	226	thromboplastin	thromboplastin	NOUN
ecj-13919	82	227	time	time	NOUN
ecj-13919	82	228	;	;	PUNCT
ecj-13919	82	229	gtp	gtp	NOUN
ecj-13919	82	230	,	,	PUNCT
ecj-13919	82	231	gamma	gamma	NOUN
ecj-13919	82	232	-	-	PUNCT
ecj-13919	82	233	glutamyl	glutamyl	VERB
ecj-13919	82	234	transpeptidase	transpeptidase	NOUN
ecj-13919	82	235	;	;	PUNCT
ecj-13919	82	236	tnt	tnt	PROPN
ecj-13919	82	237	hs	hs	PROPN
ecj-13919	82	238	,	,	PUNCT
ecj-13919	82	239	high	high	ADJ
ecj-13919	82	240	-	-	PUNCT
ecj-13919	82	241	sensitivity	sensitivity	NOUN
ecj-13919	82	242	troponin	troponin	PROPN
ecj-13919	82	243	t	t	PROPN
ecj-13919	82	244	;	;	PUNCT
ecj-13919	82	245	crp	crp	PROPN
ecj-13919	82	246	,	,	PUNCT
ecj-13919	82	247	c	c	NOUN
ecj-13919	82	248	-	-	PUNCT
ecj-13919	82	249	reactive	reactive	ADJ
ecj-13919	82	250	protein	protein	NOUN
ecj-13919	82	251	.	.	PUNCT
ecj-13919	83	1	prescribed	prescribe	VERB
ecj-13919	83	2	rizatriptan	rizatriptan	PROPN
ecj-13919	83	3	as	as	SCONJ
ecj-13919	83	4	needed	need	VERB
ecj-13919	83	5	,	,	PUNCT
ecj-13919	83	6	she	she	PRON
ecj-13919	83	7	denied	deny	VERB
ecj-13919	83	8	recent	recent	ADJ
ecj-13919	83	9	use	use	NOUN
ecj-13919	83	10	prior	prior	ADV
ecj-13919	83	11	to	to	ADP
ecj-13919	83	12	symptom	symptom	NOUN
ecj-13919	83	13	onset	onset	NOUN
ecj-13919	83	14	,	,	PUNCT
ecj-13919	83	15	making	make	VERB
ecj-13919	83	16	it	it	PRON
ecj-13919	83	17	an	an	DET
ecj-13919	83	18	unlikely	unlikely	ADJ
ecj-13919	83	19	contributing	contribute	VERB
ecj-13919	83	20	factor	factor	NOUN
ecj-13919	83	21	in	in	ADP
ecj-13919	83	22	the	the	DET
ecj-13919	83	23	development	development	NOUN
ecj-13919	83	24	of	of	ADP
ecj-13919	83	25	kounis	kounis	PROPN
ecj-13919	83	26	syndrome	syndrome	PROPN
ecj-13919	83	27	in	in	ADP
ecj-13919	83	28	this	this	DET
ecj-13919	83	29	case	case	NOUN
ecj-13919	83	30	.	.	PUNCT
ecj-13919	84	1	following	follow	VERB
ecj-13919	84	2	initial	initial	ADJ
ecj-13919	84	3	stabilization	stabilization	NOUN
ecj-13919	84	4	,	,	PUNCT
ecj-13919	84	5	a	a	DET
ecj-13919	84	6	chest	chest	NOUN
ecj-13919	84	7	x	x	NOUN
ecj-13919	84	8	-	-	NOUN
ecj-13919	84	9	ray	ray	NOUN
ecj-13919	84	10	was	be	AUX
ecj-13919	84	11	performed	perform	VERB
ecj-13919	84	12	,	,	PUNCT
ecj-13919	84	13	showing	show	VERB
ecj-13919	84	14	signs	sign	NOUN
ecj-13919	84	15	of	of	ADP
ecj-13919	84	16	pulmonary	pulmonary	ADJ
ecj-13919	84	17	congestion	congestion	NOUN
ecj-13919	84	18	.	.	PUNCT
ecj-13919	85	1	however	however	ADV
ecj-13919	85	2	,	,	PUNCT
ecj-13919	85	3	due	due	ADP
ecj-13919	85	4	to	to	ADP
ecj-13919	85	5	progressive	progressive	ADJ
ecj-13919	85	6	deterioration	deterioration	NOUN
ecj-13919	85	7	in	in	ADP
ecj-13919	85	8	gas	gas	NOUN
ecj-13919	85	9	exchange	exchange	NOUN
ecj-13919	85	10	(	(	PUNCT
ecj-13919	85	11	table	table	NOUN
ecj-13919	85	12	1	1	NUM
ecj-13919	85	13	)	)	PUNCT
ecj-13919	85	14	,	,	PUNCT
ecj-13919	85	15	non	non	ADJ
ecj-13919	85	16	-	-	ADJ
ecj-13919	85	17	invasive	invasive	ADJ
ecj-13919	85	18	mechanical	mechanical	ADJ
ecj-13919	85	19	ventilation	ventilation	NOUN
ecj-13919	85	20	was	be	AUX
ecj-13919	85	21	initiated	initiate	VERB
ecj-13919	85	22	.	.	PUNCT
ecj-13919	86	1	approximately	approximately	ADV
ecj-13919	86	2	3	3	NUM
ecj-13919	86	3	hours	hour	NOUN
ecj-13919	86	4	after	after	ADP
ecj-13919	86	5	initiation	initiation	NOUN
ecj-13919	86	6	of	of	ADP
ecj-13919	86	7	intravenous	intravenous	ADJ
ecj-13919	86	8	adrenaline	adrenaline	NOUN
ecj-13919	86	9	,	,	PUNCT
ecj-13919	86	10	vasopressors	vasopressor	NOUN
ecj-13919	86	11	were	be	AUX
ecj-13919	86	12	discontinued	discontinue	VERB
ecj-13919	86	13	.	.	PUNCT
ecj-13919	87	1	a	a	DET
ecj-13919	87	2	progressive	progressive	ADJ
ecj-13919	87	3	normalization	normalization	NOUN
ecj-13919	87	4	of	of	ADP
ecj-13919	87	5	the	the	DET
ecj-13919	87	6	ecg	ecg	PROPN
ecj-13919	87	7	and	and	CCONJ
ecj-13919	87	8	st	st	PROPN
ecj-13919	87	9	-	-	PUNCT
ecj-13919	87	10	t	t	PROPN
ecj-13919	87	11	segment	segment	NOUN
ecj-13919	87	12	was	be	AUX
ecj-13919	87	13	also	also	ADV
ecj-13919	87	14	observed	observe	VERB
ecj-13919	87	15	(	(	PUNCT
ecj-13919	87	16	figure	figure	NOUN
ecj-13919	87	17	1	1	NUM
ecj-13919	87	18	)	)	PUNCT
ecj-13919	87	19	.	.	PUNCT
ecj-13919	88	1	however	however	ADV
ecj-13919	88	2	,	,	PUNCT
ecj-13919	88	3	considering	consider	VERB
ecj-13919	88	4	the	the	DET
ecj-13919	88	5	severity	severity	NOUN
ecj-13919	88	6	of	of	ADP
ecj-13919	88	7	the	the	DET
ecj-13919	88	8	clinical	clinical	ADJ
ecj-13919	88	9	presentation	presentation	NOUN
ecj-13919	88	10	and	and	CCONJ
ecj-13919	88	11	the	the	DET
ecj-13919	88	12	need	need	NOUN
ecj-13919	88	13	for	for	ADP
ecj-13919	88	14	ongoing	ongoing	ADJ
ecj-13919	88	15	non	non	ADJ
ecj-13919	88	16	-	-	ADJ
ecj-13919	88	17	invasive	invasive	ADJ
ecj-13919	88	18	ventilation	ventilation	NOUN
ecj-13919	88	19	,	,	PUNCT
ecj-13919	88	20	suspended	suspend	VERB
ecj-13919	88	21	after	after	ADP
ecj-13919	88	22	6h	6h	NOUN
ecj-13919	88	23	,	,	PUNCT
ecj-13919	88	24	the	the	DET
ecj-13919	88	25	patient	patient	NOUN
ecj-13919	88	26	was	be	AUX
ecj-13919	88	27	transferred	transfer	VERB
ecj-13919	88	28	to	to	ADP
ecj-13919	88	29	the	the	DET
ecj-13919	88	30	emergency	emergency	NOUN
ecj-13919	88	31	department	department	NOUN
ecj-13919	88	32	’s	’s	PART
ecj-13919	88	33	high	high	ADJ
ecj-13919	88	34	dependency	dependency	NOUN
ecj-13919	88	35	unit	unit	NOUN
ecj-13919	88	36	(	(	PUNCT
ecj-13919	88	37	hdu	hdu	PROPN
ecj-13919	88	38	)	)	PUNCT
ecj-13919	88	39	,	,	PUNCT
ecj-13919	88	40	following	follow	VERB
ecj-13919	88	41	anaesthesiology	anaesthesiology	NOUN
ecj-13919	88	42	evaluation	evaluation	NOUN
ecj-13919	88	43	.	.	PUNCT
ecj-13919	89	1	the	the	DET
ecj-13919	89	2	anaesthesiologist	anaesthesiologist	PROPN
ecj-13919	89	3	confirmed	confirm	VERB
ecj-13919	89	4	the	the	DET
ecj-13919	89	5	appropriateness	appropriateness	NOUN
ecj-13919	89	6	of	of	ADP
ecj-13919	89	7	the	the	DET
ecj-13919	89	8	therapeutic	therapeutic	ADJ
ecj-13919	89	9	approach	approach	NOUN
ecj-13919	89	10	and	and	CCONJ
ecj-13919	89	11	did	do	AUX
ecj-13919	89	12	not	not	PART
ecj-13919	89	13	indicate	indicate	VERB
ecj-13919	89	14	the	the	DET
ecj-13919	89	15	need	need	NOUN
ecj-13919	89	16	for	for	ADP
ecj-13919	89	17	intensive	intensive	ADJ
ecj-13919	89	18	care	care	NOUN
ecj-13919	89	19	unit	unit	NOUN
ecj-13919	89	20	(	(	PUNCT
ecj-13919	89	21	icu	icu	PROPN
ecj-13919	89	22	)	)	PUNCT
ecj-13919	89	23	admission	admission	NOUN
ecj-13919	89	24	.	.	PUNCT
ecj-13919	90	1	in	in	ADP
ecj-13919	90	2	terms	term	NOUN
ecj-13919	90	3	of	of	ADP
ecj-13919	90	4	the	the	DET
ecj-13919	90	5	respiratory	respiratory	ADJ
ecj-13919	90	6	findings	finding	NOUN
ecj-13919	90	7	,	,	PUNCT
ecj-13919	90	8	a	a	DET
ecj-13919	90	9	chest	chest	NOUN
ecj-13919	90	10	ct	ct	X
ecj-13919	90	11	scan	scan	PROPN
ecj-13919	90	12	was	be	AUX
ecj-13919	90	13	deliberately	deliberately	ADV
ecj-13919	90	14	deferred	defer	VERB
ecj-13919	90	15	due	due	ADP
ecj-13919	90	16	to	to	ADP
ecj-13919	90	17	the	the	DET
ecj-13919	90	18	patient	patient	NOUN
ecj-13919	90	19	’s	’s	PART
ecj-13919	90	20	marked	mark	VERB
ecj-13919	90	21	hemodynamic	hemodynamic	ADJ
ecj-13919	90	22	instability	instability	NOUN
ecj-13919	90	23	and	and	CCONJ
ecj-13919	90	24	the	the	DET
ecj-13919	90	25	presence	presence	NOUN
ecj-13919	90	26	of	of	ADP
ecj-13919	90	27	lung	lung	PROPN
ecj-13919	90	28	ultrasound	ultrasound	PROPN
ecj-13919	90	29	findings	finding	NOUN
ecj-13919	90	30	consistent	consistent	ADJ
ecj-13919	90	31	with	with	ADP
ecj-13919	90	32	ards	ard	NOUN
ecj-13919	90	33	–	–	PUNCT
ecj-13919	90	34	namely	namely	ADV
ecj-13919	90	35	,	,	PUNCT
ecj-13919	90	36	the	the	DET
ecj-13919	90	37	absence	absence	NOUN
ecj-13919	90	38	of	of	ADP
ecj-13919	90	39	a	a	DET
ecj-13919	90	40	clear	clear	ADJ
ecj-13919	90	41	b	b	NOUN
ecj-13919	90	42	-	-	PUNCT
ecj-13919	90	43	line	line	NOUN
ecj-13919	90	44	to	to	ADP
ecj-13919	90	45	a	a	DET
ecj-13919	90	46	-	-	PUNCT
ecj-13919	90	47	line	line	NOUN
ecj-13919	90	48	gradient	gradient	NOUN
ecj-13919	90	49	,	,	PUNCT
ecj-13919	90	50	no	no	DET
ecj-13919	90	51	pleural	pleural	ADJ
ecj-13919	90	52	effusion	effusion	NOUN
ecj-13919	90	53	,	,	PUNCT
ecj-13919	90	54	and	and	CCONJ
ecj-13919	90	55	the	the	DET
ecj-13919	90	56	presence	presence	NOUN
ecj-13919	90	57	of	of	ADP
ecj-13919	90	58	spared	spare	VERB
ecj-13919	90	59	areas	area	NOUN
ecj-13919	90	60	.	.	PUNCT
ecj-13919	91	1	given	give	VERB
ecj-13919	91	2	the	the	DET
ecj-13919	91	3	subsequent	subsequent	ADJ
ecj-13919	91	4	rapid	rapid	ADJ
ecj-13919	91	5	weaning	weaning	NOUN
ecj-13919	91	6	from	from	ADP
ecj-13919	91	7	mechanical	mechanical	ADJ
ecj-13919	91	8	ventilation	ventilation	NOUN
ecj-13919	91	9	,	,	PUNCT
ecj-13919	91	10	the	the	DET
ecj-13919	91	11	ct	ct	NOUN
ecj-13919	91	12	scan	scan	NOUN
ecj-13919	91	13	was	be	AUX
ecj-13919	91	14	ultimately	ultimately	ADV
ecj-13919	91	15	not	not	PART
ecj-13919	91	16	pursued	pursue	VERB
ecj-13919	91	17	.	.	PUNCT
ecj-13919	92	1	due	due	ADP
ecj-13919	92	2	to	to	ADP
ecj-13919	92	3	the	the	DET
ecj-13919	92	4	absence	absence	NOUN
ecj-13919	92	5	of	of	ADP
ecj-13919	92	6	these	these	DET
ecj-13919	92	7	signs	sign	NOUN
ecj-13919	92	8	and	and	CCONJ
ecj-13919	92	9	the	the	DET
ecj-13919	92	10	delayed	delay	VERB
ecj-13919	92	11	presentation	presentation	NOUN
ecj-13919	92	12	–	–	PUNCT
ecj-13919	92	13	by	by	ADP
ecj-13919	92	14	which	which	DET
ecj-13919	92	15	time	time	NOUN
ecj-13919	92	16	nearly	nearly	ADV
ecj-13919	92	17	all	all	PRON
ecj-13919	92	18	of	of	ADP
ecj-13919	92	19	the	the	DET
ecj-13919	92	20	ingested	ingest	VERB
ecj-13919	92	21	histamine	histamine	NOUN
ecj-13919	92	22	had	have	AUX
ecj-13919	92	23	likely	likely	ADV
ecj-13919	92	24	already	already	ADV
ecj-13919	92	25	been	be	AUX
ecj-13919	92	26	absorbed	absorb	VERB
ecj-13919	92	27	–	–	PUNCT
ecj-13919	92	28	gastrointestinal	gastrointestinal	ADJ
ecj-13919	92	29	decontamination	decontamination	NOUN
ecj-13919	92	30	was	be	AUX
ecj-13919	92	31	not	not	PART
ecj-13919	92	32	undertaken	undertake	VERB
ecj-13919	92	33	.	.	PUNCT
ecj-13919	93	1	after	after	ADP
ecj-13919	93	2	approximately	approximately	ADV
ecj-13919	93	3	24	24	NUM
ecj-13919	93	4	hours	hour	NOUN
ecj-13919	93	5	of	of	ADP
ecj-13919	93	6	observation	observation	NOUN
ecj-13919	93	7	in	in	ADP
ecj-13919	93	8	the	the	DET
ecj-13919	93	9	hdu	hdu	PROPN
ecj-13919	93	10	,	,	PUNCT
ecj-13919	93	11	with	with	ADP
ecj-13919	93	12	hemodynamic	hemodynamic	ADJ
ecj-13919	93	13	stability	stability	NOUN
ecj-13919	93	14	and	and	CCONJ
ecj-13919	93	15	progressive	progressive	ADJ
ecj-13919	93	16	weaning	weaning	NOUN
ecj-13919	93	17	from	from	ADP
ecj-13919	93	18	non	non	ADJ
ecj-13919	93	19	-	-	ADJ
ecj-13919	93	20	invasive	invasive	ADJ
ecj-13919	93	21	ventilation	ventilation	NOUN
ecj-13919	93	22	(	(	PUNCT
ecj-13919	93	23	although	although	SCONJ
ecj-13919	93	24	still	still	ADV
ecj-13919	93	25	requiring	require	VERB
ecj-13919	93	26	low	low	ADJ
ecj-13919	93	27	-	-	PUNCT
ecj-13919	93	28	flow	flow	NOUN
ecj-13919	93	29	oxygen	oxygen	NOUN
ecj-13919	93	30	therapy	therapy	NOUN
ecj-13919	93	31	)	)	PUNCT
ecj-13919	93	32	,	,	PUNCT
ecj-13919	93	33	the	the	DET
ecj-13919	93	34	patient	patient	NOUN
ecj-13919	93	35	was	be	AUX
ecj-13919	93	36	transferred	transfer	VERB
ecj-13919	93	37	to	to	ADP
ecj-13919	93	38	a	a	DET
ecj-13919	93	39	general	general	ADJ
ecj-13919	93	40	ward	ward	NOUN
ecj-13919	93	41	.	.	PUNCT
ecj-13919	94	1	given	give	VERB
ecj-13919	94	2	the	the	DET
ecj-13919	94	3	ecg	ecg	PROPN
ecj-13919	94	4	abnormalities	abnormality	NOUN
ecj-13919	94	5	and	and	CCONJ
ecj-13919	94	6	troponin	troponin	ADJ
ecj-13919	94	7	elevation	elevation	NOUN
ecj-13919	94	8	(	(	PUNCT
ecj-13919	94	9	table	table	NOUN
ecj-13919	94	10	1	1	NUM
ecj-13919	94	11	)	)	PUNCT
ecj-13919	94	12	,	,	PUNCT
ecj-13919	94	13	a	a	DET
ecj-13919	94	14	coronary	coronary	ADJ
ecj-13919	94	15	ct	ct	NUM
ecj-13919	94	16	angiography	angiography	NOUN
ecj-13919	94	17	was	be	AUX
ecj-13919	94	18	performed	perform	VERB
ecj-13919	94	19	,	,	PUNCT
ecj-13919	94	20	which	which	PRON
ecj-13919	94	21	showed	show	VERB
ecj-13919	94	22	no	no	DET
ecj-13919	94	23	significant	significant	ADJ
ecj-13919	94	24	coronary	coronary	ADJ
ecj-13919	94	25	stenoses	stenosis	NOUN
ecj-13919	94	26	.	.	PUNCT
ecj-13919	95	1	after	after	ADP
ecj-13919	95	2	approximately	approximately	ADV
ecj-13919	95	3	three	three	NUM
ecj-13919	95	4	days	day	NOUN
ecj-13919	95	5	of	of	ADP
ecj-13919	95	6	medical	medical	ADJ
ecj-13919	95	7	therapy	therapy	NOUN
ecj-13919	95	8	with	with	ADP
ecj-13919	95	9	antihistamines	antihistamine	NOUN
ecj-13919	95	10	and	and	CCONJ
ecj-13919	95	11	successful	successful	ADJ
ecj-13919	95	12	weaning	weaning	NOUN
ecj-13919	95	13	from	from	ADP
ecj-13919	95	14	low	low	ADJ
ecj-13919	95	15	-	-	PUNCT
ecj-13919	95	16	flow	flow	NOUN
ecj-13919	95	17	oxygen	oxygen	NOUN
ecj-13919	95	18	,	,	PUNCT
ecj-13919	95	19	the	the	DET
ecj-13919	95	20	patient	patient	NOUN
ecj-13919	95	21	was	be	AUX
ecj-13919	95	22	discharged	discharge	VERB
ecj-13919	95	23	home	home	NOUN
ecj-13919	95	24	.	.	PUNCT
ecj-13919	96	1	discussion	discussion	NOUN
ecj-13919	96	2	we	we	PRON
ecj-13919	96	3	presented	present	VERB
ecj-13919	96	4	the	the	DET
ecj-13919	96	5	case	case	NOUN
ecj-13919	96	6	of	of	ADP
ecj-13919	96	7	a	a	DET
ecj-13919	96	8	patient	patient	NOUN
ecj-13919	96	9	with	with	ADP
ecj-13919	96	10	severe	severe	ADJ
ecj-13919	96	11	scombroid	scombroid	ADJ
ecj-13919	96	12	poisoning	poisoning	NOUN
ecj-13919	96	13	,	,	PUNCT
ecj-13919	96	14	characterized	characterize	VERB
ecj-13919	96	15	by	by	ADP
ecj-13919	96	16	several	several	ADJ
ecj-13919	96	17	of	of	ADP
ecj-13919	96	18	the	the	DET
ecj-13919	96	19	possible	possible	ADJ
ecj-13919	96	20	manifestations	manifestation	NOUN
ecj-13919	96	21	of	of	ADP
ecj-13919	96	22	this	this	DET
ecj-13919	96	23	condition	condition	NOUN
ecj-13919	96	24	occurring	occur	VERB
ecj-13919	96	25	simultaneously	simultaneously	ADV
ecj-13919	96	26	:	:	PUNCT
ecj-13919	96	27	acute	acute	ADJ
ecj-13919	96	28	respiratory	respiratory	ADJ
ecj-13919	96	29	distress	distress	NOUN
ecj-13919	96	30	,	,	PUNCT
ecj-13919	96	31	distributive	distributive	ADJ
ecj-13919	96	32	shock	shock	NOUN
ecj-13919	96	33	,	,	PUNCT
ecj-13919	96	34	and	and	CCONJ
ecj-13919	96	35	histamine	histamine	NOUN
ecj-13919	96	36	-	-	PUNCT
ecj-13919	96	37	mediated	mediate	VERB
ecj-13919	96	38	coronary	coronary	ADJ
ecj-13919	96	39	syndrome	syndrome	NOUN
ecj-13919	96	40	.	.	PUNCT
ecj-13919	97	1	the	the	DET
ecj-13919	97	2	peculiarity	peculiarity	NOUN
ecj-13919	97	3	of	of	ADP
ecj-13919	97	4	this	this	DET
ecj-13919	97	5	case	case	NOUN
ecj-13919	97	6	lies	lie	VERB
ecj-13919	97	7	in	in	ADP
ecj-13919	97	8	its	its	PRON
ecj-13919	97	9	exceptional	exceptional	ADJ
ecj-13919	97	10	severity	severity	NOUN
ecj-13919	97	11	,	,	PUNCT
ecj-13919	97	12	which	which	PRON
ecj-13919	97	13	is	be	AUX
ecj-13919	97	14	uncommon	uncommon	ADJ
ecj-13919	97	15	in	in	ADP
ecj-13919	97	16	an	an	DET
ecj-13919	97	17	otherwise	otherwise	ADV
ecj-13919	97	18	healthy	healthy	ADJ
ecj-13919	97	19	patient	patient	NOUN
ecj-13919	97	20	following	follow	VERB
ecj-13919	97	21	the	the	DET
ecj-13919	97	22	ingestion	ingestion	NOUN
ecj-13919	97	23	of	of	ADP
ecj-13919	97	24	improperly	improperly	ADV
ecj-13919	97	25	stored	store	VERB
ecj-13919	97	26	canned	canned	ADJ
ecj-13919	97	27	tuna	tuna	NOUN
ecj-13919	97	28	.	.	PUNCT
ecj-13919	98	1	this	this	DET
ecj-13919	98	2	case	case	NOUN
ecj-13919	98	3	is	be	AUX
ecj-13919	98	4	of	of	ADP
ecj-13919	98	5	particular	particular	ADJ
ecj-13919	98	6	clinical	clinical	ADJ
ecj-13919	98	7	interest	interest	NOUN
ecj-13919	98	8	for	for	ADP
ecj-13919	98	9	several	several	ADJ
ecj-13919	98	10	reasons	reason	NOUN
ecj-13919	98	11	.	.	PUNCT
ecj-13919	99	1	first	first	ADV
ecj-13919	99	2	,	,	PUNCT
ecj-13919	99	3	it	it	PRON
ecj-13919	99	4	describes	describe	VERB
ecj-13919	99	5	an	an	DET
ecj-13919	99	6	exceptionally	exceptionally	ADV
ecj-13919	99	7	severe	severe	ADJ
ecj-13919	99	8	presentation	presentation	NOUN
ecj-13919	99	9	of	of	ADP
ecj-13919	99	10	scombroid	scombroid	ADJ
ecj-13919	99	11	syndrome	syndrome	NOUN
ecj-13919	99	12	,	,	PUNCT
ecj-13919	99	13	complicated	complicate	VERB
ecj-13919	99	14	not	not	PART
ecj-13919	99	15	only	only	ADV
ecj-13919	99	16	by	by	ADP
ecj-13919	99	17	distributive	distributive	ADJ
ecj-13919	99	18	shock	shock	NOUN
ecj-13919	99	19	but	but	CCONJ
ecj-13919	99	20	also	also	ADV
ecj-13919	99	21	by	by	ADP
ecj-13919	99	22	ecg	ecg	PROPN
ecj-13919	99	23	abnormalities	abnormality	NOUN
ecj-13919	99	24	and	and	CCONJ
ecj-13919	99	25	troponin	troponin	ADJ
ecj-13919	99	26	elevation	elevation	NOUN
ecj-13919	99	27	suggestive	suggestive	ADJ
ecj-13919	99	28	of	of	ADP
ecj-13919	99	29	type	type	NOUN
ecj-13919	99	30	i	i	PRON
ecj-13919	99	31	kounis	kounis	PROPN
ecj-13919	99	32	syndrome	syndrome	PROPN
ecj-13919	99	33	—	—	PUNCT
ecj-13919	99	34	a	a	DET
ecj-13919	99	35	rare	rare	ADJ
ecj-13919	99	36	and	and	CCONJ
ecj-13919	99	37	often	often	ADV
ecj-13919	99	38	underdiagnosed	underdiagnosed	ADJ
ecj-13919	99	39	cardiovascular	cardiovascular	ADJ
ecj-13919	99	40	complication	complication	NOUN
ecj-13919	99	41	triggered	trigger	VERB
ecj-13919	99	42	by	by	ADP
ecj-13919	99	43	massive	massive	ADJ
ecj-13919	99	44	histamine	histamine	NOUN
ecj-13919	99	45	release	release	NOUN
ecj-13919	99	46	:	:	PUNCT
ecj-13919	99	47	the	the	DET
ecj-13919	99	48	exclusion	exclusion	NOUN
ecj-13919	99	49	of	of	ADP
ecj-13919	99	50	obstructive	obstructive	ADJ
ecj-13919	99	51	coronary	coronary	ADJ
ecj-13919	99	52	artery	artery	NOUN
ecj-13919	99	53	disease	disease	NOUN
ecj-13919	99	54	through	through	ADP
ecj-13919	99	55	ct	ct	PROPN
ecj-13919	99	56	angiography	angiography	NOUN
ecj-13919	99	57	reinforces	reinforce	VERB
ecj-13919	99	58	the	the	DET
ecj-13919	99	59	diagnosis	diagnosis	NOUN
ecj-13919	99	60	and	and	CCONJ
ecj-13919	99	61	highlights	highlight	NOUN
ecj-13919	99	62	the	the	DET
ecj-13919	99	63	importance	importance	NOUN
ecj-13919	99	64	of	of	ADP
ecj-13919	99	65	considering	consider	VERB
ecj-13919	99	66	allergic	allergic	ADJ
ecj-13919	99	67	–	–	PUNCT
ecj-13919	99	68	histaminergic	histaminergic	ADJ
ecj-13919	99	69	coronary	coronary	ADJ
ecj-13919	99	70	syndromes	syndrome	NOUN
ecj-13919	99	71	in	in	ADP
ecj-13919	99	72	the	the	DET
ecj-13919	99	73	differential	differential	ADJ
ecj-13919	99	74	diagnosis	diagnosis	NOUN
ecj-13919	99	75	of	of	ADP
ecj-13919	99	76	chest	chest	NOUN
ecj-13919	99	77	pain	pain	NOUN
ecj-13919	99	78	with	with	ADP
ecj-13919	99	79	allergic	allergic	ADJ
ecj-13919	99	80	features	feature	NOUN
ecj-13919	99	81	.	.	PUNCT
ecj-13919	100	1	secondly	secondly	ADV
ecj-13919	100	2	,	,	PUNCT
ecj-13919	100	3	the	the	DET
ecj-13919	100	4	patient	patient	NOUN
ecj-13919	100	5	experienced	experience	VERB
ecj-13919	100	6	persistent	persistent	ADJ
ecj-13919	100	7	hypotension	hypotension	NOUN
ecj-13919	100	8	despite	despite	SCONJ
ecj-13919	100	9	repeated	repeat	VERB
ecj-13919	100	10	intramuscular	intramuscular	ADJ
ecj-13919	100	11	doses	dose	NOUN
ecj-13919	100	12	of	of	ADP
ecj-13919	100	13	adrenaline	adrenaline	NOUN
ecj-13919	100	14	,	,	PUNCT
ecj-13919	100	15	ultimately	ultimately	ADV
ecj-13919	100	16	requiring	require	VERB
ecj-13919	100	17	continuous	continuous	ADJ
ecj-13919	100	18	intravenous	intravenous	ADJ
ecj-13919	100	19	vasopressor	vasopressor	NOUN
ecj-13919	100	20	infusion	infusion	NOUN
ecj-13919	100	21	and	and	CCONJ
ecj-13919	100	22	advanced	advanced	ADJ
ecj-13919	100	23	hemodynamic	hemodynamic	ADJ
ecj-13919	100	24	support	support	NOUN
ecj-13919	100	25	:	:	PUNCT
ecj-13919	100	26	this	this	PRON
ecj-13919	100	27	underscores	underscore	VERB
ecj-13919	100	28	the	the	DET
ecj-13919	100	29	potential	potential	NOUN
ecj-13919	100	30	for	for	ADP
ecj-13919	100	31	severe	severe	ADJ
ecj-13919	100	32	cardiovascular	cardiovascular	ADJ
ecj-13919	100	33	instability	instability	NOUN
ecj-13919	100	34	in	in	ADP
ecj-13919	100	35	scombroid	scombroid	ADJ
ecj-13919	100	36	syndrome	syndrome	NOUN
ecj-13919	100	37	,	,	PUNCT
ecj-13919	100	38	even	even	ADV
ecj-13919	100	39	in	in	ADP
ecj-13919	100	40	patients	patient	NOUN
ecj-13919	100	41	without	without	ADP
ecj-13919	100	42	preexisting	preexist	VERB
ecj-13919	100	43	cardiac	cardiac	ADJ
ecj-13919	100	44	disease	disease	NOUN
ecj-13919	100	45	.	.	PUNCT
ecj-13919	101	1	additionally	additionally	ADV
ecj-13919	101	2	,	,	PUNCT
ecj-13919	101	3	the	the	DET
ecj-13919	101	4	case	case	NOUN
ecj-13919	101	5	is	be	AUX
ecj-13919	101	6	remarkable	remarkable	ADJ
ecj-13919	101	7	for	for	ADP
ecj-13919	101	8	the	the	DET
ecj-13919	101	9	poor	poor	ADJ
ecj-13919	101	10	presence	presence	NOUN
ecj-13919	101	11	of	of	ADP
ecj-13919	101	12	gastrointestinal	gastrointestinal	ADJ
ecj-13919	101	13	symptoms	symptom	NOUN
ecj-13919	101	14	,	,	PUNCT
ecj-13919	101	15	which	which	PRON
ecj-13919	101	16	are	be	AUX
ecj-13919	101	17	typically	typically	ADV
ecj-13919	101	18	prominent	prominent	ADJ
ecj-13919	101	19	in	in	ADP
ecj-13919	101	20	scombroid	scombroid	ADJ
ecj-13919	101	21	poisoning	poisoning	NOUN
ecj-13919	101	22	:	:	PUNCT
ecj-13919	101	23	this	this	DET
ecj-13919	101	24	atypical	atypical	ADJ
ecj-13919	101	25	presentation	presentation	NOUN
ecj-13919	101	26	may	may	AUX
ecj-13919	101	27	have	have	AUX
ecj-13919	101	28	delayed	delay	VERB
ecj-13919	101	29	suspicion	suspicion	NOUN
ecj-13919	101	30	of	of	ADP
ecj-13919	101	31	a	a	DET
ecj-13919	101	32	foodborne	foodborne	ADJ
ecj-13919	101	33	etiology	etiology	NOUN
ecj-13919	101	34	,	,	PUNCT
ecj-13919	101	35	allowing	allow	VERB
ecj-13919	101	36	greater	great	ADJ
ecj-13919	101	37	systemic	systemic	ADJ
ecj-13919	101	38	absorption	absorption	NOUN
ecj-13919	101	39	of	of	ADP
ecj-13919	101	40	biogenic	biogenic	ADJ
ecj-13919	101	41	amines	amine	NOUN
ecj-13919	101	42	and	and	CCONJ
ecj-13919	101	43	contributing	contribute	VERB
ecj-13919	101	44	to	to	ADP
ecj-13919	101	45	the	the	DET
ecj-13919	101	46	severity	severity	NOUN
ecj-13919	101	47	of	of	ADP
ecj-13919	101	48	the	the	DET
ecj-13919	101	49	systemic	systemic	ADJ
ecj-13919	101	50	response	response	NOUN
ecj-13919	101	51	.	.	PUNCT
ecj-13919	102	1	from	from	ADP
ecj-13919	102	2	an	an	DET
ecj-13919	102	3	emergency	emergency	NOUN
ecj-13919	102	4	medicine	medicine	NOUN
ecj-13919	102	5	perspective	perspective	NOUN
ecj-13919	102	6	,	,	PUNCT
ecj-13919	102	7	the	the	DET
ecj-13919	102	8	case	case	NOUN
ecj-13919	102	9	exemplifies	exemplify	VERB
ecj-13919	102	10	the	the	DET
ecj-13919	102	11	diagnostic	diagnostic	ADJ
ecj-13919	102	12	and	and	CCONJ
ecj-13919	102	13	therapeutic	therapeutic	ADJ
ecj-13919	102	14	challenges	challenge	NOUN
ecj-13919	102	15	posed	pose	VERB
ecj-13919	102	16	by	by	ADP
ecj-13919	102	17	toxin	toxin	NOUN
ecj-13919	102	18	-	-	PUNCT
ecj-13919	102	19	mediated	mediate	VERB
ecj-13919	102	20	syndromes	syndrome	NOUN
ecj-13919	102	21	.	.	PUNCT
ecj-13919	103	1	the	the	DET
ecj-13919	103	2	patient	patient	NOUN
ecj-13919	103	3	initially	initially	ADV
ecj-13919	103	4	presented	present	VERB
ecj-13919	103	5	with	with	ADP
ecj-13919	103	6	non	non	ADJ
ecj-13919	103	7	-	-	ADJ
ecj-13919	103	8	life	life	ADJ
ecj-13919	103	9	-	-	PUNCT
ecj-13919	103	10	threatening	threaten	VERB
ecj-13919	103	11	symptoms	symptom	NOUN
ecj-13919	103	12	such	such	ADJ
ecj-13919	103	13	as	as	ADP
ecj-13919	103	14	rash	rash	ADJ
ecj-13919	103	15	and	and	CCONJ
ecj-13919	103	16	mild	mild	ADJ
ecj-13919	103	17	chest	chest	NOUN
ecj-13919	103	18	discomfort	discomfort	NOUN
ecj-13919	103	19	,	,	PUNCT
ecj-13919	103	20	yet	yet	CCONJ
ecj-13919	103	21	evolved	evolve	VERB
ecj-13919	103	22	rapidly	rapidly	ADV
ecj-13919	103	23	into	into	ADP
ecj-13919	103	24	a	a	DET
ecj-13919	103	25	state	state	NOUN
ecj-13919	103	26	of	of	ADP
ecj-13919	103	27	circulatory	circulatory	ADJ
ecj-13919	103	28	shock	shock	NOUN
ecj-13919	103	29	and	and	CCONJ
ecj-13919	103	30	respiratory	respiratory	ADJ
ecj-13919	103	31	failure	failure	NOUN
ecj-13919	103	32	requiring	require	VERB
ecj-13919	103	33	non	non	ADJ
ecj-13919	103	34	-	-	ADJ
ecj-13919	103	35	invasive	invasive	ADJ
ecj-13919	103	36	ventilation	ventilation	NOUN
ecj-13919	103	37	and	and	CCONJ
ecj-13919	103	38	high	high	ADJ
ecj-13919	103	39	-	-	PUNCT
ecj-13919	103	40	dependency	dependency	NOUN
ecj-13919	103	41	care	care	NOUN
ecj-13919	103	42	.	.	PUNCT
ecj-13919	104	1	this	this	PRON
ecj-13919	104	2	highlights	highlight	VERB
ecj-13919	104	3	the	the	DET
ecj-13919	104	4	importance	importance	NOUN
ecj-13919	104	5	of	of	ADP
ecj-13919	104	6	early	early	ADJ
ecj-13919	104	7	recognition	recognition	NOUN
ecj-13919	104	8	,	,	PUNCT
ecj-13919	104	9	prompt	prompt	ADJ
ecj-13919	104	10	risk	risk	NOUN
ecj-13919	104	11	stratification	stratification	NOUN
ecj-13919	104	12	,	,	PUNCT
ecj-13919	104	13	and	and	CCONJ
ecj-13919	104	14	a	a	DET
ecj-13919	104	15	high	high	ADJ
ecj-13919	104	16	index	index	NOUN
ecj-13919	104	17	of	of	ADP
ecj-13919	104	18	suspicion	suspicion	NOUN
ecj-13919	104	19	for	for	ADP
ecj-13919	104	20	potentially	potentially	ADV
ecj-13919	104	21	lifethreatening	lifethreatene	VERB
ecj-13919	104	22	progression	progression	NOUN
ecj-13919	104	23	in	in	ADP
ecj-13919	104	24	patients	patient	NOUN
ecj-13919	104	25	with	with	ADP
ecj-13919	104	26	apparent	apparent	ADJ
ecj-13919	104	27	allergic	allergic	ADJ
ecj-13919	104	28	reactions	reaction	NOUN
ecj-13919	104	29	,	,	PUNCT
ecj-13919	104	30	especially	especially	ADV
ecj-13919	104	31	when	when	SCONJ
ecj-13919	104	32	associated	associate	VERB
ecj-13919	104	33	with	with	ADP
ecj-13919	104	34	chest	chest	NOUN
ecj-13919	104	35	pain	pain	NOUN
ecj-13919	104	36	or	or	CCONJ
ecj-13919	104	37	hemodynamic	hemodynamic	ADJ
ecj-13919	104	38	instability	instability	NOUN
ecj-13919	104	39	.	.	PUNCT
ecj-13919	105	1	scombroid	scombroid	ADJ
ecj-13919	105	2	poisoning	poisoning	NOUN
ecj-13919	105	3	is	be	AUX
ecj-13919	105	4	a	a	DET
ecj-13919	105	5	frequently	frequently	ADV
ecj-13919	105	6	encountered	encounter	VERB
ecj-13919	105	7	foodborne	foodborne	ADJ
ecj-13919	105	8	illness	illness	NOUN
ecj-13919	105	9	linked	link	VERB
ecj-13919	105	10	to	to	ADP
ecj-13919	105	11	seafood	seafood	NOUN
ecj-13919	105	12	consumption	consumption	NOUN
ecj-13919	105	13	globally.5	globally.5	PROPN
ecj-13919	105	14	although	although	SCONJ
ecj-13919	105	15	primarily	primarily	ADV
ecj-13919	105	16	associated	associate	VERB
ecj-13919	105	17	with	with	ADP
ecj-13919	105	18	fish	fish	NOUN
ecj-13919	105	19	,	,	PUNCT
ecj-13919	105	20	it	it	PRON
ecj-13919	105	21	has	have	AUX
ecj-13919	105	22	also	also	ADV
ecj-13919	105	23	been	be	AUX
ecj-13919	105	24	reported	report	VERB
ecj-13919	105	25	following	follow	VERB
ecj-13919	105	26	ingestion	ingestion	NOUN
ecj-13919	105	27	of	of	ADP
ecj-13919	105	28	contaminated	contaminate	VERB
ecj-13919	105	29	swiss	swiss	ADJ
ecj-13919	105	30	cheese.6	cheese.6	NOUN
ecj-13919	105	31	clinical	clinical	ADJ
ecj-13919	105	32	manifestations	manifestation	NOUN
ecj-13919	105	33	typically	typically	ADV
ecj-13919	105	34	emerge	emerge	VERB
ecj-13919	105	35	rapidly	rapidly	ADV
ecj-13919	105	36	and	and	CCONJ
ecj-13919	105	37	include	include	VERB
ecj-13919	105	38	facial	facial	ADJ
ecj-13919	105	39	and	and	CCONJ
ecj-13919	105	40	cervical	cervical	ADJ
ecj-13919	105	41	flushing	flush	VERB
ecj-13919	105	42	,	,	PUNCT
ecj-13919	105	43	erythematous	erythematous	ADJ
ecj-13919	105	44	or	or	CCONJ
ecj-13919	105	45	urticarial	urticarial	ADJ
ecj-13919	105	46	rash	rash	NOUN
ecj-13919	105	47	,	,	PUNCT
ecj-13919	105	48	gastrointestinal	gastrointestinal	ADJ
ecj-13919	105	49	symptoms	symptom	NOUN
ecj-13919	105	50	such	such	ADJ
ecj-13919	105	51	as	as	ADP
ecj-13919	105	52	diarrhea	diarrhea	NOUN
ecj-13919	105	53	,	,	PUNCT
ecj-13919	105	54	and	and	CCONJ
ecj-13919	105	55	headache	headache	NOUN
ecj-13919	105	56	.	.	PUNCT
ecj-13919	106	1	in	in	ADP
ecj-13919	106	2	rare	rare	ADJ
ecj-13919	106	3	cases	case	NOUN
ecj-13919	106	4	patients	patient	NOUN
ecj-13919	106	5	may	may	AUX
ecj-13919	106	6	experience	experience	VERB
ecj-13919	106	7	acute	acute	ADJ
ecj-13919	106	8	respiratory	respiratory	ADJ
ecj-13919	106	9	distress	distress	NOUN
ecj-13919	106	10	or	or	CCONJ
ecj-13919	106	11	cardiac	cardiac	ADJ
ecj-13919	106	12	complications	complication	NOUN
ecj-13919	106	13	,	,	PUNCT
ecj-13919	106	14	like	like	ADP
ecj-13919	106	15	shock	shock	NOUN
ecj-13919	106	16	or	or	CCONJ
ecj-13919	106	17	arrytmias.7,8	arrytmias.7,8	NOUN
ecj-13919	106	18	owing	owe	VERB
ecj-13919	106	19	to	to	ADP
ecj-13919	106	20	the	the	DET
ecj-13919	106	21	similarity	similarity	NOUN
ecj-13919	106	22	of	of	ADP
ecj-13919	106	23	symptoms	symptom	NOUN
ecj-13919	106	24	,	,	PUNCT
ecj-13919	106	25	the	the	DET
ecj-13919	106	26	condition	condition	NOUN
ecj-13919	106	27	is	be	AUX
ecj-13919	106	28	often	often	ADV
ecj-13919	106	29	misdiagnosed	misdiagnose	VERB
ecj-13919	106	30	as	as	ADP
ecj-13919	106	31	an	an	DET
ecj-13919	106	32	allergic	allergic	ADJ
ecj-13919	106	33	reaction	reaction	NOUN
ecj-13919	106	34	to	to	ADP
ecj-13919	106	35	seafood	seafood	NOUN
ecj-13919	106	36	.	.	PUNCT
ecj-13919	107	1	most	most	ADJ
ecj-13919	107	2	cases	case	NOUN
ecj-13919	107	3	respond	respond	VERB
ecj-13919	107	4	well	well	ADV
ecj-13919	107	5	to	to	ADP
ecj-13919	107	6	treatment	treatment	VERB
ecj-13919	107	7	with	with	ADP
ecj-13919	107	8	h1	h1	NOUN
ecj-13919	107	9	and/or	and/or	CCONJ
ecj-13919	107	10	h2	h2	NOUN
ecj-13919	107	11	antihistamines	antihistamine	NOUN
ecj-13919	107	12	,	,	PUNCT
ecj-13919	107	13	while	while	SCONJ
ecj-13919	107	14	those	those	PRON
ecj-13919	107	15	presenting	present	VERB
ecj-13919	107	16	with	with	ADP
ecj-13919	107	17	airway	airway	NOUN
ecj-13919	107	18	compromise	compromise	NOUN
ecj-13919	107	19	or	or	CCONJ
ecj-13919	107	20	circulatory	circulatory	ADJ
ecj-13919	107	21	collapse	collapse	NOUN
ecj-13919	107	22	should	should	AUX
ecj-13919	107	23	be	be	AUX
ecj-13919	107	24	managed	manage	VERB
ecj-13919	107	25	as	as	ADP
ecj-13919	107	26	per	per	ADP
ecj-13919	107	27	standard	standard	ADJ
ecj-13919	107	28	anaphylaxis	anaphylaxis	ADJ
ecj-13919	107	29	protocols.9	protocols.9	NOUN
ecj-13919	107	30	the	the	DET
ecj-13919	107	31	worsening	worsening	NOUN
ecj-13919	107	32	of	of	ADP
ecj-13919	107	33	the	the	DET
ecj-13919	107	34	p	p	PROPN
ecj-13919	107	35	/	/	SYM
ecj-13919	107	36	f	f	PROPN
ecj-13919	107	37	ratio	ratio	NOUN
ecj-13919	107	38	despite	despite	SCONJ
ecj-13919	107	39	hemodynamic	hemodynamic	ADJ
ecj-13919	107	40	recovery	recovery	NOUN
ecj-13919	107	41	suggests	suggest	VERB
ecj-13919	107	42	a	a	DET
ecj-13919	107	43	possible	possible	ADJ
ecj-13919	107	44	histamine	histamine	NOUN
ecj-13919	107	45	-	-	PUNCT
ecj-13919	107	46	induced	induce	VERB
ecj-13919	107	47	capillary	capillary	ADJ
ecj-13919	107	48	leak	leak	NOUN
ecj-13919	107	49	syndrome	syndrome	NOUN
ecj-13919	107	50	or	or	CCONJ
ecj-13919	107	51	early	early	ADJ
ecj-13919	107	52	non	non	ADJ
ecj-13919	107	53	-	-	ADJ
ecj-13919	107	54	cardiogenic	cardiogenic	ADJ
ecj-13919	107	55	pulmonary	pulmonary	ADJ
ecj-13919	107	56	edema	edema	NOUN
ecj-13919	107	57	,	,	PUNCT
ecj-13919	107	58	which	which	PRON
ecj-13919	107	59	has	have	AUX
ecj-13919	107	60	been	be	AUX
ecj-13919	107	61	described	describe	VERB
ecj-13919	107	62	in	in	ADP
ecj-13919	107	63	the	the	DET
ecj-13919	107	64	context	context	NOUN
ecj-13919	107	65	of	of	ADP
ecj-13919	107	66	severe	severe	ADJ
ecj-13919	107	67	scombroid	scombroid	PROPN
ecj-13919	107	68	poisoning.10,11	poisoning.10,11	NOUN
ecj-13919	107	69	the	the	DET
ecj-13919	107	70	management	management	NOUN
ecj-13919	107	71	of	of	ADP
ecj-13919	107	72	these	these	DET
ecj-13919	107	73	cases	case	NOUN
ecj-13919	107	74	–	–	PUNCT
ecj-13919	107	75	beyond	beyond	ADP
ecj-13919	107	76	supportive	supportive	ADJ
ecj-13919	107	77	care	care	NOUN
ecj-13919	107	78	and	and	CCONJ
ecj-13919	107	79	treatment	treatment	NOUN
ecj-13919	107	80	of	of	ADP
ecj-13919	107	81	scombroid	scombroid	ADJ
ecj-13919	107	82	syndrome	syndrome	NOUN
ecj-13919	107	83	–	–	PUNCT
ecj-13919	107	84	is	be	AUX
ecj-13919	107	85	essentially	essentially	ADV
ecj-13919	107	86	analogous	analogous	ADJ
ecj-13919	107	87	to	to	ADP
ecj-13919	107	88	that	that	PRON
ecj-13919	107	89	of	of	ADP
ecj-13919	107	90	ards	ard	NOUN
ecj-13919	107	91	.	.	PUNCT
ecj-13919	108	1	methemoglobin	methemoglobin	INTJ
ecj-13919	108	2	(	(	PUNCT
ecj-13919	108	3	meta	meta	X
ecj-13919	108	4	-	-	PUNCT
ecj-13919	108	5	hb	hb	NOUN
ecj-13919	108	6	)	)	PUNCT
ecj-13919	108	7	levels	level	NOUN
ecj-13919	108	8	were	be	AUX
ecj-13919	108	9	measured	measure	VERB
ecj-13919	108	10	and	and	CCONJ
ecj-13919	108	11	found	find	VERB
ecj-13919	108	12	to	to	PART
ecj-13919	108	13	be	be	AUX
ecj-13919	108	14	within	within	ADP
ecj-13919	108	15	normal	normal	ADJ
ecj-13919	108	16	limits	limit	NOUN
ecj-13919	108	17	.	.	PUNCT
ecj-13919	109	1	this	this	PRON
ecj-13919	109	2	is	be	AUX
ecj-13919	109	3	noteworthy	noteworthy	ADJ
ecj-13919	109	4	given	give	VERB
ecj-13919	109	5	prior	prior	ADJ
ecj-13919	109	6	reports	report	NOUN
ecj-13919	109	7	of	of	ADP
ecj-13919	109	8	scombroid	scombroid	NOUN
ecj-13919	109	9	-	-	PUNCT
ecj-13919	109	10	like	like	ADJ
ecj-13919	109	11	poisoning	poisoning	NOUN
ecj-13919	109	12	due	due	ADP
ecj-13919	109	13	to	to	ADP
ecj-13919	109	14	nitrate	nitrate	NOUN
ecj-13919	109	15	-	-	PUNCT
ecj-13919	109	16	contaminated	contaminate	VERB
ecj-13919	109	17	tuna	tuna	NOUN
ecj-13919	109	18	in	in	ADP
ecj-13919	109	19	italy	italy	PROPN
ecj-13919	109	20	,	,	PUNCT
ecj-13919	109	21	where	where	SCONJ
ecj-13919	109	22	elevated	elevated	ADJ
ecj-13919	109	23	meta	meta	ADJ
ecj-13919	109	24	-	-	PUNCT
ecj-13919	109	25	hb	hb	NOUN
ecj-13919	109	26	levels	level	NOUN
ecj-13919	109	27	were	be	AUX
ecj-13919	109	28	documented.12	documented.12	NOUN
ecj-13919	109	29	an	an	DET
ecj-13919	109	30	additional	additional	ADJ
ecj-13919	109	31	peculiarity	peculiarity	NOUN
ecj-13919	109	32	of	of	ADP
ecj-13919	109	33	the	the	DET
ecj-13919	109	34	present	present	ADJ
ecj-13919	109	35	case	case	NOUN
ecj-13919	109	36	is	be	AUX
ecj-13919	109	37	that	that	SCONJ
ecj-13919	109	38	the	the	DET
ecj-13919	109	39	gastrointestinal	gastrointestinal	ADJ
ecj-13919	109	40	symptoms	symptom	NOUN
ecj-13919	109	41	are	be	AUX
ecj-13919	109	42	blurred	blur	VERB
ecj-13919	109	43	:	:	PUNCT
ecj-13919	109	44	typically	typically	ADV
ecj-13919	109	45	those	those	PRON
ecj-13919	109	46	are	be	AUX
ecj-13919	109	47	commonly	commonly	ADV
ecj-13919	109	48	described	describe	VERB
ecj-13919	109	49	in	in	ADP
ecj-13919	109	50	scombroid	scombroid	ADJ
ecj-13919	109	51	syndrome	syndrome	NOUN
ecj-13919	109	52	and	and	CCONJ
ecj-13919	109	53	are	be	AUX
ecj-13919	109	54	part	part	NOUN
ecj-13919	109	55	of	of	ADP
ecj-13919	109	56	the	the	DET
ecj-13919	109	57	typical	typical	ADJ
ecj-13919	109	58	clinical	clinical	ADJ
ecj-13919	109	59	triad	triad	NOUN
ecj-13919	109	60	alongside	alongside	ADP
ecj-13919	109	61	dermatologic	dermatologic	ADJ
ecj-13919	109	62	and	and	CCONJ
ecj-13919	109	63	neurologic	neurologic	ADJ
ecj-13919	109	64	findings.1,10,11,13	findings.1,10,11,13	NOUN
ecj-13919	109	65	the	the	DET
ecj-13919	109	66	poor	poor	ADJ
ecj-13919	109	67	gastrointestinal	gastrointestinal	ADJ
ecj-13919	109	68	manifestations	manifestation	NOUN
ecj-13919	109	69	may	may	AUX
ecj-13919	109	70	have	have	VERB
ecj-13919	109	71	diagnostic	diagnostic	ADJ
ecj-13919	109	72	implications	implication	NOUN
ecj-13919	109	73	,	,	PUNCT
ecj-13919	109	74	potentially	potentially	ADV
ecj-13919	109	75	delaying	delay	VERB
ecj-13919	109	76	the	the	DET
ecj-13919	109	77	suspicion	suspicion	NOUN
ecj-13919	109	78	of	of	ADP
ecj-13919	109	79	a	a	DET
ecj-13919	109	80	foodborne	foodborne	ADJ
ecj-13919	109	81	illness	illness	NOUN
ecj-13919	109	82	and	and	CCONJ
ecj-13919	109	83	contributing	contribute	VERB
ecj-13919	109	84	to	to	PART
ecj-13919	109	85	unrecognized	unrecognize	VERB
ecj-13919	109	86	systemic	systemic	ADJ
ecj-13919	109	87	toxin	toxin	NOUN
ecj-13919	109	88	absorption	absorption	NOUN
ecj-13919	109	89	.	.	PUNCT
ecj-13919	110	1	it	it	PRON
ecj-13919	110	2	could	could	AUX
ecj-13919	110	3	also	also	ADV
ecj-13919	110	4	reflect	reflect	VERB
ecj-13919	110	5	a	a	DET
ecj-13919	110	6	differential	differential	ADJ
ecj-13919	110	7	tissue	tissue	NOUN
ecj-13919	110	8	sensitivity	sensitivity	NOUN
ecj-13919	110	9	to	to	AUX
ecj-13919	110	10	histamine	histamine	VERB
ecj-13919	110	11	and	and	CCONJ
ecj-13919	110	12	related	related	ADJ
ecj-13919	110	13	amines	amine	NOUN
ecj-13919	110	14	,	,	PUNCT
ecj-13919	110	15	whereby	whereby	SCONJ
ecj-13919	110	16	the	the	DET
ecj-13919	110	17	gastrointestinal	gastrointestinal	ADJ
ecj-13919	110	18	tract	tract	NOUN
ecj-13919	110	19	remains	remain	VERB
ecj-13919	110	20	unaffected	unaffected	ADJ
ecj-13919	110	21	while	while	SCONJ
ecj-13919	110	22	cardiovascular	cardiovascular	ADJ
ecj-13919	110	23	and	and	CCONJ
ecj-13919	110	24	respiratory	respiratory	ADJ
ecj-13919	110	25	systems	system	NOUN
ecj-13919	110	26	are	be	AUX
ecj-13919	110	27	more	more	ADV
ecj-13919	110	28	severely	severely	ADV
ecj-13919	110	29	involved	involve	VERB
ecj-13919	110	30	.	.	PUNCT
ecj-13919	111	1	this	this	DET
ecj-13919	111	2	observation	observation	NOUN
ecj-13919	111	3	raises	raise	VERB
ecj-13919	111	4	the	the	DET
ecj-13919	111	5	hypothesis	hypothesis	NOUN
ecj-13919	111	6	that	that	PRON
ecj-13919	111	7	,	,	PUNCT
ecj-13919	111	8	in	in	ADP
ecj-13919	111	9	certain	certain	ADJ
ecj-13919	111	10	individuals	individual	NOUN
ecj-13919	111	11	,	,	PUNCT
ecj-13919	111	12	the	the	DET
ecj-13919	111	13	absence	absence	NOUN
ecj-13919	111	14	of	of	ADP
ecj-13919	111	15	early	early	ADJ
ecj-13919	111	16	“	"	PUNCT
ecj-13919	111	17	warning	warning	NOUN
ecj-13919	111	18	”	"	PUNCT
ecj-13919	111	19	symptoms	symptom	NOUN
ecj-13919	111	20	like	like	ADP
ecj-13919	111	21	gastrointestinal	gastrointestinal	ADJ
ecj-13919	111	22	discomfort	discomfort	NOUN
ecj-13919	111	23	might	might	AUX
ecj-13919	111	24	paradoxically	paradoxically	ADV
ecj-13919	111	25	predispose	predispose	VERB
ecj-13919	111	26	to	to	ADP
ecj-13919	111	27	a	a	DET
ecj-13919	111	28	greater	great	ADJ
ecj-13919	111	29	risk	risk	NOUN
ecj-13919	111	30	of	of	ADP
ecj-13919	111	31	systemic	systemic	ADJ
ecj-13919	111	32	or	or	CCONJ
ecj-13919	111	33	cardiovascular	cardiovascular	ADJ
ecj-13919	111	34	complications	complication	NOUN
ecj-13919	111	35	,	,	PUNCT
ecj-13919	111	36	due	due	ADP
ecj-13919	111	37	to	to	ADP
ecj-13919	111	38	unopposed	unoppose	VERB
ecj-13919	111	39	toxin	toxin	NOUN
ecj-13919	111	40	progression	progression	NOUN
ecj-13919	111	41	before	before	ADP
ecj-13919	111	42	medical	medical	ADJ
ecj-13919	111	43	attention	attention	NOUN
ecj-13919	111	44	is	be	AUX
ecj-13919	111	45	sought.1,10,11,13	sought.1,10,11,13	ADJ
ecj-13919	111	46	further	further	ADJ
ecj-13919	111	47	studies	study	NOUN
ecj-13919	111	48	would	would	AUX
ecj-13919	111	49	be	be	AUX
ecj-13919	111	50	needed	need	VERB
ecj-13919	111	51	to	to	PART
ecj-13919	111	52	validate	validate	VERB
ecj-13919	111	53	this	this	DET
ecj-13919	111	54	potential	potential	ADJ
ecj-13919	111	55	association	association	NOUN
ecj-13919	111	56	,	,	PUNCT
ecj-13919	111	57	but	but	CCONJ
ecj-13919	111	58	this	this	DET
ecj-13919	111	59	clinical	clinical	ADJ
ecj-13919	111	60	scenario	scenario	NOUN
ecj-13919	111	61	emphasizes	emphasize	VERB
ecj-13919	111	62	the	the	DET
ecj-13919	111	63	heterogeneity	heterogeneity	NOUN
ecj-13919	111	64	of	of	ADP
ecj-13919	111	65	scombroid	scombroid	ADJ
ecj-13919	111	66	syndrome	syndrome	NOUN
ecj-13919	111	67	presentations	presentation	NOUN
ecj-13919	111	68	and	and	CCONJ
ecj-13919	111	69	the	the	DET
ecj-13919	111	70	need	need	NOUN
ecj-13919	111	71	for	for	ADP
ecj-13919	111	72	a	a	DET
ecj-13919	111	73	high	high	ADJ
ecj-13919	111	74	index	index	NOUN
ecj-13919	111	75	of	of	ADP
ecj-13919	111	76	suspicion	suspicion	NOUN
ecj-13919	111	77	even	even	ADV
ecj-13919	111	78	in	in	ADP
ecj-13919	111	79	the	the	DET
ecj-13919	111	80	absence	absence	NOUN
ecj-13919	111	81	of	of	ADP
ecj-13919	111	82	the	the	DET
ecj-13919	111	83	full	full	ADJ
ecj-13919	111	84	classic	classic	ADJ
ecj-13919	111	85	symptom	symptom	NOUN
ecj-13919	111	86	constellation	constellation	NOUN
ecj-13919	111	87	.	.	PUNCT
ecj-13919	112	1	scombroid	scombroid	ADJ
ecj-13919	112	2	poisoning	poisoning	NOUN
ecj-13919	112	3	has	have	VERB
ecj-13919	112	4	a	a	DET
ecj-13919	112	5	global	global	ADJ
ecj-13919	112	6	distribution	distribution	NOUN
ecj-13919	112	7	and	and	CCONJ
ecj-13919	112	8	frequently	frequently	ADV
ecj-13919	112	9	presents	present	VERB
ecj-13919	112	10	in	in	ADP
ecj-13919	112	11	clusters	cluster	NOUN
ecj-13919	112	12	following	follow	VERB
ecj-13919	112	13	ingestion	ingestion	NOUN
ecj-13919	112	14	of	of	ADP
ecj-13919	112	15	contaminated	contaminate	VERB
ecj-13919	112	16	darkfleshed	darkfleshed	ADJ
ecj-13919	112	17	fish	fish	NOUN
ecj-13919	112	18	.	.	PUNCT
ecj-13919	113	1	the	the	DET
ecj-13919	113	2	condition	condition	NOUN
ecj-13919	113	3	is	be	AUX
ecj-13919	113	4	classically	classically	ADV
ecj-13919	113	5	associated	associate	VERB
ecj-13919	113	6	with	with	ADP
ecj-13919	113	7	species	specie	NOUN
ecj-13919	113	8	case	case	NOUN
ecj-13919	113	9	report	report	NOUN
ecj-13919	113	10	[	[	X
ecj-13919	113	11	emergency	emergency	NOUN
ecj-13919	113	12	care	care	NOUN
ecj-13919	113	13	journal	journal	NOUN
ecj-13919	113	14	2025	2025	NUM
ecj-13919	113	15	;	;	PUNCT
ecj-13919	113	16	21:13919	21:13919	NUM
ecj-13919	113	17	]	]	X
ecj-13919	114	1	[	[	X
ecj-13919	114	2	page	page	NOUN
ecj-13919	114	3	23	23	NUM
ecj-13919	114	4	]	]	PUNCT
ecj-13919	114	5	within	within	ADP
ecj-13919	114	6	the	the	DET
ecj-13919	114	7	scombridae	scombridae	NOUN
ecj-13919	114	8	and	and	CCONJ
ecj-13919	114	9	scomberesocidae	scomberesocidae	NOUN
ecj-13919	114	10	families	family	NOUN
ecj-13919	114	11	,	,	PUNCT
ecj-13919	114	12	including	include	VERB
ecj-13919	114	13	tuna	tuna	NOUN
ecj-13919	114	14	,	,	PUNCT
ecj-13919	114	15	mackerel	mackerel	NOUN
ecj-13919	114	16	,	,	PUNCT
ecj-13919	114	17	skipjack	skipjack	NOUN
ecj-13919	114	18	,	,	PUNCT
ecj-13919	114	19	and	and	CCONJ
ecj-13919	114	20	bonito.14,15	bonito.14,15	NOUN
ecj-13919	114	21	however	however	ADV
ecj-13919	114	22	,	,	PUNCT
ecj-13919	114	23	cases	case	NOUN
ecj-13919	114	24	have	have	AUX
ecj-13919	114	25	also	also	ADV
ecj-13919	114	26	been	be	AUX
ecj-13919	114	27	linked	link	VERB
ecj-13919	114	28	to	to	ADP
ecj-13919	114	29	other	other	ADJ
ecj-13919	114	30	species	specie	NOUN
ecj-13919	114	31	such	such	ADJ
ecj-13919	114	32	as	as	ADP
ecj-13919	114	33	mahi	mahi	NOUN
ecj-13919	114	34	-	-	PUNCT
ecj-13919	114	35	mahi	mahi	NOUN
ecj-13919	114	36	(	(	PUNCT
ecj-13919	114	37	coryphaena	coryphaena	NOUN
ecj-13919	114	38	hippurus	hippurus	PROPN
ecj-13919	114	39	)	)	PUNCT
ecj-13919	114	40	,	,	PUNCT
ecj-13919	114	41	bluefish	bluefish	NOUN
ecj-13919	114	42	,	,	PUNCT
ecj-13919	114	43	amberjack	amberjack	NOUN
ecj-13919	114	44	,	,	PUNCT
ecj-13919	114	45	swordfish	swordfish	NOUN
ecj-13919	114	46	,	,	PUNCT
ecj-13919	114	47	marlin	marlin	NOUN
ecj-13919	114	48	,	,	PUNCT
ecj-13919	114	49	herring	herring	NOUN
ecj-13919	114	50	,	,	PUNCT
ecj-13919	114	51	sardines	sardine	NOUN
ecj-13919	114	52	,	,	PUNCT
ecj-13919	114	53	anchovies	anchovy	NOUN
ecj-13919	114	54	,	,	PUNCT
ecj-13919	114	55	salmon	salmon	NOUN
ecj-13919	114	56	,	,	PUNCT
ecj-13919	114	57	tilapia	tilapia	NOUN
ecj-13919	114	58	,	,	PUNCT
ecj-13919	114	59	and	and	CCONJ
ecj-13919	114	60	trout.1,14	trout.1,14	PROPN
ecj-13919	114	61	in	in	ADP
ecj-13919	114	62	the	the	DET
ecj-13919	114	63	united	united	PROPN
ecj-13919	114	64	states	states	PROPN
ecj-13919	114	65	and	and	CCONJ
ecj-13919	114	66	europe	europe	PROPN
ecj-13919	114	67	,	,	PUNCT
ecj-13919	114	68	scombroid	scombroid	ADJ
ecj-13919	114	69	poisoning	poisoning	NOUN
ecj-13919	114	70	is	be	AUX
ecj-13919	114	71	responsible	responsible	ADJ
ecj-13919	114	72	for	for	ADP
ecj-13919	114	73	up	up	ADP
ecj-13919	114	74	to	to	PART
ecj-13919	114	75	40	40	NUM
ecj-13919	114	76	%	%	NOUN
ecj-13919	114	77	of	of	ADP
ecj-13919	114	78	seafood	seafood	NOUN
ecj-13919	114	79	-	-	PUNCT
ecj-13919	114	80	related	relate	VERB
ecj-13919	114	81	outbreaks.1	outbreaks.1	ADV
ecj-13919	114	82	between	between	ADP
ecj-13919	114	83	2000	2000	NUM
ecj-13919	114	84	and	and	CCONJ
ecj-13919	114	85	2007	2007	NUM
ecj-13919	114	86	,	,	PUNCT
ecj-13919	114	87	the	the	DET
ecj-13919	114	88	u.s	u.s	PROPN
ecj-13919	114	89	.	.	PROPN
ecj-13919	114	90	foodborne	foodborne	ADJ
ecj-13919	114	91	disease	disease	NOUN
ecj-13919	114	92	outbreak	outbreak	NOUN
ecj-13919	114	93	surveillance	surveillance	NOUN
ecj-13919	114	94	system	system	NOUN
ecj-13919	114	95	documented	document	VERB
ecj-13919	114	96	223	223	NUM
ecj-13919	114	97	outbreaks	outbreak	NOUN
ecj-13919	114	98	,	,	PUNCT
ecj-13919	114	99	involving	involve	VERB
ecj-13919	114	100	865	865	NUM
ecj-13919	114	101	individuals	individual	NOUN
ecj-13919	114	102	;	;	PUNCT
ecj-13919	114	103	however	however	ADV
ecj-13919	114	104	no	no	DET
ecj-13919	114	105	fatalities	fatality	NOUN
ecj-13919	114	106	were	be	AUX
ecj-13919	114	107	recorded	record	VERB
ecj-13919	114	108	.	.	PUNCT
ecj-13919	115	1	population	population	NOUN
ecj-13919	115	2	-	-	PUNCT
ecj-13919	115	3	based	base	VERB
ecj-13919	115	4	incidence	incidence	NOUN
ecj-13919	115	5	estimates	estimate	NOUN
ecj-13919	115	6	vary	vary	VERB
ecj-13919	115	7	,	,	PUNCT
ecj-13919	115	8	ranging	range	VERB
ecj-13919	115	9	from	from	ADP
ecj-13919	115	10	2–5	2–5	PROPN
ecj-13919	115	11	annual	annual	ADJ
ecj-13919	115	12	outbreaks	outbreak	NOUN
ecj-13919	115	13	per	per	ADP
ecj-13919	115	14	million	million	NUM
ecj-13919	115	15	individuals	individual	NOUN
ecj-13919	115	16	in	in	ADP
ecj-13919	115	17	countries	country	NOUN
ecj-13919	115	18	such	such	ADJ
ecj-13919	115	19	as	as	ADP
ecj-13919	115	20	denmark	denmark	NOUN
ecj-13919	115	21	,	,	PUNCT
ecj-13919	115	22	new	new	PROPN
ecj-13919	115	23	zealand	zealand	PROPN
ecj-13919	115	24	,	,	PUNCT
ecj-13919	115	25	france	france	PROPN
ecj-13919	115	26	,	,	PUNCT
ecj-13919	115	27	and	and	CCONJ
ecj-13919	115	28	finland	finland	PROPN
ecj-13919	115	29	,	,	PUNCT
ecj-13919	115	30	to	to	ADP
ecj-13919	115	31	as	as	ADV
ecj-13919	115	32	many	many	ADJ
ecj-13919	115	33	as	as	ADP
ecj-13919	115	34	31	31	NUM
ecj-13919	115	35	outbreaks	outbreak	NOUN
ecj-13919	115	36	per	per	ADP
ecj-13919	115	37	million	million	NUM
ecj-13919	115	38	per	per	ADP
ecj-13919	115	39	year	year	NOUN
ecj-13919	115	40	in	in	ADP
ecj-13919	115	41	hawaii.1	hawaii.1	PROPN
ecj-13919	115	42	nevertheless	nevertheless	ADV
ecj-13919	115	43	,	,	PUNCT
ecj-13919	115	44	the	the	DET
ecj-13919	115	45	condition	condition	NOUN
ecj-13919	115	46	is	be	AUX
ecj-13919	115	47	believed	believe	VERB
ecj-13919	115	48	to	to	PART
ecj-13919	115	49	be	be	AUX
ecj-13919	115	50	underreported	underreported	ADJ
ecj-13919	115	51	due	due	ADP
ecj-13919	115	52	to	to	ADP
ecj-13919	115	53	its	its	PRON
ecj-13919	115	54	nonspecific	nonspecific	ADJ
ecj-13919	115	55	presentation	presentation	NOUN
ecj-13919	115	56	and	and	CCONJ
ecj-13919	115	57	a	a	DET
ecj-13919	115	58	usual	usual	ADJ
ecj-13919	115	59	short	short	ADJ
ecj-13919	115	60	clinical	clinical	ADJ
ecj-13919	115	61	course	course	NOUN
ecj-13919	115	62	.	.	PUNCT
ecj-13919	116	1	scombroid	scombroid	ADJ
ecj-13919	116	2	poisoning	poisoning	NOUN
ecj-13919	116	3	results	result	NOUN
ecj-13919	116	4	from	from	ADP
ecj-13919	116	5	the	the	DET
ecj-13919	116	6	improper	improper	ADJ
ecj-13919	116	7	storage	storage	NOUN
ecj-13919	116	8	of	of	ADP
ecj-13919	116	9	fish	fish	NOUN
ecj-13919	116	10	at	at	ADP
ecj-13919	116	11	temperatures	temperature	NOUN
ecj-13919	116	12	exceeding	exceed	VERB
ecj-13919	116	13	4	4	NUM
ecj-13919	116	14	°	°	ADP
ecj-13919	116	15	c	c	NOUN
ecj-13919	116	16	(	(	PUNCT
ecj-13919	116	17	40	40	NUM
ecj-13919	116	18	°	°	NUM
ecj-13919	116	19	f	f	NOUN
ecj-13919	116	20	)	)	PUNCT
ecj-13919	116	21	,	,	PUNCT
ecj-13919	116	22	leading	lead	VERB
ecj-13919	116	23	to	to	ADP
ecj-13919	116	24	bacterial	bacterial	ADJ
ecj-13919	116	25	proliferation	proliferation	NOUN
ecj-13919	116	26	and	and	CCONJ
ecj-13919	116	27	the	the	DET
ecj-13919	116	28	enzymatic	enzymatic	ADJ
ecj-13919	116	29	decarboxylation	decarboxylation	NOUN
ecj-13919	116	30	of	of	ADP
ecj-13919	116	31	histidine	histidine	NOUN
ecj-13919	116	32	into	into	ADP
ecj-13919	116	33	histamine	histamine	NOUN
ecj-13919	116	34	and	and	CCONJ
ecj-13919	116	35	other	other	ADJ
ecj-13919	116	36	biogenic	biogenic	NOUN
ecj-13919	116	37	amines.1,15	amines.1,15	NOUN
ecj-13919	116	38	this	this	DET
ecj-13919	116	39	process	process	NOUN
ecj-13919	116	40	may	may	AUX
ecj-13919	116	41	occur	occur	VERB
ecj-13919	116	42	within	within	ADP
ecj-13919	116	43	2–3	2–3	NUM
ecj-13919	116	44	hours	hour	NOUN
ecj-13919	116	45	if	if	SCONJ
ecj-13919	116	46	the	the	DET
ecj-13919	116	47	fish	fish	NOUN
ecj-13919	116	48	is	be	AUX
ecj-13919	116	49	kept	keep	VERB
ecj-13919	116	50	at	at	ADP
ecj-13919	116	51	temperatures	temperature	NOUN
ecj-13919	116	52	around	around	ADP
ecj-13919	116	53	20	20	NUM
ecj-13919	116	54	°	°	NUM
ecj-13919	116	55	c	c	NOUN
ecj-13919	116	56	(	(	PUNCT
ecj-13919	116	57	68	68	NUM
ecj-13919	116	58	°	°	NUM
ecj-13919	116	59	f	f	NOUN
ecj-13919	116	60	)	)	PUNCT
ecj-13919	116	61	.	.	PUNCT
ecj-13919	117	1	the	the	DET
ecj-13919	117	2	primary	primary	ADJ
ecj-13919	117	3	bacterial	bacterial	ADJ
ecj-13919	117	4	agents	agent	NOUN
ecj-13919	117	5	responsible	responsible	ADJ
ecj-13919	117	6	include	include	VERB
ecj-13919	117	7	escherichia	escherichia	NOUN
ecj-13919	117	8	coli	coli	NOUN
ecj-13919	117	9	,	,	PUNCT
ecj-13919	117	10	halophilic	halophilic	PROPN
ecj-13919	117	11	vibrio	vibrio	NOUN
ecj-13919	117	12	spp	spp	PROPN
ecj-13919	117	13	.	.	PROPN
ecj-13919	117	14	,	,	PUNCT
ecj-13919	117	15	proteus	proteus	NOUN
ecj-13919	117	16	,	,	PUNCT
ecj-13919	117	17	klebsiella	klebsiella	NOUN
ecj-13919	117	18	,	,	PUNCT
ecj-13919	117	19	clostridium	clostridium	NOUN
ecj-13919	117	20	,	,	PUNCT
ecj-13919	117	21	salmonella	salmonella	NOUN
ecj-13919	117	22	,	,	PUNCT
ecj-13919	117	23	and	and	CCONJ
ecj-13919	117	24	shigella	shigella	PROPN
ecj-13919	117	25	spp.1,15	spp.1,15	PROPN
ecj-13919	117	26	notably	notably	ADV
ecj-13919	117	27	,	,	PUNCT
ecj-13919	117	28	histamine	histamine	NOUN
ecj-13919	117	29	is	be	AUX
ecj-13919	117	30	heat	heat	NOUN
ecj-13919	117	31	-	-	PUNCT
ecj-13919	117	32	stable	stable	ADJ
ecj-13919	117	33	and	and	CCONJ
ecj-13919	117	34	can	can	AUX
ecj-13919	117	35	not	not	PART
ecj-13919	117	36	be	be	AUX
ecj-13919	117	37	destroyed	destroy	VERB
ecj-13919	117	38	through	through	ADP
ecj-13919	117	39	cooking	cooking	NOUN
ecj-13919	117	40	,	,	PUNCT
ecj-13919	117	41	freezing	freezing	NOUN
ecj-13919	117	42	,	,	PUNCT
ecj-13919	117	43	or	or	CCONJ
ecj-13919	117	44	refrigeration.15	refrigeration.15	NOUN
ecj-13919	117	45	consequently	consequently	ADV
ecj-13919	117	46	,	,	PUNCT
ecj-13919	117	47	contaminated	contaminate	VERB
ecj-13919	117	48	fish	fish	NOUN
ecj-13919	117	49	may	may	AUX
ecj-13919	117	50	appear	appear	VERB
ecj-13919	117	51	and	and	CCONJ
ecj-13919	117	52	smell	smell	VERB
ecj-13919	117	53	normal	normal	ADJ
ecj-13919	117	54	,	,	PUNCT
ecj-13919	117	55	though	though	SCONJ
ecj-13919	117	56	some	some	DET
ecj-13919	117	57	patients	patient	NOUN
ecj-13919	117	58	report	report	VERB
ecj-13919	117	59	a	a	DET
ecj-13919	117	60	distinctive	distinctive	ADJ
ecj-13919	117	61	“	"	PUNCT
ecj-13919	117	62	peppery	peppery	NOUN
ecj-13919	117	63	,	,	PUNCT
ecj-13919	117	64	”	"	PUNCT
ecj-13919	117	65	“	"	PUNCT
ecj-13919	117	66	spicy	spicy	ADJ
ecj-13919	117	67	,	,	PUNCT
ecj-13919	117	68	”	"	PUNCT
ecj-13919	117	69	or	or	CCONJ
ecj-13919	117	70	“	"	PUNCT
ecj-13919	117	71	bubbly	bubbly	ADJ
ecj-13919	117	72	”	"	PUNCT
ecj-13919	117	73	taste	taste	NOUN
ecj-13919	117	74	.	.	PUNCT
ecj-13919	118	1	contamination	contamination	NOUN
ecj-13919	118	2	may	may	AUX
ecj-13919	118	3	occur	occur	VERB
ecj-13919	118	4	at	at	ADP
ecj-13919	118	5	sea	sea	NOUN
ecj-13919	118	6	if	if	SCONJ
ecj-13919	118	7	refrigeration	refrigeration	NOUN
ecj-13919	118	8	is	be	AUX
ecj-13919	118	9	inadequate	inadequate	ADJ
ecj-13919	118	10	,	,	PUNCT
ecj-13919	118	11	but	but	CCONJ
ecj-13919	118	12	improper	improper	ADJ
ecj-13919	118	13	handling	handling	NOUN
ecj-13919	118	14	at	at	ADP
ecj-13919	118	15	any	any	DET
ecj-13919	118	16	stage	stage	NOUN
ecj-13919	118	17	before	before	ADP
ecj-13919	118	18	consumption	consumption	NOUN
ecj-13919	118	19	can	can	AUX
ecj-13919	118	20	also	also	ADV
ecj-13919	118	21	result	result	VERB
ecj-13919	118	22	in	in	ADP
ecj-13919	118	23	toxic	toxic	ADJ
ecj-13919	118	24	accumulation.1,13,15	accumulation.1,13,15	NOUN
ecj-13919	118	25	although	although	SCONJ
ecj-13919	118	26	fresh	fresh	ADJ
ecj-13919	118	27	fish	fish	NOUN
ecj-13919	118	28	is	be	AUX
ecj-13919	118	29	the	the	DET
ecj-13919	118	30	most	most	ADV
ecj-13919	118	31	common	common	ADJ
ecj-13919	118	32	source	source	NOUN
ecj-13919	118	33	,	,	PUNCT
ecj-13919	118	34	improperly	improperly	ADV
ecj-13919	118	35	handled	handle	VERB
ecj-13919	118	36	canned	canned	ADJ
ecj-13919	118	37	fish	fish	NOUN
ecj-13919	118	38	may	may	AUX
ecj-13919	118	39	also	also	ADV
ecj-13919	118	40	lead	lead	VERB
ecj-13919	118	41	to	to	ADP
ecj-13919	118	42	histamine	histamine	NOUN
ecj-13919	118	43	poisoning	poisoning	NOUN
ecj-13919	118	44	.	.	PUNCT
ecj-13919	119	1	one	one	NUM
ecj-13919	119	2	such	such	ADJ
ecj-13919	119	3	case	case	NOUN
ecj-13919	119	4	was	be	AUX
ecj-13919	119	5	documented	document	VERB
ecj-13919	119	6	by	by	ADP
ecj-13919	119	7	predy	predy	PROPN
ecj-13919	119	8	et	et	PROPN
ecj-13919	119	9	al	al	PROPN
ecj-13919	119	10	.	.	PROPN
ecj-13919	119	11	,16	,16	PUNCT
ecj-13919	119	12	who	who	PRON
ecj-13919	119	13	described	describe	VERB
ecj-13919	119	14	a	a	DET
ecj-13919	119	15	51	51	NUM
ecj-13919	119	16	-	-	PUNCT
ecj-13919	119	17	yearold	yearold	ADJ
ecj-13919	119	18	woman	woman	NOUN
ecj-13919	119	19	developing	develop	VERB
ecj-13919	119	20	symptoms	symptom	NOUN
ecj-13919	119	21	including	include	VERB
ecj-13919	119	22	headache	headache	NOUN
ecj-13919	119	23	,	,	PUNCT
ecj-13919	119	24	nausea	nausea	NOUN
ecj-13919	119	25	,	,	PUNCT
ecj-13919	119	26	palpitations	palpitation	NOUN
ecj-13919	119	27	,	,	PUNCT
ecj-13919	119	28	tachycardia	tachycardia	NOUN
ecj-13919	119	29	,	,	PUNCT
ecj-13919	119	30	and	and	CCONJ
ecj-13919	119	31	hypertension	hypertension	NOUN
ecj-13919	119	32	within	within	ADP
ecj-13919	119	33	30	30	NUM
ecj-13919	119	34	minutes	minute	NOUN
ecj-13919	119	35	of	of	ADP
ecj-13919	119	36	consuming	consume	VERB
ecj-13919	119	37	tuna	tuna	NOUN
ecj-13919	119	38	salad	salad	VERB
ecj-13919	119	39	as	as	ADP
ecj-13919	119	40	in	in	ADP
ecj-13919	119	41	our	our	PRON
ecj-13919	119	42	case	case	NOUN
ecj-13919	119	43	report	report	NOUN
ecj-13919	119	44	.	.	PUNCT
ecj-13919	120	1	elevated	elevated	ADJ
ecj-13919	120	2	histamine	histamine	NOUN
ecj-13919	120	3	levels	level	NOUN
ecj-13919	120	4	in	in	ADP
ecj-13919	120	5	the	the	DET
ecj-13919	120	6	food	food	NOUN
ecj-13919	120	7	confirmed	confirm	VERB
ecj-13919	120	8	the	the	DET
ecj-13919	120	9	diagnosis	diagnosis	NOUN
ecj-13919	120	10	.	.	PUNCT
ecj-13919	121	1	the	the	DET
ecj-13919	121	2	clinical	clinical	ADJ
ecj-13919	121	3	features	feature	NOUN
ecj-13919	121	4	of	of	ADP
ecj-13919	121	5	scombroid	scombroid	ADJ
ecj-13919	121	6	poisoning	poisoning	NOUN
ecj-13919	121	7	are	be	AUX
ecj-13919	121	8	attributable	attributable	ADJ
ecj-13919	121	9	to	to	ADP
ecj-13919	121	10	elevated	elevated	ADJ
ecj-13919	121	11	levels	level	NOUN
ecj-13919	121	12	of	of	ADP
ecj-13919	121	13	histamine	histamine	NOUN
ecj-13919	121	14	and	and	CCONJ
ecj-13919	121	15	typically	typically	ADV
ecj-13919	121	16	present	present	ADJ
ecj-13919	121	17	within	within	ADP
ecj-13919	121	18	one	one	NUM
ecj-13919	121	19	hour	hour	NOUN
ecj-13919	121	20	following	follow	VERB
ecj-13919	121	21	ingestion	ingestion	NOUN
ecj-13919	121	22	of	of	ADP
ecj-13919	121	23	contaminated	contaminate	VERB
ecj-13919	121	24	fish	fish	NOUN
ecj-13919	121	25	or	or	CCONJ
ecj-13919	121	26	dairy	dairy	NOUN
ecj-13919	121	27	products	product	NOUN
ecj-13919	121	28	.	.	PUNCT
ecj-13919	122	1	the	the	DET
ecj-13919	122	2	symptomatology	symptomatology	NOUN
ecj-13919	122	3	is	be	AUX
ecj-13919	122	4	variable	variable	ADJ
ecj-13919	122	5	but	but	CCONJ
ecj-13919	122	6	consistently	consistently	ADV
ecj-13919	122	7	involves	involve	VERB
ecj-13919	122	8	dermatologic	dermatologic	ADJ
ecj-13919	122	9	,	,	PUNCT
ecj-13919	122	10	gastrointestinal	gastrointestinal	ADJ
ecj-13919	122	11	,	,	PUNCT
ecj-13919	122	12	and	and	CCONJ
ecj-13919	122	13	neurologic	neurologic	ADJ
ecj-13919	122	14	components.13,16,17	components.13,16,17	NOUN
ecj-13919	122	15	the	the	DET
ecj-13919	122	16	most	most	ADV
ecj-13919	122	17	frequently	frequently	ADV
ecj-13919	122	18	reported	report	VERB
ecj-13919	122	19	symptoms	symptom	NOUN
ecj-13919	122	20	are	be	AUX
ecj-13919	122	21	reported	report	VERB
ecj-13919	122	22	in	in	ADP
ecj-13919	122	23	table	table	NOUN
ecj-13919	122	24	2	2	NUM
ecj-13919	122	25	.	.	PUNCT
ecj-13919	123	1	the	the	DET
ecj-13919	123	2	diagnosis	diagnosis	NOUN
ecj-13919	123	3	of	of	ADP
ecj-13919	123	4	scombroid	scombroid	ADJ
ecj-13919	123	5	poisoning	poisoning	NOUN
ecj-13919	123	6	is	be	AUX
ecj-13919	123	7	primarily	primarily	ADV
ecj-13919	123	8	clinical	clinical	ADJ
ecj-13919	123	9	and	and	CCONJ
ecj-13919	123	10	should	should	AUX
ecj-13919	123	11	be	be	AUX
ecj-13919	123	12	considered	consider	VERB
ecj-13919	123	13	in	in	ADP
ecj-13919	123	14	patients	patient	NOUN
ecj-13919	123	15	presenting	present	VERB
ecj-13919	123	16	with	with	ADP
ecj-13919	123	17	the	the	DET
ecj-13919	123	18	acute	acute	ADJ
ecj-13919	123	19	onset	onset	NOUN
ecj-13919	123	20	of	of	ADP
ecj-13919	123	21	flushing	flush	VERB
ecj-13919	123	22	,	,	PUNCT
ecj-13919	123	23	rash	rash	ADJ
ecj-13919	123	24	,	,	PUNCT
ecj-13919	123	25	headache	headache	NOUN
ecj-13919	123	26	,	,	PUNCT
ecj-13919	123	27	and	and	CCONJ
ecj-13919	123	28	gastrointestinal	gastrointestinal	ADJ
ecj-13919	123	29	symptoms	symptom	NOUN
ecj-13919	123	30	following	follow	VERB
ecj-13919	123	31	recent	recent	ADJ
ecj-13919	123	32	ingestion	ingestion	NOUN
ecj-13919	123	33	of	of	ADP
ecj-13919	123	34	fish	fish	NOUN
ecj-13919	123	35	—	—	PUNCT
ecj-13919	123	36	especially	especially	ADV
ecj-13919	123	37	species	specie	NOUN
ecj-13919	123	38	from	from	ADP
ecj-13919	123	39	the	the	DET
ecj-13919	123	40	scombridae	scombridae	NOUN
ecj-13919	123	41	or	or	CCONJ
ecj-13919	123	42	scomberesocidae	scomberesocidae	NOUN
ecj-13919	123	43	families.1,13,17	families.1,13,17	NOUN
ecj-13919	123	44	the	the	DET
ecj-13919	123	45	diagnostic	diagnostic	ADJ
ecj-13919	123	46	criteria	criterion	NOUN
ecj-13919	123	47	include:1,13,17	include:1,13,17	VERB
ecj-13919	123	48	i	i	NOUN
ecj-13919	123	49	)	)	PUNCT
ecj-13919	123	50	symptom	symptom	NOUN
ecj-13919	123	51	onset	onset	NOUN
ecj-13919	123	52	within	within	ADP
ecj-13919	123	53	60	60	NUM
ecj-13919	123	54	minutes	minute	NOUN
ecj-13919	123	55	of	of	ADP
ecj-13919	123	56	ingesting	ingest	VERB
ecj-13919	123	57	potentially	potentially	ADV
ecj-13919	123	58	contaminated	contaminate	VERB
ecj-13919	123	59	food	food	NOUN
ecj-13919	123	60	;	;	PUNCT
ecj-13919	123	61	ii	ii	X
ecj-13919	123	62	)	)	PUNCT
ecj-13919	123	63	clinical	clinical	ADJ
ecj-13919	123	64	features	feature	NOUN
ecj-13919	123	65	consistent	consistent	ADJ
ecj-13919	123	66	with	with	ADP
ecj-13919	123	67	histamine	histamine	NOUN
ecj-13919	123	68	toxicity	toxicity	NOUN
ecj-13919	123	69	(	(	PUNCT
ecj-13919	123	70	e.g.	e.g.	ADV
ecj-13919	123	71	,	,	PUNCT
ecj-13919	123	72	flushing	flush	VERB
ecj-13919	123	73	,	,	PUNCT
ecj-13919	123	74	urticaria	urticaria	NOUN
ecj-13919	123	75	,	,	PUNCT
ecj-13919	123	76	diarrhea	diarrhea	NOUN
ecj-13919	123	77	,	,	PUNCT
ecj-13919	123	78	headache	headache	NOUN
ecj-13919	123	79	)	)	PUNCT
ecj-13919	123	80	;	;	PUNCT
ecj-13919	123	81	iii	iii	X
ecj-13919	123	82	)	)	PUNCT
ecj-13919	123	83	occurrence	occurrence	NOUN
ecj-13919	123	84	of	of	ADP
ecj-13919	123	85	similar	similar	ADJ
ecj-13919	123	86	symptoms	symptom	NOUN
ecj-13919	123	87	in	in	ADP
ecj-13919	123	88	other	other	ADJ
ecj-13919	123	89	individuals	individual	NOUN
ecj-13919	123	90	who	who	PRON
ecj-13919	123	91	consumed	consume	VERB
ecj-13919	123	92	the	the	DET
ecj-13919	123	93	same	same	ADJ
ecj-13919	123	94	food	food	NOUN
ecj-13919	123	95	;	;	PUNCT
ecj-13919	123	96	iv	iv	X
ecj-13919	123	97	)	)	PUNCT
ecj-13919	123	98	prompt	prompt	ADJ
ecj-13919	123	99	symptom	symptom	NOUN
ecj-13919	123	100	resolution	resolution	NOUN
ecj-13919	123	101	following	follow	VERB
ecj-13919	123	102	administration	administration	NOUN
ecj-13919	123	103	of	of	ADP
ecj-13919	123	104	antihistamines	antihistamine	NOUN
ecj-13919	123	105	.	.	PUNCT
ecj-13919	124	1	although	although	SCONJ
ecj-13919	124	2	not	not	PART
ecj-13919	124	3	routinely	routinely	ADV
ecj-13919	124	4	required	require	VERB
ecj-13919	124	5	,	,	PUNCT
ecj-13919	124	6	laboratory	laboratory	NOUN
ecj-13919	124	7	confirmation	confirmation	NOUN
ecj-13919	124	8	can	can	AUX
ecj-13919	124	9	be	be	AUX
ecj-13919	124	10	pursued	pursue	VERB
ecj-13919	124	11	in	in	ADP
ecj-13919	124	12	suspected	suspect	VERB
ecj-13919	124	13	outbreaks	outbreak	NOUN
ecj-13919	124	14	or	or	CCONJ
ecj-13919	124	15	for	for	ADP
ecj-13919	124	16	public	public	ADJ
ecj-13919	124	17	health	health	NOUN
ecj-13919	124	18	surveillance	surveillance	NOUN
ecj-13919	124	19	.	.	PUNCT
ecj-13919	125	1	histamine	histamine	NOUN
ecj-13919	125	2	concentration	concentration	NOUN
ecj-13919	125	3	in	in	ADP
ecj-13919	125	4	the	the	DET
ecj-13919	125	5	ingested	ingest	VERB
ecj-13919	125	6	fish	fish	NOUN
ecj-13919	125	7	can	can	AUX
ecj-13919	125	8	be	be	AUX
ecj-13919	125	9	measured	measure	VERB
ecj-13919	125	10	using	use	VERB
ecj-13919	125	11	validated	validate	VERB
ecj-13919	125	12	biochemical	biochemical	ADJ
ecj-13919	125	13	methods.1	methods.1	PROPN
ecj-13919	125	14	allergy	allergy	NOUN
ecj-13919	125	15	testing	testing	NOUN
ecj-13919	125	16	(	(	PUNCT
ecj-13919	125	17	e.g.	e.g.	ADV
ecj-13919	125	18	,	,	PUNCT
ecj-13919	125	19	skin	skin	NOUN
ecj-13919	125	20	prick	prick	NOUN
ecj-13919	125	21	tests	test	NOUN
ecj-13919	125	22	or	or	CCONJ
ecj-13919	125	23	specific	specific	ADJ
ecj-13919	125	24	ige	ige	ADJ
ecj-13919	125	25	assays	assay	NOUN
ecj-13919	125	26	)	)	PUNCT
ecj-13919	125	27	may	may	AUX
ecj-13919	125	28	be	be	AUX
ecj-13919	125	29	useful	useful	ADJ
ecj-13919	125	30	in	in	ADP
ecj-13919	125	31	cases	case	NOUN
ecj-13919	125	32	where	where	SCONJ
ecj-13919	125	33	food	food	NOUN
ecj-13919	125	34	allergy	allergy	NOUN
ecj-13919	125	35	remains	remain	VERB
ecj-13919	125	36	a	a	DET
ecj-13919	125	37	differential	differential	ADJ
ecj-13919	125	38	consideration.18,19	consideration.18,19	NOUN
ecj-13919	125	39	patients	patient	NOUN
ecj-13919	125	40	with	with	ADP
ecj-13919	125	41	true	true	ADJ
ecj-13919	125	42	scombroid	scombroid	ADJ
ecj-13919	125	43	poisoning	poisoning	NOUN
ecj-13919	125	44	will	will	AUX
ecj-13919	125	45	demonstrate	demonstrate	VERB
ecj-13919	125	46	negative	negative	ADJ
ecj-13919	125	47	type	type	NOUN
ecj-13919	125	48	i	i	PRON
ecj-13919	125	49	hypersensitivity	hypersensitivity	NOUN
ecj-13919	125	50	testing	testing	NOUN
ecj-13919	125	51	to	to	PART
ecj-13919	125	52	fish	fish	VERB
ecj-13919	125	53	allergens.18	allergens.18	ADJ
ecj-13919	125	54	several	several	ADJ
ecj-13919	125	55	conditions	condition	NOUN
ecj-13919	125	56	may	may	AUX
ecj-13919	125	57	present	present	VERB
ecj-13919	125	58	with	with	ADP
ecj-13919	125	59	clinical	clinical	ADJ
ecj-13919	125	60	features	feature	NOUN
ecj-13919	125	61	that	that	PRON
ecj-13919	125	62	overlap	overlap	VERB
ecj-13919	125	63	with	with	ADP
ecj-13919	125	64	those	those	PRON
ecj-13919	125	65	of	of	ADP
ecj-13919	125	66	scombroid	scombroid	ADJ
ecj-13919	125	67	poisoning	poisoning	NOUN
ecj-13919	125	68	.	.	PUNCT
ecj-13919	126	1	a	a	DET
ecj-13919	126	2	thorough	thorough	ADJ
ecj-13919	126	3	clinical	clinical	ADJ
ecj-13919	126	4	evaluation	evaluation	NOUN
ecj-13919	126	5	is	be	AUX
ecj-13919	126	6	essential	essential	ADJ
ecj-13919	126	7	to	to	PART
ecj-13919	126	8	distinguish	distinguish	VERB
ecj-13919	126	9	among	among	ADP
ecj-13919	126	10	these	these	DET
ecj-13919	126	11	possibilities	possibility	NOUN
ecj-13919	126	12	:	:	PUNCT
ecj-13919	126	13	myocardial	myocardial	ADJ
ecj-13919	126	14	ischemia	ischemia	NOUN
ecj-13919	126	15	or	or	CCONJ
ecj-13919	126	16	infarction	infarction	NOUN
ecj-13919	126	17	(	(	PUNCT
ecj-13919	126	18	most	most	ADJ
ecj-13919	126	19	cases	case	NOUN
ecj-13919	126	20	can	can	AUX
ecj-13919	126	21	be	be	AUX
ecj-13919	126	22	distinguished	distinguish	VERB
ecj-13919	126	23	by	by	ADP
ecj-13919	126	24	electrocardiographic	electrocardiographic	ADJ
ecj-13919	126	25	monitoring	monitoring	NOUN
ecj-13919	126	26	and	and	CCONJ
ecj-13919	126	27	cardiac	cardiac	ADJ
ecj-13919	126	28	biomarkers	biomarker	NOUN
ecj-13919	126	29	,	,	PUNCT
ecj-13919	126	30	histamine	histamine	NOUN
ecj-13919	126	31	-	-	PUNCT
ecj-13919	126	32	mediated	mediate	VERB
ecj-13919	126	33	coronary	coronary	ADJ
ecj-13919	126	34	vasospasm	vasospasm	NOUN
ecj-13919	126	35	may	may	AUX
ecj-13919	126	36	cause	cause	VERB
ecj-13919	126	37	transient	transient	ADJ
ecj-13919	126	38	subendocardial	subendocardial	ADJ
ecj-13919	126	39	ischemia	ischemia	NOUN
ecj-13919	126	40	with	with	ADP
ecj-13919	126	41	mildly	mildly	ADV
ecj-13919	126	42	elevated	elevated	ADJ
ecj-13919	126	43	troponin	troponin	ADJ
ecj-13919	126	44	levels),3,4	levels),3,4	NUM
ecj-13919	126	45	allergic	allergic	ADJ
ecj-13919	126	46	reaction	reaction	NOUN
ecj-13919	126	47	or	or	CCONJ
ecj-13919	126	48	anaphylaxis	anaphylaxis	ADJ
ecj-13919	126	49	(	(	PUNCT
ecj-13919	126	50	key	key	ADJ
ecj-13919	126	51	differentiating	differentiating	NOUN
ecj-13919	126	52	features	feature	NOUN
ecj-13919	126	53	include	include	VERB
ecj-13919	126	54	the	the	DET
ecj-13919	126	55	absence	absence	NOUN
ecj-13919	126	56	of	of	ADP
ecj-13919	126	57	prior	prior	ADJ
ecj-13919	126	58	allergic	allergic	ADJ
ecj-13919	126	59	reactions	reaction	NOUN
ecj-13919	126	60	to	to	PART
ecj-13919	126	61	fish	fish	VERB
ecj-13919	126	62	,	,	PUNCT
ecj-13919	126	63	clustering	cluster	VERB
ecj-13919	126	64	of	of	ADP
ecj-13919	126	65	cases	case	NOUN
ecj-13919	126	66	among	among	ADP
ecj-13919	126	67	individuals	individual	NOUN
ecj-13919	126	68	consuming	consume	VERB
ecj-13919	126	69	the	the	DET
ecj-13919	126	70	same	same	ADJ
ecj-13919	126	71	meal	meal	NOUN
ecj-13919	126	72	and	and	CCONJ
ecj-13919	126	73	a	a	DET
ecj-13919	126	74	history	history	NOUN
ecj-13919	126	75	of	of	ADP
ecj-13919	126	76	improper	improper	ADJ
ecj-13919	126	77	food	food	NOUN
ecj-13919	126	78	storage	storage	NOUN
ecj-13919	126	79	)	)	PUNCT
ecj-13919	126	80	,	,	PUNCT
ecj-13919	126	81	staphylococcal	staphylococcal	ADJ
ecj-13919	126	82	enterotoxin	enterotoxin	X
ecj-13919	126	83	food	food	NOUN
ecj-13919	126	84	poisoning	poisoning	NOUN
ecj-13919	126	85	(	(	PUNCT
ecj-13919	126	86	this	this	DET
ecj-13919	126	87	condition	condition	NOUN
ecj-13919	126	88	may	may	AUX
ecj-13919	126	89	present	present	VERB
ecj-13919	126	90	with	with	ADP
ecj-13919	126	91	abrupt	abrupt	ADJ
ecj-13919	126	92	-	-	PUNCT
ecj-13919	126	93	onset	onset	ADJ
ecj-13919	126	94	nausea	nausea	NOUN
ecj-13919	126	95	,	,	PUNCT
ecj-13919	126	96	vomiting	vomiting	NOUN
ecj-13919	126	97	,	,	PUNCT
ecj-13919	126	98	and	and	CCONJ
ecj-13919	126	99	abdominal	abdominal	ADJ
ecj-13919	126	100	cramping	cramping	NOUN
ecj-13919	126	101	shortly	shortly	ADV
ecj-13919	126	102	after	after	ADP
ecj-13919	126	103	food	food	NOUN
ecj-13919	126	104	ingestion	ingestion	NOUN
ecj-13919	126	105	)	)	PUNCT
ecj-13919	126	106	and	and	CCONJ
ecj-13919	126	107	other	other	ADJ
ecj-13919	126	108	marine	marine	ADJ
ecj-13919	126	109	toxin	toxin	NOUN
ecj-13919	126	110	syndromes	syndrome	NOUN
ecj-13919	126	111	(	(	PUNCT
ecj-13919	126	112	ciguatera	ciguatera	NOUN
ecj-13919	126	113	poisoning	poisoning	NOUN
ecj-13919	126	114	,	,	PUNCT
ecj-13919	126	115	neurotoxic	neurotoxic	ADJ
ecj-13919	126	116	shellfish	shellfish	NOUN
ecj-13919	126	117	poisoning	poisoning	NOUN
ecj-13919	126	118	,	,	PUNCT
ecj-13919	126	119	paralytic	paralytic	ADJ
ecj-13919	126	120	shellfish	shellfish	NOUN
ecj-13919	126	121	poisoning	poisoning	NOUN
ecj-13919	126	122	or	or	CCONJ
ecj-13919	126	123	pufferfish	pufferfish	ADJ
ecj-13919	126	124	toxicity	toxicity	NOUN
ecj-13919	126	125	)	)	PUNCT
ecj-13919	126	126	.	.	PUNCT
ecj-13919	127	1	among	among	ADP
ecj-13919	127	2	the	the	DET
ecj-13919	127	3	differential	differential	ADJ
ecj-13919	127	4	diagnoses	diagnosis	NOUN
ecj-13919	127	5	of	of	ADP
ecj-13919	127	6	chest	chest	NOUN
ecj-13919	127	7	pain	pain	NOUN
ecj-13919	127	8	with	with	ADP
ecj-13919	127	9	ecg	ecg	PROPN
ecj-13919	127	10	alterations	alteration	NOUN
ecj-13919	127	11	and	and	CCONJ
ecj-13919	127	12	troponin	troponin	ADJ
ecj-13919	127	13	elevation	elevation	NOUN
ecj-13919	127	14	,	,	PUNCT
ecj-13919	127	15	particularly	particularly	ADV
ecj-13919	127	16	in	in	ADP
ecj-13919	127	17	the	the	DET
ecj-13919	127	18	context	context	NOUN
ecj-13919	127	19	of	of	ADP
ecj-13919	127	20	allergic	allergic	ADJ
ecj-13919	127	21	or	or	CCONJ
ecj-13919	127	22	anaphylactoid	anaphylactoid	ADJ
ecj-13919	127	23	reactions	reaction	NOUN
ecj-13919	127	24	,	,	PUNCT
ecj-13919	127	25	kounis	kounis	PROPN
ecj-13919	127	26	syndrome	syndrome	PROPN
ecj-13919	127	27	represents	represent	VERB
ecj-13919	127	28	a	a	DET
ecj-13919	127	29	rare	rare	ADJ
ecj-13919	127	30	but	but	CCONJ
ecj-13919	127	31	clinically	clinically	ADV
ecj-13919	127	32	significant	significant	ADJ
ecj-13919	127	33	entity.3	entity.3	PROPN
ecj-13919	127	34	kounis	kounis	PROPN
ecj-13919	127	35	syndrome	syndrome	PROPN
ecj-13919	127	36	is	be	AUX
ecj-13919	127	37	defined	define	VERB
ecj-13919	127	38	case	case	NOUN
ecj-13919	127	39	report	report	NOUN
ecj-13919	127	40	table	table	NOUN
ecj-13919	127	41	2	2	NUM
ecj-13919	127	42	.	.	PUNCT
ecj-13919	127	43	common	common	ADJ
ecj-13919	127	44	signs	sign	NOUN
ecj-13919	127	45	and	and	CCONJ
ecj-13919	127	46	symptoms	symptom	NOUN
ecj-13919	127	47	of	of	ADP
ecj-13919	127	48	scombroid	scombroid	ADJ
ecj-13919	127	49	poisoning.9	poisoning.9	NOUN
ecj-13919	127	50	-	-	PUNCT
ecj-13919	127	51	11	11	NUM
ecj-13919	127	52	system	system	NOUN
ecj-13919	127	53	manifestations	manifestation	NOUN
ecj-13919	127	54	dermatologic	dermatologic	ADJ
ecj-13919	127	55	flushing	flush	VERB
ecj-13919	127	56	(	(	PUNCT
ecj-13919	127	57	face	face	NOUN
ecj-13919	127	58	and	and	CCONJ
ecj-13919	127	59	neck	neck	NOUN
ecj-13919	127	60	)	)	PUNCT
ecj-13919	127	61	erythematous	erythematous	ADJ
ecj-13919	127	62	or	or	CCONJ
ecj-13919	127	63	urticarial	urticarial	ADJ
ecj-13919	127	64	rash	rash	ADJ
ecj-13919	127	65	perioral	perioral	ADJ
ecj-13919	127	66	burning	burning	NOUN
ecj-13919	127	67	,	,	PUNCT
ecj-13919	127	68	itching	itching	NOUN
ecj-13919	127	69	,	,	PUNCT
ecj-13919	127	70	or	or	CCONJ
ecj-13919	127	71	edema	edema	VERB
ecj-13919	127	72	gastrointestinal	gastrointestinal	ADJ
ecj-13919	127	73	abdominal	abdominal	ADJ
ecj-13919	127	74	cramping	cramping	NOUN
ecj-13919	127	75	nausea	nausea	NOUN
ecj-13919	127	76	and	and	CCONJ
ecj-13919	127	77	vomiting	vomit	VERB
ecj-13919	127	78	diarrhea	diarrhea	PROPN
ecj-13919	127	79	neurologic	neurologic	ADJ
ecj-13919	127	80	headache	headache	NOUN
ecj-13919	127	81	dizziness	dizziness	NOUN
ecj-13919	127	82	blurred	blur	VERB
ecj-13919	127	83	vision	vision	NOUN
ecj-13919	127	84	cardiovascular	cardiovascular	ADJ
ecj-13919	127	85	tachycardia	tachycardia	NOUN
ecj-13919	127	86	palpitations	palpitation	NOUN
ecj-13919	127	87	hypotension	hypotension	NOUN
ecj-13919	127	88	(	(	PUNCT
ecj-13919	127	89	distributive	distributive	ADJ
ecj-13919	127	90	shock	shock	NOUN
ecj-13919	127	91	)	)	PUNCT
ecj-13919	127	92	(	(	PUNCT
ecj-13919	127	93	rare	rare	ADJ
ecj-13919	127	94	)	)	PUNCT
ecj-13919	127	95	cardiac	cardiac	ADJ
ecj-13919	127	96	arrhythmias	arrhythmia	NOUN
ecj-13919	127	97	(	(	PUNCT
ecj-13919	127	98	rare	rare	ADJ
ecj-13919	127	99	)	)	PUNCT
ecj-13919	127	100	respiratory	respiratory	ADJ
ecj-13919	127	101	chest	chest	NOUN
ecj-13919	127	102	tightness	tightness	NOUN
ecj-13919	127	103	shortness	shortness	NOUN
ecj-13919	127	104	of	of	ADP
ecj-13919	127	105	breath	breath	NOUN
ecj-13919	127	106	bronchospasm	bronchospasm	NOUN
ecj-13919	127	107	and	and	CCONJ
ecj-13919	127	108	respiratory	respiratory	ADJ
ecj-13919	127	109	distress	distress	NOUN
ecj-13919	127	110	(	(	PUNCT
ecj-13919	127	111	rare	rare	ADJ
ecj-13919	127	112	)	)	PUNCT
ecj-13919	127	113	sensory	sensory	ADJ
ecj-13919	127	114	/	/	SYM
ecj-13919	127	115	oral	oral	ADJ
ecj-13919	127	116	peppery	peppery	NOUN
ecj-13919	127	117	,	,	PUNCT
ecj-13919	127	118	spicy	spicy	ADJ
ecj-13919	127	119	,	,	PUNCT
ecj-13919	127	120	or	or	CCONJ
ecj-13919	127	121	metallic	metallic	ADJ
ecj-13919	127	122	taste	taste	NOUN
ecj-13919	127	123	in	in	ADP
ecj-13919	127	124	the	the	DET
ecj-13919	127	125	mouth	mouth	NOUN
ecj-13919	128	1	[	[	X
ecj-13919	128	2	page	page	NOUN
ecj-13919	128	3	24	24	NUM
ecj-13919	128	4	]	]	PUNCT
ecj-13919	129	1	[	[	X
ecj-13919	129	2	emergency	emergency	NOUN
ecj-13919	129	3	care	care	NOUN
ecj-13919	129	4	journal	journal	NOUN
ecj-13919	129	5	2025	2025	NUM
ecj-13919	129	6	;	;	PUNCT
ecj-13919	129	7	21:13919	21:13919	NUM
ecj-13919	129	8	]	]	X
ecj-13919	129	9	as	as	ADP
ecj-13919	129	10	the	the	DET
ecj-13919	129	11	coexistence	coexistence	NOUN
ecj-13919	129	12	of	of	ADP
ecj-13919	129	13	acute	acute	ADJ
ecj-13919	129	14	coronary	coronary	ADJ
ecj-13919	129	15	syndromes	syndrome	NOUN
ecj-13919	129	16	with	with	ADP
ecj-13919	129	17	hypersensitivity	hypersensitivity	NOUN
ecj-13919	129	18	reactions	reaction	NOUN
ecj-13919	129	19	and	and	CCONJ
ecj-13919	129	20	is	be	AUX
ecj-13919	129	21	typically	typically	ADV
ecj-13919	129	22	triggered	trigger	VERB
ecj-13919	129	23	by	by	ADP
ecj-13919	129	24	allergens	allergen	NOUN
ecj-13919	129	25	leading	lead	VERB
ecj-13919	129	26	to	to	ADP
ecj-13919	129	27	mast	mast	NOUN
ecj-13919	129	28	cell	cell	NOUN
ecj-13919	129	29	activation	activation	NOUN
ecj-13919	129	30	and	and	CCONJ
ecj-13919	129	31	the	the	DET
ecj-13919	129	32	release	release	NOUN
ecj-13919	129	33	of	of	ADP
ecj-13919	129	34	vasoactive	vasoactive	ADJ
ecj-13919	129	35	mediators	mediator	NOUN
ecj-13919	129	36	like	like	ADP
ecj-13919	129	37	histamine	histamine	NOUN
ecj-13919	129	38	,	,	PUNCT
ecj-13919	129	39	tryptase	tryptase	NOUN
ecj-13919	129	40	,	,	PUNCT
ecj-13919	129	41	and	and	CCONJ
ecj-13919	129	42	leukotrienes.20	leukotrienes.20	NOUN
ecj-13919	129	43	these	these	DET
ecj-13919	129	44	substances	substance	NOUN
ecj-13919	129	45	can	can	AUX
ecj-13919	129	46	induce	induce	VERB
ecj-13919	129	47	coronary	coronary	ADJ
ecj-13919	129	48	vasospasm	vasospasm	NOUN
ecj-13919	129	49	or	or	CCONJ
ecj-13919	129	50	,	,	PUNCT
ecj-13919	129	51	in	in	ADP
ecj-13919	129	52	patients	patient	NOUN
ecj-13919	129	53	with	with	ADP
ecj-13919	129	54	underlying	underlie	VERB
ecj-13919	129	55	atherosclerosis	atherosclerosis	NOUN
ecj-13919	129	56	,	,	PUNCT
ecj-13919	129	57	promote	promote	VERB
ecj-13919	129	58	plaque	plaque	NOUN
ecj-13919	129	59	erosion	erosion	NOUN
ecj-13919	129	60	or	or	CCONJ
ecj-13919	129	61	rupture	rupture	NOUN
ecj-13919	129	62	,	,	PUNCT
ecj-13919	129	63	resulting	result	VERB
ecj-13919	129	64	in	in	ADP
ecj-13919	129	65	myocardial	myocardial	ADJ
ecj-13919	129	66	ischemia	ischemia	NOUN
ecj-13919	129	67	or	or	CCONJ
ecj-13919	129	68	infarction	infarction	NOUN
ecj-13919	129	69	.	.	PUNCT
ecj-13919	130	1	three	three	NUM
ecj-13919	130	2	variants	variant	NOUN
ecj-13919	130	3	have	have	AUX
ecj-13919	130	4	been	be	AUX
ecj-13919	130	5	described	describe	VERB
ecj-13919	130	6	:	:	PUNCT
ecj-13919	130	7	type	type	NOUN
ecj-13919	130	8	i	i	PRON
ecj-13919	130	9	(	(	PUNCT
ecj-13919	130	10	in	in	ADP
ecj-13919	130	11	patients	patient	NOUN
ecj-13919	130	12	with	with	ADP
ecj-13919	130	13	normal	normal	ADJ
ecj-13919	130	14	coronary	coronary	ADJ
ecj-13919	130	15	arteries	artery	NOUN
ecj-13919	130	16	)	)	PUNCT
ecj-13919	130	17	,	,	PUNCT
ecj-13919	130	18	type	type	NOUN
ecj-13919	130	19	ii	ii	PROPN
ecj-13919	130	20	(	(	PUNCT
ecj-13919	130	21	in	in	ADP
ecj-13919	130	22	those	those	PRON
ecj-13919	130	23	with	with	ADP
ecj-13919	130	24	pre	pre	ADJ
ecj-13919	130	25	-	-	ADJ
ecj-13919	130	26	existing	existing	ADJ
ecj-13919	130	27	coronary	coronary	ADJ
ecj-13919	130	28	artery	artery	NOUN
ecj-13919	130	29	disease	disease	NOUN
ecj-13919	130	30	)	)	PUNCT
ecj-13919	130	31	,	,	PUNCT
ecj-13919	130	32	and	and	CCONJ
ecj-13919	130	33	type	type	NOUN
ecj-13919	130	34	iii	iii	PROPN
ecj-13919	130	35	(	(	PUNCT
ecj-13919	130	36	involving	involve	VERB
ecj-13919	130	37	stent	stent	NOUN
ecj-13919	130	38	thrombosis).20	thrombosis).20	PROPN
ecj-13919	130	39	the	the	DET
ecj-13919	130	40	association	association	NOUN
ecj-13919	130	41	between	between	ADP
ecj-13919	130	42	scombroid	scombroid	PROPN
ecj-13919	130	43	syndrome	syndrome	PROPN
ecj-13919	130	44	and	and	CCONJ
ecj-13919	130	45	kounis	kounis	PROPN
ecj-13919	130	46	syndrome	syndrome	PROPN
ecj-13919	130	47	,	,	PUNCT
ecj-13919	130	48	although	although	SCONJ
ecj-13919	130	49	mechanistically	mechanistically	ADV
ecj-13919	130	50	plausible	plausible	ADJ
ecj-13919	130	51	,	,	PUNCT
ecj-13919	130	52	is	be	AUX
ecj-13919	130	53	exceedingly	exceedingly	ADV
ecj-13919	130	54	rare	rare	ADJ
ecj-13919	130	55	and	and	CCONJ
ecj-13919	130	56	scarcely	scarcely	ADV
ecj-13919	130	57	reported	report	VERB
ecj-13919	130	58	in	in	ADP
ecj-13919	130	59	the	the	DET
ecj-13919	130	60	literature.21	literature.21	NOUN
ecj-13919	130	61	in	in	ADP
ecj-13919	130	62	our	our	PRON
ecj-13919	130	63	case	case	NOUN
ecj-13919	130	64	,	,	PUNCT
ecj-13919	130	65	the	the	DET
ecj-13919	130	66	diagnosis	diagnosis	NOUN
ecj-13919	130	67	of	of	ADP
ecj-13919	130	68	type	type	NOUN
ecj-13919	130	69	i	i	PRON
ecj-13919	130	70	kounis	kounis	PROPN
ecj-13919	130	71	syndrome	syndrome	PROPN
ecj-13919	130	72	is	be	AUX
ecj-13919	130	73	supported	support	VERB
ecj-13919	130	74	by	by	ADP
ecj-13919	130	75	the	the	DET
ecj-13919	130	76	presence	presence	NOUN
ecj-13919	130	77	of	of	ADP
ecj-13919	130	78	diffuse	diffuse	PROPN
ecj-13919	130	79	st	st	PROPN
ecj-13919	130	80	-	-	PUNCT
ecj-13919	130	81	segment	segment	NOUN
ecj-13919	130	82	depression	depression	NOUN
ecj-13919	130	83	and	and	CCONJ
ecj-13919	130	84	st	st	PROPN
ecj-13919	130	85	elevation	elevation	NOUN
ecj-13919	130	86	in	in	ADP
ecj-13919	130	87	avr	avr	PROPN
ecj-13919	130	88	,	,	PUNCT
ecj-13919	130	89	elevated	elevated	ADJ
ecj-13919	130	90	troponin	troponin	ADJ
ecj-13919	130	91	levels	level	NOUN
ecj-13919	130	92	,	,	PUNCT
ecj-13919	130	93	and	and	CCONJ
ecj-13919	130	94	the	the	DET
ecj-13919	130	95	absence	absence	NOUN
ecj-13919	130	96	of	of	ADP
ecj-13919	130	97	obstructive	obstructive	ADJ
ecj-13919	130	98	coronary	coronary	ADJ
ecj-13919	130	99	lesions	lesion	NOUN
ecj-13919	130	100	on	on	ADP
ecj-13919	130	101	ct	ct	NUM
ecj-13919	130	102	angiography	angiography	NOUN
ecj-13919	130	103	.	.	PUNCT
ecj-13919	131	1	however	however	ADV
ecj-13919	131	2	,	,	PUNCT
ecj-13919	131	3	unlike	unlike	ADP
ecj-13919	131	4	typical	typical	ADJ
ecj-13919	131	5	allergic	allergic	ADJ
ecj-13919	131	6	reactions	reaction	NOUN
ecj-13919	131	7	in	in	ADP
ecj-13919	131	8	kounis	kounis	PROPN
ecj-13919	131	9	syndrome	syndrome	PROPN
ecj-13919	131	10	,	,	PUNCT
ecj-13919	131	11	where	where	SCONJ
ecj-13919	131	12	mast	mast	NOUN
ecj-13919	131	13	cell	cell	NOUN
ecj-13919	131	14	activation	activation	NOUN
ecj-13919	131	15	occurs	occur	VERB
ecj-13919	131	16	in	in	ADP
ecj-13919	131	17	response	response	NOUN
ecj-13919	131	18	to	to	ADP
ecj-13919	131	19	an	an	DET
ecj-13919	131	20	igemediated	igemediate	VERB
ecj-13919	131	21	mechanism	mechanism	NOUN
ecj-13919	131	22	,	,	PUNCT
ecj-13919	131	23	the	the	DET
ecj-13919	131	24	pathophysiology	pathophysiology	NOUN
ecj-13919	131	25	of	of	ADP
ecj-13919	131	26	scombroid	scombroid	ADJ
ecj-13919	131	27	poisoning	poisoning	NOUN
ecj-13919	131	28	involves	involve	VERB
ecj-13919	131	29	the	the	DET
ecj-13919	131	30	direct	direct	ADJ
ecj-13919	131	31	exogenous	exogenous	ADJ
ecj-13919	131	32	ingestion	ingestion	NOUN
ecj-13919	131	33	of	of	ADP
ecj-13919	131	34	histamine	histamine	NOUN
ecj-13919	131	35	and	and	CCONJ
ecj-13919	131	36	other	other	ADJ
ecj-13919	131	37	biogenic	biogenic	NOUN
ecj-13919	131	38	amines.1	amines.1	NOUN
ecj-13919	131	39	these	these	DET
ecj-13919	131	40	mediators	mediator	NOUN
ecj-13919	131	41	act	act	VERB
ecj-13919	131	42	systemically	systemically	ADV
ecj-13919	131	43	,	,	PUNCT
ecj-13919	131	44	bypassing	bypass	VERB
ecj-13919	131	45	the	the	DET
ecj-13919	131	46	classical	classical	ADJ
ecj-13919	131	47	immune	immune	ADJ
ecj-13919	131	48	pathways	pathway	NOUN
ecj-13919	131	49	and	and	CCONJ
ecj-13919	131	50	mimicking	mimic	VERB
ecj-13919	131	51	an	an	DET
ecj-13919	131	52	anaphylactoid	anaphylactoid	ADJ
ecj-13919	131	53	response	response	NOUN
ecj-13919	131	54	.	.	PUNCT
ecj-13919	132	1	therefore	therefore	ADV
ecj-13919	132	2	,	,	PUNCT
ecj-13919	132	3	while	while	SCONJ
ecj-13919	132	4	the	the	DET
ecj-13919	132	5	clinical	clinical	ADJ
ecj-13919	132	6	and	and	CCONJ
ecj-13919	132	7	electrocardiographic	electrocardiographic	ADJ
ecj-13919	132	8	manifestations	manifestation	NOUN
ecj-13919	132	9	may	may	AUX
ecj-13919	132	10	overlap	overlap	VERB
ecj-13919	132	11	,	,	PUNCT
ecj-13919	132	12	the	the	DET
ecj-13919	132	13	underlying	underlying	ADJ
ecj-13919	132	14	mechanisms	mechanism	NOUN
ecj-13919	132	15	differ	differ	VERB
ecj-13919	132	16	substantially	substantially	ADV
ecj-13919	132	17	:	:	PUNCT
ecj-13919	132	18	endogenous	endogenous	ADJ
ecj-13919	132	19	mast	mast	NOUN
ecj-13919	132	20	cell	cell	NOUN
ecj-13919	132	21	degranulation	degranulation	NOUN
ecj-13919	132	22	in	in	ADP
ecj-13919	132	23	kounis	kounis	PROPN
ecj-13919	132	24	syndrome	syndrome	PROPN
ecj-13919	132	25	versus	versus	ADP
ecj-13919	132	26	exogenous	exogenous	ADJ
ecj-13919	132	27	histamine	histamine	NOUN
ecj-13919	132	28	toxicity	toxicity	NOUN
ecj-13919	132	29	in	in	ADP
ecj-13919	132	30	scombroid	scombroid	ADJ
ecj-13919	132	31	syndrome	syndrome	NOUN
ecj-13919	132	32	induced	induce	VERB
ecj-13919	132	33	kounis	kounis	PROPN
ecj-13919	132	34	syndrome.1,13	syndrome.1,13	PROPN
ecj-13919	132	35	this	this	DET
ecj-13919	132	36	distinction	distinction	NOUN
ecj-13919	132	37	is	be	AUX
ecj-13919	132	38	not	not	PART
ecj-13919	132	39	only	only	ADV
ecj-13919	132	40	of	of	ADP
ecj-13919	132	41	pathophysiological	pathophysiological	ADJ
ecj-13919	132	42	interest	interest	NOUN
ecj-13919	132	43	but	but	CCONJ
ecj-13919	132	44	also	also	ADV
ecj-13919	132	45	has	have	VERB
ecj-13919	132	46	practical	practical	ADJ
ecj-13919	132	47	implications	implication	NOUN
ecj-13919	132	48	for	for	ADP
ecj-13919	132	49	diagnosis	diagnosis	NOUN
ecj-13919	132	50	and	and	CCONJ
ecj-13919	132	51	treatment	treatment	NOUN
ecj-13919	132	52	.	.	PUNCT
ecj-13919	133	1	the	the	DET
ecj-13919	133	2	potential	potential	NOUN
ecj-13919	133	3	for	for	ADP
ecj-13919	133	4	coronary	coronary	ADJ
ecj-13919	133	5	involvement	involvement	NOUN
ecj-13919	133	6	in	in	ADP
ecj-13919	133	7	severe	severe	ADJ
ecj-13919	133	8	scombroid	scombroid	ADJ
ecj-13919	133	9	poisoning	poisoning	NOUN
ecj-13919	133	10	—	—	PUNCT
ecj-13919	133	11	though	though	SCONJ
ecj-13919	133	12	rare	rare	ADJ
ecj-13919	133	13	—	—	PUNCT
ecj-13919	133	14	should	should	AUX
ecj-13919	133	15	prompt	prompt	VERB
ecj-13919	133	16	clinicians	clinician	NOUN
ecj-13919	133	17	to	to	PART
ecj-13919	133	18	maintain	maintain	VERB
ecj-13919	133	19	a	a	DET
ecj-13919	133	20	high	high	ADJ
ecj-13919	133	21	index	index	NOUN
ecj-13919	133	22	of	of	ADP
ecj-13919	133	23	suspicion	suspicion	NOUN
ecj-13919	133	24	,	,	PUNCT
ecj-13919	133	25	particularly	particularly	ADV
ecj-13919	133	26	when	when	SCONJ
ecj-13919	133	27	cardiovascular	cardiovascular	ADJ
ecj-13919	133	28	symptoms	symptom	NOUN
ecj-13919	133	29	,	,	PUNCT
ecj-13919	133	30	ecg	ecg	PROPN
ecj-13919	133	31	changes	change	NOUN
ecj-13919	133	32	,	,	PUNCT
ecj-13919	133	33	or	or	CCONJ
ecj-13919	133	34	troponin	troponin	ADJ
ecj-13919	133	35	elevation	elevation	NOUN
ecj-13919	133	36	are	be	AUX
ecj-13919	133	37	present.13,21	present.13,21	ADJ
ecj-13919	133	38	in	in	ADP
ecj-13919	133	39	such	such	ADJ
ecj-13919	133	40	cases	case	NOUN
ecj-13919	133	41	,	,	PUNCT
ecj-13919	133	42	kounis	kounis	ADJ
ecj-13919	133	43	-	-	PUNCT
ecj-13919	133	44	like	like	ADJ
ecj-13919	133	45	presentations	presentation	NOUN
ecj-13919	133	46	should	should	AUX
ecj-13919	133	47	be	be	AUX
ecj-13919	133	48	considered	consider	VERB
ecj-13919	133	49	,	,	PUNCT
ecj-13919	133	50	even	even	ADV
ecj-13919	133	51	in	in	ADP
ecj-13919	133	52	the	the	DET
ecj-13919	133	53	absence	absence	NOUN
ecj-13919	133	54	of	of	ADP
ecj-13919	133	55	a	a	DET
ecj-13919	133	56	classical	classical	ADJ
ecj-13919	133	57	allergic	allergic	ADJ
ecj-13919	133	58	context	context	NOUN
ecj-13919	133	59	,	,	PUNCT
ecj-13919	133	60	as	as	ADP
ecj-13919	133	61	part	part	NOUN
ecj-13919	133	62	of	of	ADP
ecj-13919	133	63	the	the	DET
ecj-13919	133	64	broader	broad	ADJ
ecj-13919	133	65	spectrum	spectrum	NOUN
ecj-13919	133	66	of	of	ADP
ecj-13919	133	67	histamine	histamine	NOUN
ecj-13919	133	68	-	-	PUNCT
ecj-13919	133	69	mediated	mediate	VERB
ecj-13919	133	70	cardiovascular	cardiovascular	ADJ
ecj-13919	133	71	effects	effect	NOUN
ecj-13919	133	72	.	.	PUNCT
ecj-13919	134	1	although	although	SCONJ
ecj-13919	134	2	scombroid	scombroid	ADJ
ecj-13919	134	3	poisoning	poisoning	NOUN
ecj-13919	134	4	is	be	AUX
ecj-13919	134	5	typically	typically	ADV
ecj-13919	134	6	self	self	NOUN
ecj-13919	134	7	-	-	PUNCT
ecj-13919	134	8	limiting	limit	VERB
ecj-13919	134	9	,	,	PUNCT
ecj-13919	134	10	patients	patient	NOUN
ecj-13919	134	11	presenting	present	VERB
ecj-13919	134	12	with	with	ADP
ecj-13919	134	13	severe	severe	ADJ
ecj-13919	134	14	manifestations	manifestation	NOUN
ecj-13919	134	15	—	—	PUNCT
ecj-13919	134	16	such	such	ADJ
ecj-13919	134	17	as	as	ADP
ecj-13919	134	18	upper	upper	ADJ
ecj-13919	134	19	airway	airway	NOUN
ecj-13919	134	20	edema	edema	NOUN
ecj-13919	134	21	,	,	PUNCT
ecj-13919	134	22	bronchospasm	bronchospasm	NOUN
ecj-13919	134	23	,	,	PUNCT
ecj-13919	134	24	or	or	CCONJ
ecj-13919	134	25	hypotension	hypotension	NOUN
ecj-13919	134	26	—	—	PUNCT
ecj-13919	134	27	should	should	AUX
ecj-13919	134	28	be	be	AUX
ecj-13919	134	29	managed	manage	VERB
ecj-13919	134	30	according	accord	VERB
ecj-13919	134	31	to	to	ADP
ecj-13919	134	32	established	establish	VERB
ecj-13919	134	33	protocols	protocol	NOUN
ecj-13919	134	34	for	for	ADP
ecj-13919	134	35	anaphylaxis	anaphylaxis	ADJ
ecj-13919	134	36	.	.	PUNCT
ecj-13919	135	1	for	for	ADP
ecj-13919	135	2	patients	patient	NOUN
ecj-13919	135	3	without	without	ADP
ecj-13919	135	4	life	life	NOUN
ecj-13919	135	5	-	-	PUNCT
ecj-13919	135	6	threatening	threaten	VERB
ecj-13919	135	7	symptoms	symptom	NOUN
ecj-13919	135	8	but	but	CCONJ
ecj-13919	135	9	with	with	ADP
ecj-13919	135	10	moderate	moderate	ADJ
ecj-13919	135	11	to	to	ADP
ecj-13919	135	12	severe	severe	ADJ
ecj-13919	135	13	discomfort	discomfort	NOUN
ecj-13919	135	14	(	(	PUNCT
ecj-13919	135	15	e.g.	e.g.	ADV
ecj-13919	135	16	,	,	PUNCT
ecj-13919	135	17	flushing	flush	VERB
ecj-13919	135	18	,	,	PUNCT
ecj-13919	135	19	pruritus	pruritus	NOUN
ecj-13919	135	20	,	,	PUNCT
ecj-13919	135	21	rash	rash	ADJ
ecj-13919	135	22	,	,	PUNCT
ecj-13919	135	23	burning	burn	VERB
ecj-13919	135	24	sensations	sensation	NOUN
ecj-13919	135	25	,	,	PUNCT
ecj-13919	135	26	or	or	CCONJ
ecj-13919	135	27	perioral	perioral	ADJ
ecj-13919	135	28	edema	edema	NOUN
ecj-13919	135	29	)	)	PUNCT
ecj-13919	135	30	,	,	PUNCT
ecj-13919	135	31	antihistamine	antihistamine	NOUN
ecj-13919	135	32	therapy	therapy	NOUN
ecj-13919	135	33	is	be	AUX
ecj-13919	135	34	recommended	recommend	VERB
ecj-13919	135	35	over	over	ADP
ecj-13919	135	36	supportive	supportive	ADJ
ecj-13919	135	37	care	care	NOUN
ecj-13919	135	38	alone	alone	ADV
ecj-13919	135	39	:	:	PUNCT
ecj-13919	135	40	i	i	PRON
ecj-13919	135	41	)	)	PUNCT
ecj-13919	135	42	h1	h1	PROPN
ecj-13919	135	43	antihistamines	antihistamine	VERB
ecj-13919	135	44	:	:	PUNCT
ecj-13919	135	45	a	a	DET
ecj-13919	135	46	single	single	ADJ
ecj-13919	135	47	dose	dose	NOUN
ecj-13919	135	48	of	of	ADP
ecj-13919	135	49	an	an	DET
ecj-13919	135	50	h1	h1	NOUN
ecj-13919	135	51	receptor	receptor	NOUN
ecj-13919	135	52	antagonist	antagonist	NOUN
ecj-13919	135	53	(	(	PUNCT
ecj-13919	135	54	e.g.	e.g.	ADV
ecj-13919	135	55	,	,	PUNCT
ecj-13919	135	56	diphenhydramine	diphenhydramine	NOUN
ecj-13919	135	57	or	or	CCONJ
ecj-13919	135	58	hydroxyzine	hydroxyzine	NOUN
ecj-13919	135	59	)	)	PUNCT
ecj-13919	135	60	should	should	AUX
ecj-13919	135	61	be	be	AUX
ecj-13919	135	62	administered	administer	VERB
ecj-13919	135	63	;	;	PUNCT
ecj-13919	135	64	ii	ii	X
ecj-13919	135	65	)	)	PUNCT
ecj-13919	135	66	h2	h2	NOUN
ecj-13919	135	67	antihistamines	antihistamine	NOUN
ecj-13919	135	68	:	:	PUNCT
ecj-13919	135	69	in	in	ADP
ecj-13919	135	70	patients	patient	NOUN
ecj-13919	135	71	with	with	ADP
ecj-13919	135	72	gastrointestinal	gastrointestinal	ADJ
ecj-13919	135	73	symptoms	symptom	NOUN
ecj-13919	135	74	,	,	PUNCT
ecj-13919	135	75	more	more	ADV
ecj-13919	135	76	pronounced	pronounced	ADJ
ecj-13919	135	77	clinical	clinical	ADJ
ecj-13919	135	78	manifestations	manifestation	NOUN
ecj-13919	135	79	,	,	PUNCT
ecj-13919	135	80	or	or	CCONJ
ecj-13919	135	81	incomplete	incomplete	ADJ
ecj-13919	135	82	response	response	NOUN
ecj-13919	135	83	to	to	PART
ecj-13919	135	84	h1	h1	VERB
ecj-13919	135	85	antihistamines	antihistamine	NOUN
ecj-13919	135	86	,	,	PUNCT
ecj-13919	135	87	a	a	DET
ecj-13919	135	88	single	single	ADJ
ecj-13919	135	89	dose	dose	NOUN
ecj-13919	135	90	of	of	ADP
ecj-13919	135	91	an	an	DET
ecj-13919	135	92	h2	h2	NOUN
ecj-13919	135	93	antagonist	antagonist	NOUN
ecj-13919	135	94	(	(	PUNCT
ecj-13919	135	95	e.g.	e.g.	ADV
ecj-13919	135	96	,	,	PUNCT
ecj-13919	135	97	famotidine	famotidine	NOUN
ecj-13919	135	98	or	or	CCONJ
ecj-13919	135	99	cimetidine	cimetidine	NOUN
ecj-13919	135	100	)	)	PUNCT
ecj-13919	135	101	is	be	AUX
ecj-13919	135	102	advised	advise	VERB
ecj-13919	135	103	.	.	PUNCT
ecj-13919	136	1	patients	patient	NOUN
ecj-13919	136	2	with	with	ADP
ecj-13919	136	3	significant	significant	ADJ
ecj-13919	136	4	fluid	fluid	ADJ
ecj-13919	136	5	losses	loss	NOUN
ecj-13919	136	6	due	due	ADJ
ecj-13919	136	7	to	to	ADP
ecj-13919	136	8	vomiting	vomiting	NOUN
ecj-13919	136	9	or	or	CCONJ
ecj-13919	136	10	diarrhea	diarrhea	NOUN
ecj-13919	136	11	should	should	AUX
ecj-13919	136	12	receive	receive	VERB
ecj-13919	136	13	intravenous	intravenous	ADJ
ecj-13919	136	14	fluid	fluid	ADJ
ecj-13919	136	15	resuscitation	resuscitation	NOUN
ecj-13919	136	16	with	with	ADP
ecj-13919	136	17	isotonic	isotonic	ADJ
ecj-13919	136	18	crystalloids	crystalloid	NOUN
ecj-13919	136	19	.	.	PUNCT
ecj-13919	137	1	patients	patient	NOUN
ecj-13919	137	2	presenting	present	VERB
ecj-13919	137	3	with	with	ADP
ecj-13919	137	4	mild	mild	ADJ
ecj-13919	137	5	symptoms	symptom	NOUN
ecj-13919	137	6	that	that	PRON
ecj-13919	137	7	resolve	resolve	VERB
ecj-13919	137	8	fully	fully	ADV
ecj-13919	137	9	after	after	ADP
ecj-13919	137	10	treatment	treatment	NOUN
ecj-13919	137	11	with	with	ADP
ecj-13919	137	12	antihistamines	antihistamine	NOUN
ecj-13919	137	13	(	(	PUNCT
ecj-13919	137	14	h1	h1	NOUN
ecj-13919	137	15	and/or	and/or	CCONJ
ecj-13919	137	16	h2	h2	NOUN
ecj-13919	137	17	blockers	blocker	NOUN
ecj-13919	137	18	)	)	PUNCT
ecj-13919	137	19	may	may	AUX
ecj-13919	137	20	be	be	AUX
ecj-13919	137	21	safely	safely	ADV
ecj-13919	137	22	discharged	discharge	VERB
ecj-13919	137	23	from	from	ADP
ecj-13919	137	24	the	the	DET
ecj-13919	137	25	emergency	emergency	NOUN
ecj-13919	137	26	department	department	NOUN
ecj-13919	137	27	.	.	PUNCT
ecj-13919	138	1	although	although	SCONJ
ecj-13919	138	2	evidence	evidence	NOUN
ecj-13919	138	3	is	be	AUX
ecj-13919	138	4	limited	limit	VERB
ecj-13919	138	5	,	,	PUNCT
ecj-13919	138	6	the	the	DET
ecj-13919	138	7	administration	administration	NOUN
ecj-13919	138	8	of	of	ADP
ecj-13919	138	9	oral	oral	ADJ
ecj-13919	138	10	antihistamines	antihistamine	NOUN
ecj-13919	138	11	(	(	PUNCT
ecj-13919	138	12	e.g.	e.g.	ADV
ecj-13919	138	13	,	,	PUNCT
ecj-13919	138	14	loratadine	loratadine	NOUN
ecj-13919	138	15	or	or	CCONJ
ecj-13919	138	16	cetirizine	cetirizine	NOUN
ecj-13919	138	17	)	)	PUNCT
ecj-13919	138	18	for	for	ADP
ecj-13919	138	19	one	one	NUM
ecj-13919	138	20	to	to	PART
ecj-13919	138	21	two	two	NUM
ecj-13919	138	22	days	day	NOUN
ecj-13919	138	23	following	follow	VERB
ecj-13919	138	24	discharge	discharge	NOUN
ecj-13919	138	25	is	be	AUX
ecj-13919	138	26	a	a	DET
ecj-13919	138	27	reasonable	reasonable	ADJ
ecj-13919	138	28	strategy	strategy	NOUN
ecj-13919	138	29	to	to	PART
ecj-13919	138	30	prevent	prevent	VERB
ecj-13919	138	31	symptom	symptom	NOUN
ecj-13919	138	32	recurrence	recurrence	NOUN
ecj-13919	138	33	due	due	ADP
ecj-13919	138	34	to	to	ADP
ecj-13919	138	35	ongoing	ongoing	ADJ
ecj-13919	138	36	toxin	toxin	NOUN
ecj-13919	138	37	absorption	absorption	NOUN
ecj-13919	138	38	from	from	ADP
ecj-13919	138	39	the	the	DET
ecj-13919	138	40	gastrointestinal	gastrointestinal	ADJ
ecj-13919	138	41	tract	tract	NOUN
ecj-13919	138	42	.	.	PUNCT
ecj-13919	139	1	patients	patient	NOUN
ecj-13919	139	2	with	with	ADP
ecj-13919	139	3	severe	severe	ADJ
ecj-13919	139	4	manifestations	manifestation	NOUN
ecj-13919	139	5	–	–	PUNCT
ecj-13919	139	6	such	such	ADJ
ecj-13919	139	7	as	as	ADP
ecj-13919	139	8	respiratory	respiratory	ADJ
ecj-13919	139	9	distress	distress	NOUN
ecj-13919	139	10	,	,	PUNCT
ecj-13919	139	11	hypotension	hypotension	NOUN
ecj-13919	139	12	,	,	PUNCT
ecj-13919	139	13	or	or	CCONJ
ecj-13919	139	14	airway	airway	NOUN
ecj-13919	139	15	edema	edema	NOUN
ecj-13919	139	16	–	–	PUNCT
ecj-13919	139	17	should	should	AUX
ecj-13919	139	18	be	be	AUX
ecj-13919	139	19	admitted	admit	VERB
ecj-13919	139	20	or	or	CCONJ
ecj-13919	139	21	observed	observe	VERB
ecj-13919	139	22	for	for	ADP
ecj-13919	139	23	several	several	ADJ
ecj-13919	139	24	hours	hour	NOUN
ecj-13919	139	25	to	to	PART
ecj-13919	139	26	ensure	ensure	VERB
ecj-13919	139	27	full	full	ADJ
ecj-13919	139	28	clinical	clinical	ADJ
ecj-13919	139	29	resolution	resolution	NOUN
ecj-13919	139	30	.	.	PUNCT
ecj-13919	140	1	those	those	PRON
ecj-13919	140	2	who	who	PRON
ecj-13919	140	3	receive	receive	VERB
ecj-13919	140	4	intravenous	intravenous	ADJ
ecj-13919	140	5	fluid	fluid	NOUN
ecj-13919	140	6	therapy	therapy	NOUN
ecj-13919	140	7	should	should	AUX
ecj-13919	140	8	demonstrate	demonstrate	VERB
ecj-13919	140	9	adequate	adequate	ADJ
ecj-13919	140	10	oral	oral	ADJ
ecj-13919	140	11	intake	intake	NOUN
ecj-13919	140	12	and	and	CCONJ
ecj-13919	140	13	hemodynamic	hemodynamic	ADJ
ecj-13919	140	14	stability	stability	NOUN
ecj-13919	140	15	prior	prior	ADV
ecj-13919	140	16	to	to	AUX
ecj-13919	140	17	discharge	discharge	VERB
ecj-13919	140	18	.	.	PUNCT
ecj-13919	141	1	conclusions	conclusion	NOUN
ecj-13919	141	2	scombroid	scombroid	PROPN
ecj-13919	141	3	syndrome	syndrome	PROPN
ecj-13919	141	4	typically	typically	ADV
ecj-13919	141	5	follows	follow	VERB
ecj-13919	141	6	a	a	DET
ecj-13919	141	7	benign	benign	NOUN
ecj-13919	141	8	and	and	CCONJ
ecj-13919	141	9	selflimiting	selflimite	VERB
ecj-13919	141	10	course	course	NOUN
ecj-13919	141	11	;	;	PUNCT
ecj-13919	141	12	however	however	ADV
ecj-13919	141	13	,	,	PUNCT
ecj-13919	141	14	in	in	ADP
ecj-13919	141	15	rare	rare	ADJ
ecj-13919	141	16	instances	instance	NOUN
ecj-13919	141	17	,	,	PUNCT
ecj-13919	141	18	it	it	PRON
ecj-13919	141	19	may	may	AUX
ecj-13919	141	20	present	present	VERB
ecj-13919	141	21	with	with	ADP
ecj-13919	141	22	a	a	DET
ecj-13919	141	23	sudden	sudden	ADJ
ecj-13919	141	24	and	and	CCONJ
ecj-13919	141	25	severe	severe	ADJ
ecj-13919	141	26	onset	onset	NOUN
ecj-13919	141	27	,	,	PUNCT
ecj-13919	141	28	potentially	potentially	ADV
ecj-13919	141	29	life	life	NOUN
ecj-13919	141	30	-	-	PUNCT
ecj-13919	141	31	threatening	threatening	ADJ
ecj-13919	141	32	,	,	PUNCT
ecj-13919	141	33	as	as	ADP
ecj-13919	141	34	in	in	ADP
ecj-13919	141	35	the	the	DET
ecj-13919	141	36	case	case	NOUN
ecj-13919	141	37	described	describe	VERB
ecj-13919	141	38	.	.	PUNCT
ecj-13919	142	1	furthermore	furthermore	ADV
ecj-13919	142	2	,	,	PUNCT
ecj-13919	142	3	the	the	DET
ecj-13919	142	4	association	association	NOUN
ecj-13919	142	5	with	with	ADP
ecj-13919	142	6	histamine	histamine	NOUN
ecj-13919	142	7	-	-	PUNCT
ecj-13919	142	8	mediated	mediate	VERB
ecj-13919	142	9	coronary	coronary	ADJ
ecj-13919	142	10	vasospasm	vasospasm	NOUN
ecj-13919	142	11	,	,	PUNCT
ecj-13919	142	12	which	which	PRON
ecj-13919	142	13	can	can	AUX
ecj-13919	142	14	lead	lead	VERB
ecj-13919	142	15	to	to	PART
ecj-13919	142	16	transient	transient	VERB
ecj-13919	142	17	subendocardial	subendocardial	ADJ
ecj-13919	142	18	ischemia	ischemia	NOUN
ecj-13919	142	19	,	,	PUNCT
ecj-13919	142	20	troponin	troponin	ADJ
ecj-13919	142	21	elevation	elevation	NOUN
ecj-13919	142	22	,	,	PUNCT
ecj-13919	142	23	and	and	CCONJ
ecj-13919	142	24	ecg	ecg	PROPN
ecj-13919	142	25	changes	change	NOUN
ecj-13919	142	26	,	,	PUNCT
ecj-13919	142	27	represents	represent	VERB
ecj-13919	142	28	a	a	DET
ecj-13919	142	29	variant	variant	NOUN
ecj-13919	142	30	of	of	ADP
ecj-13919	142	31	kounis	kounis	PROPN
ecj-13919	142	32	syndrome	syndrome	PROPN
ecj-13919	142	33	,	,	PUNCT
ecj-13919	142	34	adding	add	VERB
ecj-13919	142	35	to	to	ADP
ecj-13919	142	36	the	the	DET
ecj-13919	142	37	peculiarity	peculiarity	NOUN
ecj-13919	142	38	and	and	CCONJ
ecj-13919	142	39	complexity	complexity	NOUN
ecj-13919	142	40	of	of	ADP
ecj-13919	142	41	this	this	DET
ecj-13919	142	42	clinical	clinical	ADJ
ecj-13919	142	43	presentation	presentation	NOUN
ecj-13919	142	44	.	.	PUNCT
ecj-13919	143	1	kounis	kounis	PROPN
ecj-13919	143	2	syndrome	syndrome	PROPN
ecj-13919	143	3	,	,	PUNCT
ecj-13919	143	4	if	if	SCONJ
ecj-13919	143	5	not	not	PART
ecj-13919	143	6	promptly	promptly	ADV
ecj-13919	143	7	recognized	recognize	VERB
ecj-13919	143	8	,	,	PUNCT
ecj-13919	143	9	may	may	AUX
ecj-13919	143	10	lead	lead	VERB
ecj-13919	143	11	to	to	ADP
ecj-13919	143	12	misinterpretation	misinterpretation	NOUN
ecj-13919	143	13	of	of	ADP
ecj-13919	143	14	the	the	DET
ecj-13919	143	15	clinical	clinical	ADJ
ecj-13919	143	16	picture	picture	NOUN
ecj-13919	143	17	and	and	CCONJ
ecj-13919	143	18	result	result	NOUN
ecj-13919	143	19	in	in	ADP
ecj-13919	143	20	inappropriate	inappropriate	ADJ
ecj-13919	143	21	management	management	NOUN
ecj-13919	143	22	and	and	CCONJ
ecj-13919	143	23	patient	patient	ADJ
ecj-13919	143	24	disposition	disposition	NOUN
ecj-13919	143	25	.	.	PUNCT
ecj-13919	144	1	timely	timely	ADJ
ecj-13919	144	2	recognition	recognition	NOUN
ecj-13919	144	3	,	,	PUNCT
ecj-13919	144	4	accurate	accurate	ADJ
ecj-13919	144	5	diagnosis	diagnosis	NOUN
ecj-13919	144	6	,	,	PUNCT
ecj-13919	144	7	and	and	CCONJ
ecj-13919	144	8	appropriate	appropriate	ADJ
ecj-13919	144	9	treatment	treatment	NOUN
ecj-13919	144	10	are	be	AUX
ecj-13919	144	11	essential	essential	ADJ
ecj-13919	144	12	in	in	ADP
ecj-13919	144	13	severe	severe	ADJ
ecj-13919	144	14	forms	form	NOUN
ecj-13919	144	15	of	of	ADP
ecj-13919	144	16	scombroid	scombroid	ADJ
ecj-13919	144	17	syndrome	syndrome	NOUN
ecj-13919	144	18	,	,	PUNCT
ecj-13919	144	19	although	although	SCONJ
ecj-13919	144	20	the	the	DET
ecj-13919	144	21	most	most	ADV
ecj-13919	144	22	effective	effective	ADJ
ecj-13919	144	23	therapy	therapy	NOUN
ecj-13919	144	24	remains	remain	VERB
ecj-13919	144	25	prevention	prevention	NOUN
ecj-13919	144	26	.	.	PUNCT
ecj-13919	145	1	references	reference	NOUN
ecj-13919	145	2	1	1	NUM
ecj-13919	145	3	.	.	PUNCT
ecj-13919	146	1	hungerford	hungerford	PROPN
ecj-13919	146	2	jm	jm	PROPN
ecj-13919	146	3	.	.	PROPN
ecj-13919	146	4	scombroid	scombroid	PROPN
ecj-13919	146	5	poisoning	poisoning	NOUN
ecj-13919	146	6	:	:	PUNCT
ecj-13919	146	7	a	a	DET
ecj-13919	146	8	review	review	NOUN
ecj-13919	146	9	.	.	PUNCT
ecj-13919	147	1	toxicon	toxicon	PROPN
ecj-13919	147	2	2010;56:231	2010;56:231	PROPN
ecj-13919	147	3	-	-	SYM
ecj-13919	147	4	43	43	NUM
ecj-13919	147	5	.	.	PUNCT
ecj-13919	148	1	2	2	NUM
ecj-13919	148	2	.	.	PUNCT
ecj-13919	148	3	pennotti	pennotti	PROPN
ecj-13919	148	4	r	r	NOUN
ecj-13919	148	5	,	,	PUNCT
ecj-13919	148	6	scallan	scallan	ADJ
ecj-13919	148	7	e	e	NOUN
ecj-13919	148	8	,	,	PUNCT
ecj-13919	148	9	backer	backer	NOUN
ecj-13919	148	10	l	l	PROPN
ecj-13919	148	11	,	,	PUNCT
ecj-13919	148	12	et	et	PROPN
ecj-13919	148	13	al	al	PROPN
ecj-13919	148	14	.	.	PROPN
ecj-13919	148	15	ciguatera	ciguatera	NOUN
ecj-13919	148	16	and	and	CCONJ
ecj-13919	148	17	scombroid	scombroid	VERB
ecj-13919	148	18	fish	fish	NOUN
ecj-13919	148	19	poisoning	poisoning	NOUN
ecj-13919	148	20	in	in	ADP
ecj-13919	148	21	the	the	DET
ecj-13919	148	22	united	united	PROPN
ecj-13919	148	23	states	states	PROPN
ecj-13919	148	24	.	.	PUNCT
ecj-13919	149	1	foodborne	foodborne	ADJ
ecj-13919	149	2	pathog	pathog	PROPN
ecj-13919	149	3	dis	dis	PROPN
ecj-13919	149	4	2013;10:1059	2013;10:1059	NUM
ecj-13919	149	5	-	-	SYM
ecj-13919	149	6	66	66	NUM
ecj-13919	149	7	.	.	PUNCT
ecj-13919	150	1	3	3	X
ecj-13919	150	2	.	.	X
ecj-13919	150	3	kounis	kounis	PROPN
ecj-13919	150	4	ng	ng	PROPN
ecj-13919	150	5	.	.	PROPN
ecj-13919	150	6	kounis	kounis	PROPN
ecj-13919	150	7	syndrome	syndrome	PROPN
ecj-13919	150	8	(	(	PUNCT
ecj-13919	150	9	allergic	allergic	ADJ
ecj-13919	150	10	angina	angina	NOUN
ecj-13919	150	11	and	and	CCONJ
ecj-13919	150	12	allergic	allergic	ADJ
ecj-13919	150	13	myocardial	myocardial	ADJ
ecj-13919	150	14	infarction	infarction	NOUN
ecj-13919	150	15	):	):	PUNCT
ecj-13919	150	16	a	a	DET
ecj-13919	150	17	natural	natural	ADJ
ecj-13919	150	18	paradigm	paradigm	NOUN
ecj-13919	150	19	?	?	PUNCT
ecj-13919	151	1	int	int	PROPN
ecj-13919	151	2	j	j	PROPN
ecj-13919	151	3	cardiol	cardiol	NOUN
ecj-13919	151	4	2006;110:7	2006;110:7	NUM
ecj-13919	151	5	-	-	SYM
ecj-13919	151	6	14	14	NUM
ecj-13919	151	7	.	.	PUNCT
ecj-13919	151	8	4	4	X
ecj-13919	151	9	.	.	X
ecj-13919	152	1	abdelghany	abdelghany	PROPN
ecj-13919	152	2	m	m	PROPN
ecj-13919	152	3	,	,	PUNCT
ecj-13919	152	4	subedi	subedi	PROPN
ecj-13919	152	5	r	r	PROPN
ecj-13919	152	6	,	,	PUNCT
ecj-13919	152	7	shah	shah	PROPN
ecj-13919	152	8	s	s	PROPN
ecj-13919	152	9	,	,	PUNCT
ecj-13919	152	10	kozman	kozman	PROPN
ecj-13919	152	11	h.	h.	PROPN
ecj-13919	152	12	kounis	kounis	PROPN
ecj-13919	152	13	syndrome	syndrome	PROPN
ecj-13919	152	14	:	:	PUNCT
ecj-13919	152	15	a	a	DET
ecj-13919	152	16	review	review	NOUN
ecj-13919	152	17	.	.	PUNCT
ecj-13919	153	1	heart	heart	NOUN
ecj-13919	153	2	views	view	VERB
ecj-13919	153	3	2017;18:54	2017;18:54	NOUN
ecj-13919	153	4	-	-	SYM
ecj-13919	153	5	63	63	NUM
ecj-13919	153	6	.	.	PUNCT
ecj-13919	154	1	5	5	NUM
ecj-13919	154	2	.	.	X
ecj-13919	154	3	gould	gould	PROPN
ecj-13919	154	4	lh	lh	PROPN
ecj-13919	154	5	,	,	PUNCT
ecj-13919	154	6	walsh	walsh	PROPN
ecj-13919	154	7	ka	ka	PROPN
ecj-13919	154	8	,	,	PUNCT
ecj-13919	154	9	vieira	vieira	PROPN
ecj-13919	154	10	ar	ar	PROPN
ecj-13919	154	11	,	,	PUNCT
ecj-13919	154	12	et	et	PROPN
ecj-13919	154	13	al	al	PROPN
ecj-13919	154	14	.	.	PROPN
ecj-13919	154	15	surveillance	surveillance	NOUN
ecj-13919	154	16	for	for	ADP
ecj-13919	154	17	foodborne	foodborne	ADJ
ecj-13919	154	18	disease	disease	NOUN
ecj-13919	154	19	outbreaks	outbreak	NOUN
ecj-13919	154	20	united	united	PROPN
ecj-13919	154	21	states	states	PROPN
ecj-13919	154	22	,	,	PUNCT
ecj-13919	154	23	1998	1998	NUM
ecj-13919	154	24	-	-	SYM
ecj-13919	154	25	2008	2008	NUM
ecj-13919	154	26	.	.	PUNCT
ecj-13919	155	1	mmwr	mmwr	PROPN
ecj-13919	155	2	surveill	surveill	PROPN
ecj-13919	155	3	summ	summ	PROPN
ecj-13919	155	4	2013;62:1	2013;62:1	PROPN
ecj-13919	155	5	-	-	PROPN
ecj-13919	155	6	34	34	NUM
ecj-13919	155	7	.	.	NOUN
ecj-13919	155	8	6	6	NUM
ecj-13919	155	9	.	.	X
ecj-13919	156	1	taylor	taylor	PROPN
ecj-13919	156	2	sl	sl	PROPN
ecj-13919	156	3	,	,	PUNCT
ecj-13919	156	4	keefe	keefe	PROPN
ecj-13919	156	5	tj	tj	PROPN
ecj-13919	156	6	,	,	PUNCT
ecj-13919	156	7	windham	windham	PROPN
ecj-13919	156	8	es	es	PROPN
ecj-13919	156	9	,	,	PUNCT
ecj-13919	156	10	howell	howell	PROPN
ecj-13919	156	11	jf	jf	PROPN
ecj-13919	156	12	.	.	PROPN
ecj-13919	157	1	outbreak	outbreak	PROPN
ecj-13919	157	2	of	of	ADP
ecj-13919	157	3	histamine	histamine	NOUN
ecj-13919	157	4	poisoning	poisoning	NOUN
ecj-13919	157	5	associated	associate	VERB
ecj-13919	157	6	with	with	ADP
ecj-13919	157	7	consumption	consumption	NOUN
ecj-13919	157	8	of	of	ADP
ecj-13919	157	9	swiss	swiss	ADJ
ecj-13919	157	10	cheese	cheese	NOUN
ecj-13919	157	11	.	.	PUNCT
ecj-13919	158	1	j	j	PROPN
ecj-13919	158	2	food	food	NOUN
ecj-13919	158	3	protect	protect	NOUN
ecj-13919	158	4	1982;45:455	1982;45:455	NUM
ecj-13919	158	5	-	-	SYM
ecj-13919	158	6	7	7	NUM
ecj-13919	158	7	.	.	NOUN
ecj-13919	158	8	7	7	NUM
ecj-13919	158	9	.	.	X
ecj-13919	159	1	katugaha	katugaha	PROPN
ecj-13919	159	2	sb	sb	PROPN
ecj-13919	159	3	,	,	PUNCT
ecj-13919	159	4	carter	carter	PROPN
ecj-13919	159	5	ac	ac	PROPN
ecj-13919	159	6	,	,	PUNCT
ecj-13919	159	7	desai	desai	PROPN
ecj-13919	159	8	s	s	PROPN
ecj-13919	159	9	,	,	PUNCT
ecj-13919	159	10	soto	soto	PROPN
ecj-13919	159	11	p.	p.	PROPN
ecj-13919	159	12	severe	severe	ADJ
ecj-13919	159	13	scombroid	scombroid	ADJ
ecj-13919	159	14	poisoning	poisoning	NOUN
ecj-13919	159	15	and	and	CCONJ
ecj-13919	159	16	life	life	NOUN
ecj-13919	159	17	-	-	PUNCT
ecj-13919	159	18	threatening	threaten	VERB
ecj-13919	159	19	hypotension	hypotension	NOUN
ecj-13919	159	20	.	.	PUNCT
ecj-13919	160	1	bmj	bmj	PROPN
ecj-13919	160	2	case	case	NOUN
ecj-13919	160	3	reports	report	VERB
ecj-13919	160	4	2021;14	2021;14	NUM
ecj-13919	160	5	:	:	PUNCT
ecj-13919	160	6	e241507	e241507	NOUN
ecj-13919	160	7	.	.	NOUN
ecj-13919	160	8	8	8	NUM
ecj-13919	160	9	.	.	X
ecj-13919	160	10	borysiewicz	borysiewicz	PROPN
ecj-13919	160	11	l	l	PROPN
ecj-13919	160	12	,	,	PUNCT
ecj-13919	160	13	krikler	krikler	PROPN
ecj-13919	160	14	d.	d.	PROPN
ecj-13919	160	15	scombrotoxic	scombrotoxic	PROPN
ecj-13919	160	16	atrial	atrial	ADJ
ecj-13919	160	17	flutter	flutter	NOUN
ecj-13919	160	18	.	.	PUNCT
ecj-13919	161	1	bmj	bmj	PROPN
ecj-13919	161	2	1981;282:1434	1981;282:1434	NUM
ecj-13919	161	3	.	.	PUNCT
ecj-13919	162	1	9	9	NUM
ecj-13919	162	2	.	.	X
ecj-13919	162	3	stratta	stratta	PROPN
ecj-13919	162	4	p	p	NOUN
ecj-13919	162	5	,	,	PUNCT
ecj-13919	162	6	badino	badino	PROPN
ecj-13919	162	7	g.	g.	PROPN
ecj-13919	162	8	scombroid	scombroid	PROPN
ecj-13919	162	9	poisoning	poisoning	NOUN
ecj-13919	162	10	.	.	PUNCT
ecj-13919	163	1	cmaj	cmaj	PROPN
ecj-13919	163	2	2012;184:674	2012;184:674	NOUN
ecj-13919	163	3	.	.	PUNCT
ecj-13919	164	1	10	10	NUM
ecj-13919	164	2	.	.	PUNCT
ecj-13919	164	3	d'aloia	d'aloia	PROPN
ecj-13919	164	4	a	a	DET
ecj-13919	164	5	,	,	PUNCT
ecj-13919	164	6	vizzardi	vizzardi	PROPN
ecj-13919	164	7	e	e	PROPN
ecj-13919	164	8	,	,	PUNCT
ecj-13919	164	9	della	della	NOUN
ecj-13919	164	10	pina	pina	NOUN
ecj-13919	164	11	p	p	PROPN
ecj-13919	164	12	,	,	PUNCT
ecj-13919	164	13	et	et	PROPN
ecj-13919	164	14	al	al	PROPN
ecj-13919	164	15	.	.	PUNCT
ecj-13919	165	1	a	a	DET
ecj-13919	165	2	scombroid	scombroid	ADJ
ecj-13919	165	3	poisoning	poisoning	NOUN
ecj-13919	165	4	causing	cause	VERB
ecj-13919	165	5	a	a	DET
ecj-13919	165	6	life	life	NOUN
ecj-13919	165	7	-	-	PUNCT
ecj-13919	165	8	threatening	threaten	VERB
ecj-13919	165	9	acute	acute	ADJ
ecj-13919	165	10	pulmonary	pulmonary	ADJ
ecj-13919	165	11	edema	edema	NOUN
ecj-13919	165	12	and	and	CCONJ
ecj-13919	165	13	coronary	coronary	ADJ
ecj-13919	165	14	syndrome	syndrome	NOUN
ecj-13919	165	15	in	in	ADP
ecj-13919	165	16	a	a	DET
ecj-13919	165	17	young	young	ADJ
ecj-13919	165	18	healthy	healthy	ADJ
ecj-13919	165	19	patient	patient	NOUN
ecj-13919	165	20	.	.	PUNCT
ecj-13919	166	1	cardiovasc	cardiovasc	PROPN
ecj-13919	166	2	toxicol	toxicol	PROPN
ecj-13919	166	3	2011;11:280	2011;11:280	NUM
ecj-13919	166	4	-	-	SYM
ecj-13919	166	5	3	3	NUM
ecj-13919	166	6	.	.	NOUN
ecj-13919	166	7	11	11	NUM
ecj-13919	166	8	.	.	PUNCT
ecj-13919	167	1	ascione	ascione	NOUN
ecj-13919	167	2	a	a	PRON
ecj-13919	167	3	,	,	PUNCT
ecj-13919	167	4	barresi	barresi	PROPN
ecj-13919	167	5	ls	ls	PROPN
ecj-13919	167	6	,	,	PUNCT
ecj-13919	167	7	sarullo	sarullo	PROPN
ecj-13919	167	8	fm	fm	PROPN
ecj-13919	167	9	,	,	PUNCT
ecj-13919	167	10	de	de	PROPN
ecj-13919	167	11	silvestre	silvestre	PROPN
ecj-13919	167	12	g.	g.	PROPN
ecj-13919	167	13	due	due	PROPN
ecj-13919	167	14	casi	casi	NOUN
ecj-13919	167	15	di	di	X
ecj-13919	167	16	"	"	PUNCT
ecj-13919	167	17	sindrome	sindrome	PROPN
ecj-13919	167	18	sgombroide	sgombroide	NOUN
ecj-13919	167	19	"	"	PUNCT
ecj-13919	167	20	con	con	PROPN
ecj-13919	167	21	importante	importante	PROPN
ecj-13919	167	22	compromissione	compromissione	PROPN
ecj-13919	167	23	cardiovascolare	cardiovascolare	NOUN
ecj-13919	168	1	[	[	X
ecj-13919	168	2	two	two	NUM
ecj-13919	168	3	cases	case	NOUN
ecj-13919	168	4	of	of	ADP
ecj-13919	168	5	"	"	PUNCT
ecj-13919	168	6	scombroid	scombroid	ADJ
ecj-13919	168	7	syndrome	syndrome	NOUN
ecj-13919	168	8	"	"	PUNCT
ecj-13919	168	9	with	with	ADP
ecj-13919	168	10	severe	severe	ADJ
ecj-13919	168	11	cardiovascular	cardiovascular	ADJ
ecj-13919	168	12	compromise	compromise	NOUN
ecj-13919	168	13	]	]	PUNCT
ecj-13919	168	14	.	.	PUNCT
ecj-13919	169	1	cardiologia	cardiologia	PROPN
ecj-13919	169	2	1997;42:12858	1997;42:12858	NUM
ecj-13919	169	3	.	.	PUNCT
ecj-13919	169	4	italian	italian	PROPN
ecj-13919	169	5	.	.	PUNCT
ecj-13919	170	1	12	12	NUM
ecj-13919	170	2	.	.	PUNCT
ecj-13919	171	1	summa	summa	PROPN
ecj-13919	171	2	s	s	PROPN
ecj-13919	171	3	,	,	PUNCT
ecj-13919	171	4	iammarino	iammarino	PROPN
ecj-13919	171	5	m	m	PROPN
ecj-13919	171	6	,	,	PUNCT
ecj-13919	171	7	lo	lo	PROPN
ecj-13919	171	8	magro	magro	PROPN
ecj-13919	171	9	s	s	PROPN
ecj-13919	171	10	,	,	PUNCT
ecj-13919	171	11	et	et	PROPN
ecj-13919	171	12	al	al	PROPN
ecj-13919	171	13	.	.	PROPN
ecj-13919	172	1	illegal	illegal	ADJ
ecj-13919	172	2	nitrite	nitrite	NOUN
ecj-13919	172	3	treatment	treatment	NOUN
ecj-13919	172	4	of	of	ADP
ecj-13919	172	5	red	red	ADJ
ecj-13919	172	6	tuna	tuna	NOUN
ecj-13919	172	7	and	and	CCONJ
ecj-13919	172	8	prolonged	prolonged	ADJ
ecj-13919	172	9	storage	storage	NOUN
ecj-13919	172	10	:	:	PUNCT
ecj-13919	172	11	what	what	PRON
ecj-13919	172	12	about	about	ADP
ecj-13919	172	13	other	other	ADJ
ecj-13919	172	14	food	food	NOUN
ecj-13919	172	15	safety	safety	NOUN
ecj-13919	172	16	risks	risk	NOUN
ecj-13919	172	17	?	?	PUNCT
ecj-13919	173	1	appl	appl	PROPN
ecj-13919	173	2	sci	sci	PROPN
ecj-13919	173	3	2025;15:3975	2025;15:3975	NUM
ecj-13919	173	4	.	.	PUNCT
ecj-13919	174	1	13	13	NUM
ecj-13919	174	2	.	.	PUNCT
ecj-13919	175	1	taylor	taylor	PROPN
ecj-13919	175	2	sl	sl	PROPN
ecj-13919	175	3	,	,	PUNCT
ecj-13919	175	4	stratton	stratton	PROPN
ecj-13919	175	5	je	je	PROPN
ecj-13919	175	6	,	,	PUNCT
ecj-13919	175	7	nordlee	nordlee	PROPN
ecj-13919	175	8	ja	ja	PROPN
ecj-13919	175	9	.	.	PUNCT
ecj-13919	176	1	histamine	histamine	NOUN
ecj-13919	176	2	poisoning	poisoning	NOUN
ecj-13919	176	3	(	(	PUNCT
ecj-13919	176	4	scombroid	scombroid	ADJ
ecj-13919	176	5	fish	fish	NOUN
ecj-13919	176	6	poisoning	poisoning	NOUN
ecj-13919	176	7	):	):	PUNCT
ecj-13919	176	8	an	an	DET
ecj-13919	176	9	allergy	allergy	NOUN
ecj-13919	176	10	-	-	PUNCT
ecj-13919	176	11	like	like	ADJ
ecj-13919	176	12	intoxication	intoxication	NOUN
ecj-13919	176	13	.	.	PUNCT
ecj-13919	177	1	j	j	PROPN
ecj-13919	177	2	toxicol	toxicol	PROPN
ecj-13919	177	3	clin	clin	PROPN
ecj-13919	177	4	toxicol	toxicol	PROPN
ecj-13919	177	5	1989;27:225	1989;27:225	PROPN
ecj-13919	177	6	-	-	SYM
ecj-13919	177	7	40	40	NUM
ecj-13919	177	8	.	.	PUNCT
ecj-13919	178	1	case	case	NOUN
ecj-13919	178	2	report	report	NOUN
ecj-13919	178	3	[	[	X
ecj-13919	178	4	emergency	emergency	NOUN
ecj-13919	178	5	care	care	NOUN
ecj-13919	178	6	journal	journal	NOUN
ecj-13919	178	7	2025	2025	NUM
ecj-13919	178	8	;	;	PUNCT
ecj-13919	178	9	21:13919	21:13919	NUM
ecj-13919	178	10	]	]	X
ecj-13919	179	1	[	[	X
ecj-13919	179	2	page	page	NOUN
ecj-13919	179	3	25	25	NUM
ecj-13919	179	4	]	]	SYM
ecj-13919	179	5	14	14	NUM
ecj-13919	179	6	.	.	PUNCT
ecj-13919	180	1	wallace	wallace	NOUN
ecj-13919	180	2	bj	bj	PROPN
ecj-13919	180	3	,	,	PUNCT
ecj-13919	180	4	guzewich	guzewich	PROPN
ecj-13919	180	5	jj	jj	PROPN
ecj-13919	180	6	,	,	PUNCT
ecj-13919	180	7	cambridge	cambridge	PROPN
ecj-13919	180	8	m	m	PROPN
ecj-13919	180	9	,	,	PUNCT
ecj-13919	180	10	et	et	PROPN
ecj-13919	180	11	al	al	PROPN
ecj-13919	180	12	.	.	PROPN
ecj-13919	181	1	seafoodassociated	seafoodassociate	VERB
ecj-13919	181	2	disease	disease	NOUN
ecj-13919	181	3	outbreaks	outbreak	NOUN
ecj-13919	181	4	in	in	ADP
ecj-13919	181	5	new	new	PROPN
ecj-13919	181	6	york	york	PROPN
ecj-13919	181	7	,	,	PUNCT
ecj-13919	181	8	1980	1980	NUM
ecj-13919	181	9	-	-	SYM
ecj-13919	181	10	1994	1994	NUM
ecj-13919	181	11	.	.	PUNCT
ecj-13919	182	1	am	be	AUX
ecj-13919	182	2	j	j	PROPN
ecj-13919	182	3	prev	prev	X
ecj-13919	182	4	med	me	VERB
ecj-13919	182	5	1999;17:48	1999;17:48	PROPN
ecj-13919	182	6	-	-	SYM
ecj-13919	182	7	54	54	NUM
ecj-13919	182	8	.	.	PUNCT
ecj-13919	183	1	15	15	NUM
ecj-13919	183	2	.	.	PUNCT
ecj-13919	184	1	hughes	hughes	PROPN
ecj-13919	184	2	jm	jm	PROPN
ecj-13919	184	3	,	,	PUNCT
ecj-13919	184	4	potter	potter	VERB
ecj-13919	184	5	me	i	PRON
ecj-13919	184	6	.	.	PUNCT
ecj-13919	185	1	scombroid	scombroid	NOUN
ecj-13919	185	2	-	-	PUNCT
ecj-13919	185	3	fish	fish	NOUN
ecj-13919	185	4	poisoning	poisoning	NOUN
ecj-13919	185	5	.	.	PUNCT
ecj-13919	186	1	from	from	ADP
ecj-13919	186	2	pathogenesis	pathogenesis	NOUN
ecj-13919	186	3	to	to	ADP
ecj-13919	186	4	prevention	prevention	NOUN
ecj-13919	186	5	.	.	PUNCT
ecj-13919	187	1	n	n	PROPN
ecj-13919	187	2	engl	engl	PROPN
ecj-13919	187	3	j	j	PROPN
ecj-13919	187	4	med	med	PROPN
ecj-13919	187	5	1991;324:766	1991;324:766	PROPN
ecj-13919	187	6	-	-	PUNCT
ecj-13919	187	7	8	8	NUM
ecj-13919	187	8	.	.	NOUN
ecj-13919	187	9	16	16	NUM
ecj-13919	187	10	.	.	PUNCT
ecj-13919	188	1	predy	predy	PROPN
ecj-13919	188	2	g	g	PROPN
ecj-13919	188	3	,	,	PUNCT
ecj-13919	188	4	honish	honish	PROPN
ecj-13919	188	5	l	l	PROPN
ecj-13919	188	6	,	,	PUNCT
ecj-13919	188	7	hohn	hohn	PROPN
ecj-13919	188	8	w	w	PROPN
ecj-13919	188	9	,	,	PUNCT
ecj-13919	188	10	jones	jones	PROPN
ecj-13919	188	11	s.	s.	PROPN
ecj-13919	188	12	was	be	AUX
ecj-13919	188	13	it	it	PRON
ecj-13919	188	14	something	something	PRON
ecj-13919	188	15	she	she	PRON
ecj-13919	188	16	ate	eat	VERB
ecj-13919	188	17	?	?	PUNCT
ecj-13919	189	1	case	case	NOUN
ecj-13919	189	2	report	report	NOUN
ecj-13919	189	3	and	and	CCONJ
ecj-13919	189	4	discussion	discussion	NOUN
ecj-13919	189	5	of	of	ADP
ecj-13919	189	6	scombroid	scombroid	ADJ
ecj-13919	189	7	poisoning	poisoning	NOUN
ecj-13919	189	8	.	.	PUNCT
ecj-13919	190	1	cmaj	cmaj	PROPN
ecj-13919	190	2	2003;168:587	2003;168:587	NUM
ecj-13919	190	3	-	-	SYM
ecj-13919	190	4	8	8	NUM
ecj-13919	190	5	.	.	PUNCT
ecj-13919	190	6	17	17	NUM
ecj-13919	190	7	.	.	PUNCT
ecj-13919	191	1	lehane	lehane	PROPN
ecj-13919	191	2	l	l	PROPN
ecj-13919	191	3	,	,	PUNCT
ecj-13919	191	4	olley	olley	PROPN
ecj-13919	191	5	j.	j.	PROPN
ecj-13919	191	6	histamine	histamine	PROPN
ecj-13919	191	7	fish	fish	NOUN
ecj-13919	191	8	poisoning	poisoning	NOUN
ecj-13919	191	9	revisited	revisit	VERB
ecj-13919	191	10	.	.	PUNCT
ecj-13919	192	1	int	int	PROPN
ecj-13919	192	2	j	j	PROPN
ecj-13919	192	3	food	food	PROPN
ecj-13919	192	4	microbiol	microbiol	PROPN
ecj-13919	192	5	2000;58:1	2000;58:1	PROPN
ecj-13919	192	6	-	-	SYM
ecj-13919	192	7	37	37	NUM
ecj-13919	192	8	.	.	PUNCT
ecj-13919	192	9	18	18	NUM
ecj-13919	192	10	.	.	PUNCT
ecj-13919	193	1	kelso	kelso	PROPN
ecj-13919	193	2	jm	jm	PROPN
ecj-13919	193	3	,	,	PUNCT
ecj-13919	193	4	lin	lin	PROPN
ecj-13919	193	5	fl	fl	PROPN
ecj-13919	193	6	.	.	PUNCT
ecj-13919	193	7	skin	skin	NOUN
ecj-13919	193	8	testing	testing	NOUN
ecj-13919	193	9	for	for	ADP
ecj-13919	193	10	scombroid	scombroid	ADJ
ecj-13919	193	11	poisoning	poisoning	NOUN
ecj-13919	193	12	.	.	PUNCT
ecj-13919	194	1	ann	ann	PROPN
ecj-13919	194	2	allergy	allergy	PROPN
ecj-13919	194	3	asthma	asthma	PROPN
ecj-13919	194	4	immunol	immunol	PROPN
ecj-13919	194	5	2009;103:447	2009;103:447	PROPN
ecj-13919	194	6	.	.	PUNCT
ecj-13919	194	7	19	19	NUM
ecj-13919	194	8	.	.	PUNCT
ecj-13919	195	1	bédry	bédry	ADJ
ecj-13919	195	2	r	r	NOUN
ecj-13919	195	3	,	,	PUNCT
ecj-13919	195	4	gabinski	gabinski	PROPN
ecj-13919	195	5	c	c	NOUN
ecj-13919	195	6	,	,	PUNCT
ecj-13919	195	7	paty	paty	PROPN
ecj-13919	195	8	mc	mc	PROPN
ecj-13919	195	9	.	.	PROPN
ecj-13919	195	10	diagnosis	diagnosis	NOUN
ecj-13919	195	11	of	of	ADP
ecj-13919	195	12	scombroid	scombroid	ADJ
ecj-13919	195	13	poisoning	poisoning	NOUN
ecj-13919	195	14	by	by	ADP
ecj-13919	195	15	measurement	measurement	NOUN
ecj-13919	195	16	of	of	ADP
ecj-13919	195	17	plasma	plasma	NOUN
ecj-13919	195	18	histamine	histamine	NOUN
ecj-13919	195	19	.	.	PUNCT
ecj-13919	196	1	n	n	PROPN
ecj-13919	196	2	engl	engl	PROPN
ecj-13919	196	3	j	j	PROPN
ecj-13919	196	4	med	med	PROPN
ecj-13919	196	5	2000;342:520	2000;342:520	NUM
ecj-13919	196	6	-	-	SYM
ecj-13919	196	7	1	1	NUM
ecj-13919	196	8	.	.	NOUN
ecj-13919	196	9	20	20	NUM
ecj-13919	196	10	.	.	PUNCT
ecj-13919	197	1	abdelghany	abdelghany	PROPN
ecj-13919	197	2	m	m	PROPN
ecj-13919	197	3	,	,	PUNCT
ecj-13919	197	4	subedi	subedi	PROPN
ecj-13919	197	5	r	r	PROPN
ecj-13919	197	6	,	,	PUNCT
ecj-13919	197	7	shah	shah	PROPN
ecj-13919	197	8	s	s	PROPN
ecj-13919	197	9	,	,	PUNCT
ecj-13919	197	10	kozman	kozman	PROPN
ecj-13919	197	11	h.	h.	PROPN
ecj-13919	197	12	kounis	kounis	PROPN
ecj-13919	197	13	syndrome	syndrome	PROPN
ecj-13919	197	14	:	:	PUNCT
ecj-13919	197	15	a	a	DET
ecj-13919	197	16	review	review	NOUN
ecj-13919	197	17	article	article	NOUN
ecj-13919	197	18	on	on	ADP
ecj-13919	197	19	epidemiology	epidemiology	NOUN
ecj-13919	197	20	,	,	PUNCT
ecj-13919	197	21	diagnostic	diagnostic	ADJ
ecj-13919	197	22	findings	finding	NOUN
ecj-13919	197	23	,	,	PUNCT
ecj-13919	197	24	management	management	NOUN
ecj-13919	197	25	and	and	CCONJ
ecj-13919	197	26	complications	complication	NOUN
ecj-13919	197	27	of	of	ADP
ecj-13919	197	28	allergic	allergic	ADJ
ecj-13919	197	29	acute	acute	ADJ
ecj-13919	197	30	coronary	coronary	ADJ
ecj-13919	197	31	syndrome	syndrome	NOUN
ecj-13919	197	32	.	.	PUNCT
ecj-13919	198	1	int	int	PROPN
ecj-13919	198	2	j	j	PROPN
ecj-13919	198	3	cardiol	cardiol	NOUN
ecj-13919	198	4	2017;232:1	2017;232:1	NUM
ecj-13919	198	5	-	-	SYM
ecj-13919	198	6	4	4	NUM
ecj-13919	198	7	.	.	NUM
ecj-13919	198	8	21	21	NUM
ecj-13919	198	9	.	.	PUNCT
ecj-13919	199	1	manjur	manjur	PROPN
ecj-13919	199	2	je	je	PROPN
ecj-13919	199	3	,	,	PUNCT
ecj-13919	199	4	ciuffo	ciuffo	PROPN
ecj-13919	199	5	mm	mm	PROPN
ecj-13919	199	6	,	,	PUNCT
ecj-13919	199	7	burdowski	burdowski	PROPN
ecj-13919	199	8	j	j	PROPN
ecj-13919	199	9	,	,	PUNCT
ecj-13919	199	10	et	et	PROPN
ecj-13919	199	11	al	al	PROPN
ecj-13919	199	12	.	.	PUNCT
ecj-13919	200	1	scombroid	scombroid	PROPN
ecj-13919	200	2	fish	fish	NOUN
ecj-13919	200	3	poisoning	poisoning	NOUN
ecj-13919	200	4	leading	lead	VERB
ecj-13919	200	5	to	to	ADP
ecj-13919	200	6	vasospastic	vasospastic	ADJ
ecj-13919	200	7	angina	angina	NOUN
ecj-13919	200	8	:	:	PUNCT
ecj-13919	200	9	a	a	DET
ecj-13919	200	10	rare	rare	ADJ
ecj-13919	200	11	etiology	etiology	NOUN
ecj-13919	200	12	of	of	ADP
ecj-13919	200	13	chest	chest	NOUN
ecj-13919	200	14	pain	pain	NOUN
ecj-13919	200	15	.	.	PUNCT
ecj-13919	201	1	jacc	jacc	PROPN
ecj-13919	201	2	case	case	NOUN
ecj-13919	201	3	rep	rep	PROPN
ecj-13919	201	4	2019;1:322	2019;1:322	PROPN
ecj-13919	201	5	-	-	SYM
ecj-13919	201	6	6	6	NUM
ecj-13919	201	7	.	.	PUNCT
ecj-13919	201	8	case	case	NOUN
ecj-13919	201	9	report	report	NOUN
ecj-13919	201	10	[	[	X
ecj-13919	201	11	page	page	NOUN
ecj-13919	201	12	26	26	NUM
ecj-13919	201	13	]	]	PUNCT
ecj-13919	202	1	[	[	X
ecj-13919	202	2	emergency	emergency	NOUN
ecj-13919	202	3	care	care	NOUN
ecj-13919	202	4	journal	journal	NOUN
ecj-13919	202	5	2025	2025	NUM
ecj-13919	202	6	;	;	PUNCT
ecj-13919	202	7	21:13919	21:13919	NUM
ecj-13919	202	8	]	]	PUNCT