{'fraction_non_alphanumeric': 0.031476997578692496, 'fraction_numerical': 0.022397094430992737, 'mean_word_length': 5.406976744186046, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Hidden Disease with Pulmonary Alveolar Hemorrhage

A 77-year-old woman with recurrent glioblastoma was admitted to the neurosurgery department (day 1) for a second course of chemotherapy and physical rehabilitation after a second episode of severe convulsions. Ten months earlier, she had been diagnosed with glioblastoma and underwent craniotomy followed by radiotherapy and received a first course of oral chemotherapy with temozolomide (75mg/m2) and prednisolone (10mg/day) for 8 months. The Eastern Cooperative Oncology Group Performance status was 3,1 and she had been treated with zonisamide (200mg/ day) for convulsions and single-strength trimethoprime/sulfatomexazole per day for prevention of Pneumocystis jirovecii pneumonia during the preceding 8 months together with apixaban at 10mg/day and pilsicainide hydrochloride hydrate at 75mg/day for atrial fibrillation. On day 15, she showed pyrexia (39°C) without organ-specific symptoms. High fever spontaneously disappeared within a few days, and she was treated with a second course of oral temozolomide (100mg/m2) from day 17 to 21. On day 25, high fever recurred, and chest X-ray (Figure 1A) showed bilateral tiny nodules in the middle to lower lung fields with right-side predominance. These findings were confirmed on thoracic computed tomography (CT) (Figure 1B), but vital signs and results of physical examinations remained normal. She received daily antipyretic medications, and fever pattern showed morning temperature spikes over 39°C. Both sets of blood and sputum cultures were negative for bacteria, and sputum Gram and ZiehlNeelsen staining identified no pathogens. However, on