External biliary drainage before choledochal cyst treatment in a very low birth weight infant.

Choledochal cysts (CC) are congenital biliary tract dilatations. Infantile CC (IFCC) in very low birth weight (VLBW) infants is rare. This is a case of a huge IFCC presented in VLBW preterm infant managed with external biliary drainage prior to definitive treatment. Electrolyte imbalance, poor weight gain, and infections were managed during external biliary drainage maintenance. Choledochal cyst excision and Roux-en-Y hepaticoenterostomy were successfully performed when the infant weighed 4.9 kg 5 months later. Delayed definitive treatment with external biliary drainage could be a feasible alternative for managing CC in low-birth-weight infants.

Congenital staphylococcal scalded skin syndrome in a preterm infant.

Staphylococcal scalded skin syndrome (SSSS) is a rare condition in premature infants. We report a case of SSSS in a preterm neonate who displayed all clinical manifestations at birth, leading to a fatal outcome from Candida parapsilosis fungemia. The clinical presentation was challenging to differential diagnosis. SSSS diagnosis was confirmed by skin biopsy. This case emphasizes the significance of early recognition and diagnosis of SSSS promptly for clinicians. Congenital SSSS in premature infants can be fatal, but with early recognition and appropriate supportive and antimicrobial therapy, outcomes can be improved and lives can be saved.

Synthesis and characterization of trimetallic cobalt, zinc and nickel complexes containing amine-bis(benzotriazole phenolate) ligands: efficient catalysts for coupling of carbon dioxide with epoxides.

New trimetallic cobalt, nickel and zinc complexes 1-3 coordinated by amine-bis(benzotriazole phenolate) ligands and ancillary acetate groups have been developed for the use of CO2/epoxide coupling. All complexes were structurally characterized by single crystal X-ray crystallography; tri-Co complex 1 is the first solid-state example in which three different geometrical configurations exist in the same benzotriazole phenoxide metal complex. Tri-nuclear complexes 1 and 2 with cobalt and zinc metal centers were demonstrated to be very active catalysts for cycloaddition of cyclohexene oxide with CO2 in the presence of ammonium salt co-catalysts to give cis-cyclohexene carbonate under the conditions of 80 °C and 300 psi initial CO2 pressure. Particularly, tri-cobalt complex 1 was found to efficiently couple CO2 with epoxides showing broad substrate scope, producing the corresponding cyclic organic carbonates with good activities and high selectivities. This is a successful example of catalysis for cyclic carbonate synthesis using one cobalt(ii) complex as a homogeneous catalyst.

Aluminum compounds containing eta1- and/or eta5-bidentate dianionic pyrrolyl-methylamide ligands.

A series of dialuminum compounds have been synthesized and their reactivity and application for lactide polymerization have been studied. The reaction of AlH3 x NMe3 with [C4H3NH(2-CH2NHtBu)] in diethyl ether generated a dimeric aluminum hydride compound, [[[C4H3N(2-CH2NtBu)]AlH]2] (1). The structure of 1 was confirmed by spectroscopy of a deuterated analogue of 1 with an Al--D function. Direct treatment of [C4H3NH(2-CH2NHtBu)] with LiAlH4 in diethyl ether resulted in colorless crystals of [[Li[micro-eta1:eta5-C4H3N(2-CH2NtBu)]2Al]2] (2) in 80 % yield after recrystallization from a toluene solution. The micro-eta1:eta5-pyrrolyl protons exhibit high-field shifts at delta=5.73, 6.15, and 6.72 comparable to a similar eta5-bonding mode in the literature. Treatment of 1 with 1 equiv acetone oxime or acetone in dichloromethane gave [[[C4H3N(2-CH2NtBu)]Al[varkappaO,varkappaN-(ON==CMe2)]]2] (3) and [[[C4H3N(2-CH2NtBu)]Al(O--CHMe2)]2] (4) in 67 % and 60 % yield, respectively. Compounds 1-4 have been characterized by X-ray diffractometry and were used as catalysts for epsilon-caprolactone polymerization.