Date: 26 November 2013
Secondary metabolites, structure diagram: Trivial name – paraherquamide
Copyright: n/a
Notes:
Species: A. silvaticusSystematic name: Spiro[4H,8H-[1,4]dioxepino[2,3-g]indole-8,7′(8’H)-[5H,6H-5a,9a](iminomethano)[1H]cyclopent[f]indolizine]-9,10′(10H)-dione, 2′,3′,8’a,9′-tetrahydro-1′-hydroxy-1′,4,4,8′,8′,11′-hexamethyl-, (1’R,5’aS,7’R,8’aS,9’aR)-Molecular formulae: C28H35N3O5Molecular weight: 493Chemical abstracts number: 77392-58-6Selected references: Yamazaki, M.; Fujimoto, H.; Okuyama, E.; Ohta, Y. (Res. Inst. Chemobiodyn., Chiba Univ., Chiba 280, Japan). Maikotokishin (Tokyo), 10, 27-8 (Japanese) 1980.
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4 Total obstruction of the sinuses due to inflamed mucosa. (Patient 04)
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1 Axial computed tomography (CT) scans of the frontal sinus.
A: due to the long lasting pressure of mucus, the bone of the anterior wall of frontal sinus is thinned out and elevated anteriorly, forming a bulge. B: same situation as depicted in fig A: the posterior bony wall of frontal sinus is thinned out and extremely elevated posteriorly towards the frontal lobe of the brain. As depicted on the scan, a thin bony layer covering the dura could be recognized intraoperatively
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2 Same patient as 1 and 3, frontal CT
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D. 6 months later, tenacious yellow secretions in L basal bronchial division
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C. After suction the material was seen to extend distally – obstructing the right basal stem bronchus
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B. After suction the material was seen to extend distally – obstructing the right basal stem bronchus
