Complexação de guaiacol com ß-ciclodextrina para tratamento de alveolite seca: avaliação in vitro e in vivo / ß-cyclodextrin complexation of guaiacol for the treatment of dry socket: in vitro and in vivo evaluation

A alveolite seca (AS) é uma das complicações pós-operatórias mais comuns e sintomáticas na odontologia, porém, até o momento não há um protocolo de tratamento definido. O composto fenólico guaiacol (Gu) é um dos materiais utilizados para revestimento intra-alveolar devido às suas propriedades analgésicas, antioxidantes e antimicrobianas. Contudo, sua desvantagem é a dificuldade de manipulação decorrente da sua baixa estabilidade, alta volatilidade e sensibilidade à oxidação. Para melhorar suas propriedades e aumentar sua aplicabilidade clínica, um complexo de inclusão de Gu com ß-ciclodextrina (ßcd) foi desenvolvido. A formação do complexo supramolecular de Gu:ßcd foi caracterizada mediante a ressonância magnética nuclear (RMN), nos experimentos de 1H e 2D ROESY. A atividade antibacteriana do Gu e Gu:ßcd frente a Escherichia coli, Staphylococcus aureus, Streptococcus mitis, Streptococcus mutans, Streptococcus sanguis e Aggregatibacter actinomycetemcomitans foi analisada pelo método da microdiluição e sua citotoxicidade em osteoblastos de calvária de rato, foi estudado com o ensaio do MTT. O processo de reparo alveolar induzido pelo Gu:ßcd foi avaliado histologicamente após tratamento de alveolite seca em molares inferiores de ratos. A RMN mostrou correlações espaciais entre os hidrogênios internos (H3 e H5) da ßcd e os hidrogênios aromáticos, H(a) e H(b) do Gu, confirmando a formação do complexo. A complexação do Gu na ßcd potencializou seu efeito antibacteriano e reduziu sua citotoxicidade em osteoblastos. O estudo in vivo evidenciou a ocorrência de ossificação no ápice alveolar dos ratos tratados com Gu:ßcd, no 7o dia. No 14o dia, as trabéculas ósseas ocuparam também o terço médio do alvéolo e no 21o dia, todo o alvéolo se encontrava preenchido por osso neoformado. Estes resultados foram similares ao controle negativo e superiores ao controle positivo (Alvogyl®). Os benefícios obtidos pela inclusão do Gu na ßcd foram demonstrados pela melhora das...

Dry socket is one of the most common and symptomatic complications in dentistry, however, there is still not a settled treatment for this condition. The phenolic compound guaiacol (Gu) is one of several alveolar dressings used in dry socket because it has analgesic, antioxidant and antimicrobial properties. Nevertheless, its disadvantage is the difficulty of manipulation due to its low stability, high volatility and sensitivity to oxidation. To improve its properties and increase its clinical applicability, an inclusion complex of Gu with ß-cyclodextrin (ßcd) was developed. The Gu:ßcd supramolecular complex was characterized by Nuclear Magnetic Ressonance (NMR), in the 1H and 2D ROESY experiments. The antibacterial activity of Gu and Gu:ßcd over Escherichia coli, Staphylococcus aureus, Streptococcus mitis, Streptococcus mutans, Streptococcus sanguis and Aggregatibacter actinomycetemcomitans was analyzed using the microdilution method and its cytotoxicity in rat calvaria-derived osteoblast was evaluated with the MTT assay. The alveolus repair process induced by Gu:ßcd was histologically studied after the treatment of dry socket in rat mandibular molars. The NMR showed spatial correlations between internal hydrogens (H3 and H5) of ßcd and aromatic hydrogens, H(a) and H(b), of Gu confirming the inclusion complex formation. Gu:ßcd complex potentiated Gu antibacterial effect and reduced its cytotoxicity in osteoblasts. The in vivo study revealed that ossification occurred in the alveolar apex of rats treated with Gu:ßcd, by day 7. In the 14th day, the trabecular bone occupied the apical and middle thirds of the socket and on the 21st day, the entire alveolus was filled by newly formed bone. These results were similar to the negative control and superior to the positive control (AlvogylTM). Benefits gained from inclusion of Gu in cyclodextrin have been particularly demonstrated by the improvement in Gu biological properties in vitro and the appropriate alveolus...

Chemical constituents of Kadsura oblongifolia and evaluation of their toxicity / 药学学报

To study the chemical constituents of K. oblongifolia, silica gel column chromatography, MCI and Sephadex LH-20 were used to separate the 70% acetone extract of the stems of K. oblongifolia. The structures of the isolated compounds have been established on the basis of physicochemical and NMR spectroscopic evidence as well as ESI-MS in some cases. Twenty compounds were obtained and identified as heteroclitalignan A (1), kadsulignan F (2), kadoblongifolin C (3), schizanrin F (4), heteroclitalignan C (5), kadsurarin (6), kadsulignan O (7), eburicol (8), meso-dihydroguaiaretic acid (9), kadsufolin A (10), tiegusanin M (11), heteroclitin B (12), (7'S)-parabenzlactone (13), angeloylbinankadsurin B (14), propinquain H (15), quercetin (16), kadsulignan P (17), schizanrin G (18), micrandilactone C (19) and (-)-shikimic acid (20). Compouds 1, 5, 8, 11-15, 18 and 20 were isolated from this plant for the first time. Toxicity of compounds 1-10 were evaluated with zebrafish model to observe the effect on its embryonic development and heart function. The results showed that compounds 7, 9 and 10 caused edema of zebrafish embryo and decreased the heart rate of zebrafish, which exhibited interference effect on heart development of zebrafish.

Anticonvulsant activity of some vanilloid receptor agonists

Vanilloid receptors 1 [VR 1], a group of transient receptor potential channels family was cloned in 1997. They were found to be a potential target for treatment of different acute and chronic pain disorder. Recently these receptors were reported to be involved in several pathological conditions. The present study aimed to investigate the potential anticonvulsant activity of five vanilloidal agonists [capsaicin, nonivamide, zingerone, dehydrozingerone and 6-gingerol]. Experimental animal model of pentylenetetrazole [PTZ] induced seizure was used to investigate the potential anticonvulsant activity of capsaicin, nonivamide, zingerone, dehydrozingerone and 6-gingerol. The data obtained showed that, all tested compounds [capsaicin, nonivamide, zingerone, dehydrozingerone and 6-gingerol] possess dose dependant anticonvulsant activity. The five vanilloidal agonists; capsaicin, nonivamide, zingerone, dehydrozingerone and 6-gingerol exhibit anticonvulsant activity and may find clinical application

Study on anti-cataract effect of gigantol combined with syringic acid and their mechanism / 中国中药杂志

<p><b>OBJECTIVE</b>To study the anti-cataract effect of gigantol combined with syringic acid and their action mechanism.</p><p><b>METHOD</b>H202-induced lens oxidative injury in vitro rat model was establish to observe the impact of gigantol combined with syringic acid on lens transparency under a dissecting microscope. D-galactose-induced cataract rat model was established to observe the impact of gigantol combined with syringic acid on lens transparency under a slit-lamp. UV spectrophotometry was adopted to detect the inhibitory activity of gigantol combined with syringic acid against AR. Molecular docking method was used to detect binding sites, binding types and pharmacophores of gigantol combined with syringic acid in prohibiting aldose reductase.</p><p><b>RESULT</b>Both in vitro and in vivo experiments showed a good anti-sugar cataract activity in the combination of gigantol and syringic acid and a better collaborative effect than single component-gigantol and syringic acid and positive control drug Catalin. Molecular docking and dynamic simulation showed their collaborative AR-inhibiting amino acid residue was Asn160 and the major acting force was Van der Waals' force, which formed common pharmacophores.</p><p><b>CONCLUSION</b>Gigantol combined with syringic acid shows good anti-cataract, their action mechanism is reflected in their good collaborative inhibitory effect on AR.</p>

Effect of Qingkailing Injection on children with respiratory syncytial virus pneumonia of phlegm-heat obstructing Fei syndrome pattern at different time-points / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To evaluate the curative effect of Qingkailing Injection (QKL) for treatment of children's respiratory syncytial virus pneumonia of phlegm-heat obstructing Fei syndrome pattern (SVP-PH) depending upon main symptom assessment.</p><p><b>METHODS</b>A Chinese-Western medicine comparative trial was conducted on 206 children with SVP-PH in two groups treated with Ribavirin injection plus compound guaiacol potassium sul-fonale oral solution (as control group) and QKL injection plus Ertong Qingfei oral liquid (as treated group) respectively, for 10 days. The curative effectiveness on four main symptoms (fever, cough, sputum and short breath) were evaluated at different time-points.</p><p><b>RESULTS</b>The effectiveness in the treated group at various time-points was superior to that in the control group, showing the earlier initiating time (on the 4th day) and the preponderances on cough and sputum ran all through the whole course.</p><p><b>CONCLUSION</b>Chinese medicine shows a multi-target effect in treating children's SVP-HP.</p>

Effective components against HIV-1 replicative enzymes isolated from plants / 药学学报

Plant active components characterized of many different structures and activities on multiple targets, have made them to be the important sources of inhibitors on HIV-1. For finding leading compounds with new structure against HIV-1, three key HIV-1 replicative enzymes (reverse transcriptase, protease and integrase) were used as screening models. The in vitro activities of 45 plant derived components isolated from Schisandraceae, Rutaceae and Ranunculaceae were reported. Within twelve triterpene components isolated, eight compounds were found to inhibit HIV-1 protease, in these eight active compounds, kadsuranic acid A (7) and nigranoic acid (8), inhibited both HIV-1 protease and integrase; Among fifteen lignans, meso-dihydroguaiaretic acid (15) and kadsurarin (16) were active on HIV-1 reverse transcriptase, and 4, 4-di(4-hydroxy-3-methoxyphenly)-2, 3-dimethylbutanol (13) active on HIV-1 integrase. All of the six alkaloids, seven flavones, and five others compounds were not active or only with low activities against HIV-1 replicative enzymes. Further studies of the triterpene components showing strong inhibitory activities on HIV-1 were warranted.

Spoilage yeasts in Patagonian winemaking: molecular and physiological features of Pichia guilliermondii indigenous isolates / Levaduras contaminantes en vinos patagónicos: características moleculares y fisiológicas de los aislamientos indígenas de Picchia guilliermondii

Yeasts belonging to the genus Dekkera/Brettanomyces, especially the species Dekkera bruxellensis, have long been associated with the production of volatile phenols responsible for off-flavour in wines. According to recent reports, the species Pichia guilliermondii could also produce these compounds at the initial stages of fermentation. Based on the abundance of P. guilliermondii in Patagonian winemaking, we decided to study the relevance of indigenous isolates belonging to this species as wine spoilage yeast. Twenty-three indigenous isolates obtained from grape surfaces and red wine musts were analyzed in their capacity to produce volatile phenols on grape must. The relationship between molecular Random Amplified Polymorphic DNA (RAPD) and physiological (killer biotype) patterns detected in indigenous populations of P. guilliermondii and volatile phenol production was also evaluated. Different production levels of 4-ethylphenol, 4-vinylguaiacol and 4-ethylguaiacol were detected among the isolates; however, the values were always lower than those produced by the D. bruxellensis reference strain in the same conditions. High levels of 4-vinylphenol were detected among P. guilliermondii indigenous isolates. The combined use of RAPD and killer biotype allowed us to identify the isolates producing the highest volatile phenol levels.

Las levaduras del género Dekkera/Brettanomyces, sobre todo la especie Dekkera bruxellensis, siempre han sido asociadas con la producción de fenoles volátiles responsables de aromas desagradables en los vinos. Recientemente, se ha demostrado que la especie Pichia guilliermondii también es capaz de producir estos compuestos, particularmente durante las etapas iniciales de la fermentación. Dada la abundancia de P. guilliermondii en las bodegas de la Patagonia, se decidió evaluar la importancia de algunos aislamientos indígenas de esta especie como levaduras alterantes de vinos regionales. Se evaluó la capacidad de producir fenoles volátiles en ensayos sobre mosto de 23 aislamientos de P. guilliermondii provenientes de superficie de uvas y de mostos de fermentación de vinos tintos. Asimismo, se analizó la relación entre los patrones moleculares (RAPD) y fisiológicos (biotipo killer) de estos aislamientos y la producción de fenoles volátiles. Se detectaron diferentes niveles de producción de 4-etilfenol, 4-vinilguayacol y 4-etilguayacol entre los aislamientos de P. guilliermondii analizados; sin embargo, los valores obtenidos fueron en todos los casos inferiores a los producidos por D. bruxellensis cepa de referencia en las mismas condiciones. En general, se detectaron altos niveles de 4-vinilfenol en los mostos fermentados con los aislamientos indígenas de P. guilliermondii. El uso combinado de RAPD-PCR y el biotipo killer permitió identificar los aislamientos que producen los niveles más altos de fenoles volátiles.

Studies on chemical constituents in fruit of Alpinia oxyphylla / 中国中药杂志

<p><b>OBJECTIVE</b>To study the chemical constituents in fruit of Alpinia oxyphylla and their cytotoxicities on cancer cell lines.</p><p><b>METHOD</b>Compounds were isolated and purified by various column chromatographic methods. Their structures were determined by physico-chemical properties and spectral analyses. Compound cytotoxicity was assessed by the sulforhodamine B (SRB) assay.</p><p><b>RESULT</b>Eight compounds were obtained from Me2CO-H2O (70%) extract of the fruit of A. oxyphylla and their structures were identified as: (9E)-humulene-2, 3; 6, 7-diepoxide (1), 3(12), 7(13), 9(E)-humulatriene-2, 6-diol (2), (-)-oplopanone (3), yakuchinone A (4), yakuchinone B (5), tectochrysin (6), isovanillin (7), (2E, 4E)-6-hydroxy-2, 6-dimethylhepta-2, 4-dienal (8), and the cytotoxicities of compounds 1, 3-5 on cancer cell lines, A549, HT-29 and SGC-7901, were also investigated.</p><p><b>CONCLUSION</b>Compounds 1-3, 7, 8 were isolated for the first time from this genus and compounds 1, 3-5 exhibited no cytotoxicity against three cancer cell lines at a concentration of 10 mg x L(-1).</p>

Studies on chemical constituents of Dendrobium crystallinum / 中国中药杂志

<p><b>OBJECTIVE</b>To study the chemical constituents of Dendobium crystallinum.</p><p><b>METHOD</b>Compounds were isolated and purified by silica gel and Sephadex LH-20 column chromatography. Their structures were identified by physicochemical properties and spectral analyses.</p><p><b>RESULT</b>Nine compounds were obtained and identified as: 4, 4'-dihydroxy-3, 5-dimethoxybi-benzyl (1), gigantol (2), naringenin (3) , p-hydroxybenzoic acid (4), n-tetracosyl trans-p-cou-marate (5), n-octacosy trans-p-coumarate (6), n-hexacosyl trans-ferulate (7), stigmasterol (8), daucosterol (9).</p><p><b>CONCLUSION</b>All these compounds were obtained from this plant for the first time, compounds 1 and 4 were isolated firstly from the genus.</p>

A new secoiridoid from the flowers of Jasminum officinale L. var. grandiflorum / 药学学报

To study the chemical constituents of the flowers of Jasminum officinale L. var. grandiflorum, the compounds were isolated and purified by HPLC, recrystallization and chromatography on silica gel and Sephadex LH-20 column. Their structures were elucidated on the basis of physicochemical properties and spectral analysis. Six secoiridoids were identified as jasgranoside (I), jaspolyoside (II), 8-epi-kingiside (III), 10-hydroxy-oleuropein (IV), 10-hydroxy-ligstroside (V), oleoside-7, 11-dimethyl ester (VI). Compound I is a new compound. Compounds II, III, IV, V and VI were isolated from Jasminum officinale L. var. grandiflorum for the first time.

Alkaloid and sesquiterpenes from the root tuber of Curcuma longa / 药学学报

One new quinoline alkaloid and seven known bisabolane sesquiterpenes: 2-(2'-methyl-1'-propenyl)-4, 6-dimethyl-7-hydroxyquinoline (1), 2, 5-dihydroxybisabola-3, 10-diene (2), 4, 5-dihydroxybisabola-2,10-diene (3), turmeronol A (4), bisacurone (5), bisacurone A (6), bisacurone B (7) , bisacurone C (8), as well as dehydrozingerone (9) and zingerone (10) were isolated from the root tuber of Curcuma longa. Their structures were identified by spectral evidence. Compound 1 is a new compound, compounds 6 -8 were isolated from this plant for the first time and compounds 9 - 10 from Curcuma for the first time.

Purification of a peroxidase from Solanum melongena fruit juice.

Solanum melongena fruit juice contains peroxidase activity of the order of 0.125 IU/mL. A method for the 11-fold purification of the enzyme was developed. The Km values of the peroxidase for the substrates guaiacol and hydrogen peroxide were 6.5 mM and 0.33 mM, respectively. The pH and temperature optima were 5.5 and 84 degrees C, respectively using guaiacol as the substrate. Sodium azide and phenyl hydrazine inhibited the enzyme competitively.

Studies on the lignans from Patrinia scabra / 药学学报

<p><b>AIM</b>To study the lignans from Patrinia scabra Bunge.</p><p><b>METHODS</b>The constituents were separated and purified by column chromatography with silical gel, RP-silical gel and Sephadex LH-20. Their structures were identified on the basis of spectral data (IR, MS, 1HNMR, 13CNMR, HMQC and HMBC).</p><p><b>RESULTS AND CONCLUSION</b>A new lignan was obtained and its structure was elucidated as 4-[1-ethoxyl-1-(4-hydroxy-3-methoxy)benzyl]methyl- 2-(4-hydroxy-3-methoxy)benzyl-3-hydroxymethyl-tetrahydro-furan (2), along with three known lignans, lariciresinol (1), isolariciresinol (3) and nortracheloside (4).</p>

Search for "Proximal Histidine" of Thyroperoxidase Using Site Directed Mutagenesis / 대한내분비학회지

BACKGROUND: Thyroperoxidase (TPO), a transmembrane heme containing glycoprotein, catalyzes iodide organification and thyroid hormone synthesis. It is a single peptide making a loop with more than one disulfide bond. The tertiary conformational structure is essential for its enzymatic activity and immunogenicity. The proximal histidine is thought to play a major role in enzymatic activity since it is linked to the iron center of the heme. The crystal structure of TPO has not yet been reported, but some have suggested histidine 407 be a putative proximal histidine based on comparison of a.a. sequence for TPO and that for myeloperoxidase. METHODS: The putative histidine 407 and nearby histidine 414 were mutated to arginine to verify their role as the proximal histidine. Using site directed mutagenesis of wild type, human TPO cDNA, mutants H407R and H414R were made. Mutant cDNAs were transiently transfected into COS-7 cells, and the TPO enzyme activities were measured by guaiacol assay. Four cysteine residues around the putative proximal histidines were mutated to serine and their enzymatic activities were measured to check if they were involved in the formation of intra-molecular disulfide bonds. RESULTS: TPO protein expression of H407R- and H414R- transfected cells was confirmed by Western blot, using Hashimoto's IgG as primary antibody. Both the mutants H407R and H414R showed significant peroxidase enzymatic activity, although lower than those of the wild type. None of the cysteine mutants, C375S, C389S, C598S, and C655S, were detected by Hashimoto's IgG ordisplayed any enzymatic activity. CONCLUSION: These data suggest that neither histidine 407 nor histidine 414 functions as the "proximal histidine" in human TPO. All the cysteine residues checked (375, 389, 598, 655) might be involved in the formation of disulfide bonds in TPO molecules, but this hypothesis could not be confirmed. A further search for the other putative histidine residues using the same strategy is needed to define the structure-function relationship in the human TPO molecule.

Analysis of 1H-NMR fingerprint in stem of Dendrobium loddigesii / 中国中药杂志

<p><b>OBJECTIVE</b>To analyse the 1H-NMR finger-print of the stem of Dendrobium loddigesii.</p><p><b>METHOD</b>Silica gel column chromatography was used to separate the chemical constituents of SCE A of the stem of D. loddigesii. The characteristic signals of the H-NMR finger-print were analysed after determining the structures of the compounds isolated from SCE A.</p><p><b>RESULT</b>1H-NMR finger-prints of the samples of D. loddigesii collected from different regions showed highly characteristic features and reproducibility. Four compounds predominant in SCE A were isolated and their structures were determined by spectral analysis as 1, 2, 3 and 4, respectively.</p><p><b>CONCLUSION</b>Compound 3 and 4 were isolated from D. loddigesii for the first time. The 1H-NMR finger-print of CGE A of the stem of D. loddigesii showed mainly the characteristic signals of the above four compounds and might be utilized for the original authentication of this plant.</p>

Influência da pasta Sultan sobre o processo de reparo em alvéolo dental infectado: análise histológica em ratos / The influence of the Sultan paste one the repair process in infected dental alveolus: an histological analysis in rats

O processo de reparo de alvéolo infectado de ratos foi avaliado após a limpeza cirúrgica e irrigaçäo como soro fisiológico seguida do preenchimento da loja coma pasta sultan. Os animais utilizados tiveram o incisivo central superior direito extraído e alveolite provocada experimentalmente, dando orígem aos seguintes grupos: I. alveolite sem tratamento; II. limpeza cirúrgica e irrigaçäo; III. pasta Sultan, apenas; IV. limpeza cirúrgica e irrigaçäo mais pasta Sultan. As peças obtidas foram processadas para análise em microscopia óptica. Com base nos resultados foi possível concluir que: (1) o grupo da limpeza cirúrgica seguida da irrigaçäo alveolar foi o que apresentou resultados superiores; (2) a pasta Sultan näo deve ser utilizada como curativo de preenchimento alveolar para o tratamento da alveolite

Influência da pasta Sultan sobre o processo de reparo em alvéolo dental infectado: análise histológica em ratos / The influence of the Sultan's paste over delayed healing of wound extraction: a histological study in rats

O processo de reparo do alvéolo infectado de ratos (Rattus norvegicus, albinus, Wistar) foi avaliado após a limpeza cirúrgica e irrigaçäo com soro fisiológico seguida do preenchimento da loja com a pasta Sultan. Para tanto, todos os animais utilizados (8 ratos doadores e outros 60 animais experimentais) tiveram o incisivo central superior direito extraído e, alveolite provocada experimentalmente, nos animais doadores e naqueles dos Grupos I, II, III e IV. Os 60 ratos experimentais constituíram os seguintes Grupos: I. Alveolite sem tratamento; II. Limpeza cirúrgica e irrigaçäo; III. Pasta Sultan, apenas; IV. Limpeza cirúrgica e irrigaçäo mais pasta Sultan. Os animais, em número de cinco em cada grupo, foram sacrificados aos 6, 15 e 28 dias pós-operatórios e as peças obtidas incluídas em parafina, cortadas e coradas com hematoxilina e eosina para análise em microscopia óptica. Os resultados foram submetidos a análise qualitativa. Com base nos resultados foi possível concluir que: (1) O grupo da alveolite teve o reparo alveolar comprometido quanto a sua cronologia; (2) O grupo da limpeza cirúrgica seguida da irrigaçäo alveolar foi o que apresentou resultados superiores; (3) a pasta Sultan näo deve ser utilizada como curativo de preenchimento alveolar para o tratamento da alveolite

High biodegradetion levels of 4, 5, 6-trichloroguaiacol by "Bacillus" sp. isolates from pupl mill effluent

An aerobic Gram positive spore-forming bacterium was isolated drom cellulose pulp mill effluent. This microorganism, identified as "Bacillus" sp. and named IS13, was able to rapdly degrade the organic chlorinateed compound 4, 5, 6-trichloroguaiacol (4, 5, 6-TCG) from a culture containing 50 mg/l, wich corresponds to about 3,0E4 times the concentration found in the organic chlorinated compound 4, 5, 6-TCG decreasing, the lack of by-products had shown by such analysis lead to verify the possibility of either adsorption of absorption of 4, 5, 6-TCG by the cells, instead of real biodegradation. There were no traces of 4, 5, 6-TCG. Plasmid isolation was attempted by using different protocols. The best results werw reached by CTAB method, but no plamid DNA was found in "Bacillus"sp. IS13. The results suggest that genes located at the bacterial chromossome might mediate the high decrease of 4, 5, 6-TCG. The importance of this work is that, in being a natural ocurring microorganism, "Bacillus" sp. IS13, can be used as inoculum in plant effluents to best organochlorinated compounds biodegradation.

Intoxicación por guayacol (metoxifenol) / Guayacol (metoxifenol) intoxication

Presentamos el caso de una mujer joven que sufrió intoxicación por guayacol (metoxifenol), cuyo desenlace fue fatal. Presentó alteraciones neurológicas, hemodinámicas (choque), respiratorias (hipoxemia refractaria), metabólicas (acidosis metabólica grave), renales (necrosis tubular aguda), digestivas y hematológicas. Motivo de defunción: Edema agudo pulmonar grave secundario a congestión visceral generalizadas. Todas las alteraciones antes mencionadas correlacionaron con lo evidenciado en los exámenes de laboratorio, electrocardiograma y necropsia. Tal vez este sea el primer caso de intoxicación por guayacol (metoxifenol) registrado en el mundo