A rare case of an infected aortoiliac graft complicated with Eggerthella lenta bacteremia and septic shock.

We describe the successful medical management of an infected aorto-bi-Iliac endograft. In this case report, we provide an example of a patient with an infected aorto-bi-iliac endograft and how appropriate medical management may result in a positive outcome. We report a case of a 67-year-old man with several medical comorbidities who developed aorto-bi-iliac endograft infection one year after graft placement. The patient presented to our E.R. with fever, lethargy, tachycardia, tachypnea, and hypotension. The diagnosis of an infected endograft was established after excluding any other possible source of infection plus the strong radiological evidence by computed tomographic scan and WBCs labeled Indium-111 tropolone scan. Blood cultures revealed the development of Eggerthella lenta, Escherichia coli Extended-spectrum beta-lactamase (ESBL), and Enterococcus Faecalis. To our knowledge, this is a rare case of an infected endograft and bacteremia due to Eggerthella lenta. After the administration of vancomycin and Meropenem, no improvements were noted to the patient's clinical condition. However, upon the administration of Tigecycline, the patient's clinical condition improved. Two days later, repeat blood cultures were negative. After completion of the course of antibiotics and stabilization of other comorbidities, the patient was discharged home with long term antibiotic therapy under close control of inflammation markers.

Remote Raman measurements of minerals, organics, and inorganics at 430 m range.

Raman spectroscopy is a characterization technique that is able to analyze and detect water or water-bearing minerals, minerals, and organic materials that are of special interest for planetary science. Using a portable pulsed remote Raman system with a commercial 8 in. (203.2 mm) telescope, a frequency doubled Nd-YAG-pulsed laser, and a spectrometer equipped with an intensified CCD camera, we acquired good quality Raman spectra of various materials from a 430 m standoff distance during daylight with detection times of 1-10 s, in a realistic context in which both the exciting source and the detector are part of the same measurement system. Remote Raman spectra at this distance provided unambiguous detection of compounds such as water and water ice, dry ice, sulfur, sulfates, various minerals and organics, and atmospheric gases. This research work demonstrates significant improvement in the remote Raman technique as well as its suitability for solar system exploration.

Lyman α photolysis of solid nitromethane (CH3NO2) and D3-nitromethane (CD3NO2)--untangling the reaction mechanisms involved in the decomposition of model energetic materials.

Solid nitromethane (CH3NO2) along with its isotopically labelled counterpart D3-nitromethane (CD3NO2) ices were exposed to Lyman α photons to investigate the mechanism involved in the decomposition of energetic materials in the condensed phase. The chemical processes in the ices were monitored online and in situ via infrared spectroscopy complimented by temperature programmed desorption studies utilizing highly sensitive reflectron time-of-flight mass spectrometry coupled with pulsed photoionization (ReTOF-PI) at 10.49 eV. The infrared data revealed the formation of cis-methylnitrite (CH3ONO), formaldehyde (H2CO), water (H2O), carbon monoxide (CO), and carbon dioxide (CO2). Upon sublimation of the irradiated samples, three classes of higher molecular weight products, which are uniquely formed in the condensed phase, were identified via ReTOF-PI: (i) nitroso compounds [nitrosomethane (CH3NO), nitrosoethane (C2H5NO), nitrosopropane (C3H7NO)], (ii) nitrite compounds [methylnitrite (CH3ONO), ethylnitrite (C2H5ONO), propylnitrite (C3H7ONO)], and (iii) higher molecular weight molecules [CH3NONOCH3, CH3NONO2CH3, CH3OCH2NO2, ONCH2CH2NO2]. The mechanistical information obtained in the present study suggest that the decomposition of nitromethane in the condensed phase is more complex compared to the gas phase under collision-free conditions opening up not only hitherto unobserved decomposition pathways of nitromethane (hydrogen atom loss, oxygen atom loss, retro carbene insertion), but also the blocking of several initial decomposition steps due to the 'matrix cage effect'.

A crossed molecular beam and ab initio study on the formation of 5- and 6-methyl-1,4-dihydronaphthalene (C11H12) via the reaction of meta-tolyl (C7H7) with 1,3-butadiene (C4H6).

The crossed molecular beam reactions of the meta-tolyl radical with 1,3-butadiene and D6-1,3-butadiene were conducted at collision energies of 48.5 kJ mol(-1) and 51.7 kJ mol(-1). The reaction dynamics propose a complex-forming reaction mechanism via addition of the meta-tolyl radical with its radical center either to the C1 or C2 carbon atom of the 1,3-butadiene reactant forming two distinct intermediates, which are connected via migration of the meta-tolyl group. Considering addition to C1 proceeds by formation of a van-der-Waals complex below the energy of the separated reactants, we propose that in cold molecular clouds holding temperatures as low as 10 K, the reaction of the meta-tolyl radical with 1,3-butadiene is de-facto barrier less. At elevated temperatures such as in combustion processes, the reaction can also proceed via addition to C2 by overcoming the entrance barrier to addition (11 kJ mol(-1)). Eventually, the resonantly stabilized free radical intermediate C11H13 undergoes isomerization to a cis form, followed by rearrangement through two distinct ring closures at the para- and ortho-position of tolyl radical to yield cyclic intermediates. These intermediates then emit a hydrogen atom forming 6- and 5-methyl-1,4-dihydronaphthalene via tight exit transition states. The steady state branching ratio, 70.0% and 29.2%, at the collision energy of 51.7 kJ mol(-1), of 6- and 5-methyl-1,4-dihydronaphthalene, respectively, is determined mainly by the rates of reverse ring opening of cyclic intermediates. The formation of the thermodynamically less stable 1-meta-tolyl-trans-1,3-butadiene was found to be a less important pathway (0.8%). The reaction of the meta-tolyl radical with 1,3-butadiene leads without entrance barrier to two methyl substituted PAH derivatives holding 1,4-dihydronapthalene cores: 5- and 6-methyl-1,4-dihydronaphthalene thus providing a barrierless route to odd-numbered PAH derivatives under single collision conditions.