Cefotiam Dihydrochloride

Cefotiam Dihydrochloride

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Cefotiam Dihydrochloride
Category Antibiotics
Catalog number BBF-03929
CAS 66309-69-1
Molecular Weight 598.53
Molecular Formula C18H25Cl2N9O4S3
Purity ≥95%

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Description

Cefotiam hydrochloride is a third generation beta-lactam cephalosporin antibiotic for treatment of severe infections caused by susceptible bacteria.

Specification

Related CAS 61622-34-2 (free base)
Synonyms Halospor; Pansporin; Pansporine; Spizef; Cefotiam (Hydrochloride)
Shelf Life As supplied, 2 years from the QC date provided on the Certificate of Analysis, when stored properly
Storage Store at -20°C
IUPAC Name (6R,7R)-7-[[2-(2-amino-1,3-thiazol-4-yl)acetyl]amino]-3-[[1-[2-(dimethylamino)ethyl]tetrazol-5-yl]sulfanylmethyl]-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid;dihydrochloride
Canonical SMILES CN(C)CCN1C(=NN=N1)SCC2=C(N3C(C(C3=O)NC(=O)CC4=CSC(=N4)N)SC2)C(=O)O.Cl.Cl
InChI InChI=1S/C18H23N9O4S3.2ClH/c1-25(2)3-4-26-18(22-23-24-26)34-7-9-6-32-15-12(14(29)27(15)13(9)16(30)31)21-11(28)5-10-8-33-17(19)20-10;;/h8,12,15H,3-7H2,1-2H3,(H2,19,20)(H,21,28)(H,30,31);2*1H/t12-,15-;;/m1./s1
InChI Key BWRRTAXZCKVRON-DGPOFWGLSA-N

Properties

Appearance White to Pale Yellow Solid
Application A third generation beta-lactam cephalosporin antibiotic.
Antibiotic Activity Spectrum Gram-positive bacteria; Gram-negative bacteria
Boiling Point 940°C at 760 mmHg
Melting Point >93°C (dec.)
Solubility Soluble in DMSO

Reference Reading

1.[A case of osteomyelitis due to Kingella kingae].
Kuzumoto K1, Kubota N, Saito Y, Fujioka F, Yumoto K, Hidaka E, Yoshiyuki K. Kansenshogaku Zasshi. 2013 Mar;87(2):207-10.
Kingella species including K. kingae are non-motile coccobacilli or short straight rods, and their normal habitats appear to be the upper respiratory and oropharyngeal tracts of humans. In recent years, K. kingae strains have been increasingly recognized as common causes of invasive infections in children at the age of less than 4 years. In Japan, however, invasive K. kingae infections including osteomyelitis have rarely been described. We incidentally encountered isolation of a K. kingae strain from intraoperatively obtained specimens from a previously healthy 44-month-old boy. He first consulted a nearby medical facility and a suspected diagnosis of osteomyelitis was made, after which the patient was then transferred to our Nagano Children's hospital. There was evidence of inflammation in his right calcaneus and toe walking was noted. He was treated with surgical drainage. An isolate grown on sheep blood agar with positive oxidase and negative catalase was biochemically characterized with the ID-Test HN20 (Nissui Pharmaceutical Co.
2.An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level.
Ota S1, Noguchi T1, Takao T2, Sakamoto T3, Kanie Y3, Omae K3, Fujie S3, Kanaya Y2, Kasahara A1, Matsumra T1. Case Rep Med. 2015;2015:105183. doi: 10.1155/2015/105183. Epub 2015 May 13.
There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride.
3.Post-operative infection of endoscopic submucosal dissection of early colorectal neoplasms: a case-controlled study using a Japanese database.
Muro T1, Higuchi N1, Imamura M1, Nakagawa H1, Honda M2, Nakao K3, Izumikawa K4, Sasaki H1, Kitahara T1. J Clin Pharm Ther. 2015 Aug 6. doi: 10.1111/jcpt.12313. [Epub ahead of print]
WHAT IS KNOWN AND OBJECTIVE: Endoscopic submucosal dissection of early colorectal neoplasms (ESD-ECN) is known to be an operation with risk of contamination, possibly requiring pre-operative antimicrobial prophylaxis for the prevention of post-operative infection. However, an evaluation of the need for pre-operative antimicrobial prophylaxis for ESD-ECN has yet to be reported. The objective of this study was to determine whether pre-operative antimicrobial prophylaxis is associated with a reduced incidence of post-operative infection following ESD-ECN.
4.[Case of septic shock caused by extended spectrum β-lactamase producing Escherichia coli after transrectal prostate biopsy, successfully treated by endotoxin adsorption therapy].
Kohno Y1, Fukui N, Kageyama Y, Higashi Y. Hinyokika Kiyo. 2013 Sep;59(9):593-6.
A 62-year-old man, with a family history of prostate cancer, referred to our hospital because of elevated prostate-specific antigen (PSA) (6.02 ng/ml). After prophylactic administration of antibiotics (cefotiam), transrectal needle biopsy of the prostate was performed. He was admitted to the hospital due to high fever the next evening. His blood pressure was below the shock level, and his renal function deteriorated progressively. Suspecting septic shock, the patient was treated with Meropenem, γ-globulin, and dopamine, which were not effective. Then, endotoxin adsorption therapy was employed and the condition of the patient recovered soon after the initiation of the therapy. Extended spectrum β -lactamase-producing Escherichia coli was found in his urine. Pathological diagnosis of the biopsy specimen was atypical glands.

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