Adenosine-5′-d: rotational conformation of the 5′-carbinol group

A synthesis of adenosine-5′-d (4), and its p.m.r. spectral characteristics, are described. The presence of deuterium in 4 gives rise to a 2:1 mixture of R and S configurations at C-5, thereby permitting specific assignments for the resonances of the residual 5′-protons. From the observed spin-spin coupling between the latter and H-4′, and estimate has been made of the rotamer population of the exocyclic 5′-carbinol group. It is shown that the gauche-gauche rotamer is preponderant (≈70%) and the gauche-trans one of minor importance (≈20%) in aqueous solution, which contrasts markedly with the preference for the latter rotamer exhibited by adenosine in the solid state.     

Toxic shock syndrome in a patient with systemic lupus erythematosus.

A case is presented of toxic shock syndrome in a patient with systemic lupus erythematosus. Toxic shock syndrome is rarely reported in patients who are immunosuppressed, perhaps because such patients are often treated vigorously with antibiotics at the earliest sign of infection. The association in this case may have been coincidental.