Phosphorus oxychloride → 7-[2-(2-propynyloxyimino)-2-{2-(2,2,2-trifluoroacetamido)thiazol-4-yl}acetamido]-3-[1-(2-carboxy-2-methoxyiminoethyl)-1H-tetrazol-5-yl]thiomethyl-3-cephem-4-carboxylic acid

Reaction equation

[CH2:1]([O:4][N:5]=[C:6]([C:10]1[N:11]=[C:12]([NH:15][C:16](=[O:21])[C:17]([F:20])([F:19])[F:18])[S:13][CH:14]=1)[C:7]([OH:9])=O)[C:2]#[CH:3].C[N+](C)=CCl.[Cl-].P(Cl)(Cl)(Cl)=O.[NH2:33][CH:34]1[C:59](=[O:60])[N:36]2[C:37]([C:56]([OH:58])=[O:57])=[C:38]([CH2:41][S:42][C:43]3[N:47]([CH2:48][C:49]([C:53]([OH:55])=[O:54])=[N:50][O:51][CH3:52])[N:46]=[N:45][N:44]=3)[CH2:39][S:40][C@H:35]12.C(=O)(O)[O-].[Na+]>C(OCC)(=O)C.O1CCCC1.O.CC(C)=O.CN(C)C=O>[CH2:1]([O:4][N:5]=[C:6]([C:10]1[N:11]=[C:12]([NH:15][C:16](=[O:21])[C:17]([F:20])([F:19])[F:18])[S:13][CH:14]=1)[C:7]([NH:33][CH:34]1[C:59](=[O:60])[N:36]2[C:37]([C:56]([OH:58])=[O:57])=[C:38]([CH2:41][S:42][C:43]3[N:47]([CH2:48][C:49]([C:53]([OH:55])=[O:54])=[N:50][O:51][CH3:52])[N:46]=[N:45][N:44]=3)[CH2:39][S:40][C@H:35]12)=[O:9])[C:2]#[CH:3]