International Journal of Medical and Pharmaceutical Case Reports 2020-07-03T08:13:13+00:00 International Journal of Advances in Nephrology Research Open Journal Systems <p style="text-align: justify;"><strong>International Journal of Medical and Pharmaceutical Case Reports (IJMPCR) (ISSN: 2394-109X)</strong> aims to publish case reports in the areas of medical and pharmaceutical sciences.&nbsp;The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer reviewed, open access INTERNATIONAL journal.&nbsp;</p> Non-union of Intertrochanteric Fracture Right Femur with Limb Shortening 2020-07-03T08:13:12+00:00 Htay Lwin Htoo Htoo Kyaw Soe Adinegara Lutfi Abas Mila Nu Nu Htay Kaung Khant Zaw Soe Moe <p>Nonunion of intertrochanteric fracture is uncommon because there are excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). The patient was subsequently treated successfully with an open reduction procedure. Open reduction and internal fixation with right DHS (Dynamic Hip Screw) with 8 screw holes plate inserted first and then 6 screws inserted under the guidance of Image Intensifier (C Arm). We would like to report a case of right intertrochanteric fracture with non-union. A 60 years old patient presented with the history of pain in the right hip, off and on for many years after the operation. The pain was associated with stiffness of the right hip joint. This case is selected for reporting because it’s a relatively rare incidence.&nbsp;</p> 2020-04-21T00:00:00+00:00 ##submission.copyrightStatement## Persistent Cutaneous Metastatic Tubercular Abscesses Revealing Multifocal Tuberculosis in an Immunocompetent Patient 2020-07-03T08:13:13+00:00 Anis Hariz Mohamed Salah Hamdi Imène Beji Noureddine Litaiem Meriem Jones Eya Cherif <p>Tuberculosis remains one of the infections with high mortality rate. Multifocal tuberculosis usually affects immune compromised patients such as Human Immunodeficiency virus carriers. However, patients with no underlying immunodeficiency may still present an extensive and atypical form of tuberculosis. We hereby report the case of a 16-year-old female patient presenting persistent and multiple cutaneous lesions associated with fatigue and loss of appetite which led to the diagnosis of disseminated, multifocal tuberculosis with neurological, musculoskeletal, genital, pulmonary, peritoneal and lymph nodes involvement. Screening for potential underlying immunodeficiency yielded no results. Clinical and radiological outcome was favorable on anti-tuberculosis drugs with complete regression of identified lesions. This case serves as a reminder that tuberculosis remains a challenging diagnosis that encompasses a variety of clinical presentation ranging from cutaneous abscesses to life-threatening conditions such as cerebral tuberculomas even in immune competent patient.</p> 2020-04-20T00:00:00+00:00 ##submission.copyrightStatement## Immunophenotyping for Diagnosis of Oral Lesions: Is It an Important Tool? 2020-06-30T07:31:38+00:00 Alessandra Rodrigues de Camargo Bruna Fischer Duarte Mariah Luz Lisboa Chandra Chiappin Cardoso Etiene de Andrade Munhoz Daniella Serafin Couto Vieira Joanita Angela Gonzaga Del Moral Maria Cláudia Santos- Silva Liliane Janete Grando <p><strong>Aims: </strong>To report two cases of onco-hematologic diseases diagnosed by oral biopsy and subsequent flow cytometry immunophenotyping.</p> <p><strong>Presentation of Case: Case 1:</strong> A 36-year-old woman, HIV +, referred to the Hospital Dentistry Center presenting an extensive, ulcerated and painless lesion in the left maxilla involving teeth #24, #25, #26 and #27. A fine needle aspiration and incisional biopsy were performed and one sample was sent to anatomopathological analysis and other to immunophenotyping. Immunophenotyping revealed 31.2% of aberrant plasma cells with phenotype suggestive of plasmablastic lymphoma.</p> <p><strong>Case 2:</strong> 62-year-old male patient attended Hospital Emergency presenting extra and intraoral swelling on the left side of maxilla. Fine needle aspiration and incisional biopsy were performed, followed by pathological analysis and immunophenotyping. Immunophenotyping revealed 40.7% of large mature B cells with phenotype suggestive of diffuse large B-cell lymphoma. Both patients presented histopathological and immunophenotyping results leading to the same diagnosis. After definitive diagnosis, both patients underwent antineoplastic treatment through cycle of chemotherapy.</p> <p><strong>Conclusion: </strong>Immunophenotyping is a well-established method for the diagnosis of onco-hematologic diseases and has been shown to be effective for the rapid diagnosis of oral tumors.</p> 2020-06-30T00:00:00+00:00 ##submission.copyrightStatement##