Open Access Case Report

Pulpectomy in a Primary Tooth with Gemination: A Case Report

Farheen Tafti, Ashwin Jawdekar

International Journal of Medical and Pharmaceutical Case Reports, Page 6-14
DOI: 10.9734/ijmpcr/2021/v14i330134

Developmental anomalies may affect the number and morphodifferentiation of teeth. Development of two teeth from one tooth bud gives rise to gemination. Geminated teeth with caries may lead to pulpal pathologies for which extraction may be a preferred treatment. We report a case of geminated maxillary carious primary incisor treated with pulpectomy in a five year-old child.

Open Access Case Report

Management of Compromised First Permanent Molar with Triple Antibiotic Paste in a 12-year-old Child: A Case Report

Sayali A. Deolikar, Laresh Mistry, Ashwin Jawdekar

International Journal of Medical and Pharmaceutical Case Reports, Page 15-24
DOI: 10.9734/ijmpcr/2021/v14i330135

In teeth with pulpal and periapical infection, various group of microorganisms are present. Inhibition of the growth of these microorganisms and suppression of their antimicrobial activity play a crucial role in the success of the endodontic management. Triple antibiotic paste has been reported to have an excellent antimicrobial efficacy and it can be useful in management of teeth with severe infection. A 12-year-old female child reported with pain and swelling in relation with a lower left first permanent molar. Clinical examination of the tooth revealed deep occlusal caries and dentoalveolar abscess. Radiographically, the carious lesion was seen involving the pulp with periodontal ligament widening and inter-radicular bone loss was observed (endo-perio lesion). Considering the position of the tooth and its strategic importance, a conservative approach to salvage the tooth using Triple Antibiotic Paste (TAP) as a medicament was employed with complete radiographic healing by 12 weeks. Subsequent obturation using lateral condensation with gutta percha followed by composite restoration and preformed stainless steel crown was performed. This case report focuses on the endodontic management of perforated first permanent molar with compromised periodontal support and significant bone loss TAP as medicament and Mineral Trioxide Aggregate (MTA) as perforation repair material. Based on the results it can be concluded that Triple Anitibiotic Paste (TAP) can be effective in the disinfection and sterilization of the root canals and repair of complex lesions.

Open Access Case Study

A Case Report on Late-onset Friedrich's Ataxia and Response on Parkinsonism Treatment

Uma Datta Gupta, Tutul Chowdhury

International Journal of Medical and Pharmaceutical Case Reports, Page 1-5
DOI: 10.9734/ijmpcr/2021/v14i330133

Friedrich's ataxia is a progressive neurodegenerative disease that affects the posterior cord of the spinal tract. We present a case of an 83-year-old male with resting tremor and rigidity that had gradually worsened over the past few years. The patient has been diagnosed with Friedrich's ataxia. Unlike typical Friedrich ataxia, this patient does not have a shortened life expectancy. There is a small percentage of atypical patients demonstrate late-onset of disease, isolated spastic paraparesis without ataxia, and retained or exacerbated deep tendon reflex. Although there is no association between Parkinson's disease and Friedrich's ataxia; in our case, treatment of tremor and rigidity improves the patient's quality of life. 

Open Access Case Study

Case Report: Risperidone Induced Peripheral Edema

Farzana Faruki, Uma Datta Gupta, Adeel Anwar, Saral Desai

International Journal of Medical and Pharmaceutical Case Reports, Page 25-28
DOI: 10.9734/ijmpcr/2021/v14i330136

Risperidone is the first line of treatment for bipolar disorder, atypical depression, and Schizophrenia. We present a 55-year-old male with a history of schizoaffective disorder with bipolar type I presented with aggressive behavior and suicidal ideation. Our patient was treated with low-dose Risperidone; after that, he gradually developed leg pain and edema. His leg pain hampers his ambulation, which is clinically improved after a week of medication discontinuation; however, his leg edema did not resolve completely. In addition, we evaluated our patient's compliance with an empathic verbal interview that shows edema and leg pain hampers his quality of life. We have found that not informing edema as one of the possible side effects increases medication non-compliance in our case. There are several case reports about the side effect of Risperidone (such as leg edema) in combination with other medications, but there is no recommendation about patient counseling of forthcoming leg edema and mobility issues.

Open Access Case Study

Uterine Metastases in a Diagnosed Case of Invasive Ductal Breast Carcinoma: A Rare Presentation

Musa Azhar, Syed Abdul Mannan Hamdani, Jhanzeb Iftikhar, Waqas Ahmad, Sajid Mushtaq, Umme Kalsoom Awan

International Journal of Medical and Pharmaceutical Case Reports, Page 29-33
DOI: 10.9734/ijmpcr/2021/v14i330137

Breast cancer is the commonest cancer among females and has a high propensity to metastasize, but gynaecological organs are rarely affected. We report a case where invasive ductal carcinoma of the breast metastasized to the uterus after initial management with curative intent. Our patient was on tamoxifen, which can cause endometrial hyperplasia and lead to a challenge in eventual diagnosis.