Background: Postoperative chylothorax is uncommon after adult intracardiac surgery but may cause substantial nutritional, immunological, and respiratory consequences when drainage is persistent or high output. Case Description: A 34-year-old woman developed a large right-sided pl...
Open access
Research Article10.9734/ijmpcr/2026/v19i3513
Introduction: Iatrogenic Cushing syndrome is a common endocrine disorder caused by prolonged exposure to exogenous glucocorticoids. Long-term corticosteroid therapy can result in characteristic clinical features such as moon facies, hypertension, oedema, metabolic disturbances an...
Open access
Research Article10.9734/ijmpcr/2026/v19i3512
Dapsone is an important component of multidrug therapy for Hansen’s disease and is generally well tolerated; however, clinically significant adverse reactions may occur in susceptible patients. This case report describes a 54-year-old female patient with Hansen’s disease who deve...
Open access
Research Article10.9734/ijmpcr/2026/v19i3511
Background: Acute suppurative parotitis is uncommon in infants and is rarely observed beyond the neonatal period. When bilateral, its clinical presentation may resemble viral parotitis, cervical lymphadenitis, or deep-neck-space infection. Early high-resolution ultrasonography ma...
Open access
Research Article10.9734/ijmpcr/2026/v19i3510
Aims: To describe a rare case of isolated lingual tardive dyskinesia associated with prolonged low-dose amisulpride therapy and to emphasise the importance of early recognition and treatment. Presentation of Case: A 72-year-old woman with bipolar I disorder developed progressive...
Open access
Research Article10.9734/ijmpcr/2026/v19i3508
Background: Oral lipoma is an uncommon benign mesenchymal neoplasm composed of mature adipocytes. Its clinical appearance can overlap with other reactive and neoplastic oral soft-tissue lesions, making histopathological confirmation important. Objective: To describe and compare t...
Open access
Research Article10.9734/ijmpcr/2026/v19i3509
Imperforate hymen is a rare congenital obstructive anomaly of the female genital tract that is usually recognised after menarche, when retained menstrual blood causes haematocolpos and haematometra. Patients commonly present with cyclical lower abdominal pain, primary amenorrhoea...
Open access
Research Article10.9734/ijmpcr/2026/v19i3507
Background: Tubercular meningitis (TBM) is the most severe form of central nervous system tuberculosis, and its course is frequently complicated by vasculitis, tuberculomas, and ischaemic infarcts. When acute vasculitic cortical-subcortical infarcts occur alongside active cavitar...
Open access
Research Article10.9734/ijmpcr/2026/v19i3506
Background: Simple bone cyst (SBC) is a rare intraosseous pseudocyst of the jaws that lacks an epithelial lining. It is most commonly seen in children and adolescents and is usually detected incidentally because patients are often asymptomatic. Aims: This study aims to present an...
Open access
Research Article10.9734/ijmpcr/2026/v19i3505
Background: Respiratory failure in patients with coexisting pulmonary and extrapulmonary disorders may be diagnostically challenging. Kyphoscoliosis can impair chest-wall mechanics and contribute to restrictive ventilatory dysfunction, chronic obstructive pulmonary disease (COPD)...
Open access
Research Article10.9734/ijmpcr/2026/v19i3504
Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are uncommon, life-threatening acute mucocutaneous drug reactions characterised by keratinocyte apoptosis and epidermal separation occurring at the drug-host cell interface. SJS involves less than 10%...
Open access
Research Article10.9734/ijmpcr/2026/v19i3503
Background: Cardiac elastomyofibrosis represents the irreversible fibrotic end-stage of Loeffler's endocarditis, an uncommon restrictive cardiomyopathy driven by eosinophil-mediated endomyocardial injury. While most often associated with hypereosinophilic syndromes, its occurrenc...
Open access
Research Article10.9734/ijmpcr/2026/v19i3502
Epstein–Barr virus (EBV)-associated lymphoproliferative disorders are uncommon but clinically important complications that may occur during immunosuppressive treatment for inflammatory bowel disease. Such events pose diagnostic and therapeutic challenges in clinical practice. Com...
Open access
Research Article10.9734/ijmpcr/2026/v19i3501
Background: Severe depression during pregnancy with persistent suicidal ideation requires timely intervention, particularly when pharmacotherapy is ineffective. Electroconvulsive therapy (ECT) may provide rapid symptom control; however, uncertainty regarding periprocedural matern...
Open access
Research Article10.9734/ijmpcr/2026/v19i3500
Post-dural puncture headache is an important complication of neuraxial anaesthesia and may be particularly disabling in obstetric patients during the early postpartum period. Although many cases respond to conservative measures, persistent symptoms may interfere with ambulation,...
Open access
Research Article10.9734/ijmpcr/2026/v19i3499