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Lakshmi R

Publications (5)

Hepatic Hypoperfusion in Complex Cardiac Pathology: A Case of Ischemic Hepatitis Secondary to Congenital Heart Disease with HFpEF and Atrial Fibrillation

Aleena Muhammed Sadi, Lakshmi R, Akash Jose K J & Anand Kumar V · International Journal of Medical and Pharmaceutical Case Reports · 2025

Ischemic hepatitis (IH) is an acute liver injury caused by hepatic hypoperfusion, typically occurring in shock states. We present a 77-year-old woman with congenital heart disease (CHD), heart failure with preserved ejection fraction (HFpEF), and atrial fibrillation who developed...

Open access Research Article 10.9734/ijmpcr/2025/v18i3440

Leptomeningeal Salmonella Paratyphi B: An Atypical Viral-Mimicking Encephalitis in Geriatrics

Aleena Muhammed Sadi, Bayana H, Lakshmi R & Murali Krishna Menon · International Journal of Medical and Pharmaceutical Case Reports · 2025

Salmonella meningitis is a rare but severe central nervous system (CNS) infection with high mortality, especially in adults. While Salmonella typhi is the predominant cause, Salmonella Paratyphi B is an uncommon but important pathogen in pediatric meningoencephalitis. Early diagn...

Open access Research Article 10.9734/ijmpcr/2025/v18i4459

Metformin Toxicity in Chronic Kidney Disease: A Case Report of Severe Lactic Acidosis

Aalia P.S, Farisa T.A, Lakshmi R, Binu Upendran & Punnose Thomas · International Journal of Medical and Pharmaceutical Case Reports · 2025

Metformin is one of the most commonly prescribed oral antihyperglycemic medicine worldwide. Professional diabetes organizations recommend it as the first-line treatment for newly diagnosed type 2 diabetes. Metformin is widely regarded as safe. The most common side effects include...

Open access Research Article 10.9734/ijmpcr/2025/v18i1413

Secondary Hyperparathyroidism in CKD: Comparative Case Series of Medical Management and Parathyroidectomy

Bayana H, Aleesha Prakash, Khadheeja M, Lakshmi R & Binu Upendran · International Journal of Medical and Pharmaceutical Case Reports · 2025

In chronic kidney disease (CKD), disturbances in phosphate, calcium, and vitamin D balance often lead to secondary hyperparathyroidism (SHPT), which can progress to tertiary hyperparathyroidism if left untreated. We present three cases illustrating different management approaches...

Open access Research Article 10.9734/ijmpcr/2025/v18i4454

Primary Sjӧgren’s Syndrome Unveiling Type 1 Renal Tubular Acidosis: A Rare Case Report of Hypokalemic Periodic Paralysis from a Developing Country

Asha Kishor, Agna Maria Rejy, Cijy John, Lakshmi R & Kevin Reji · International Journal of Medical and Pharmaceutical Case Reports · 2025

Primary Sjogren syndrome is a systemic autoimmune disorder commonly presenting with dryness involving the eyes and mouth due to inflammation and resultant pathology of the lacrimal and salivary glands. Sjogren syndrome is managed by replacing moisture at affected glandular sites...

Open access Research Article 10.9734/ijmpcr/2025/v18i2421