Diabetic Muscle Infarction Masquerading as Necrotizing Fasciitis
Joint Authors
Tarkovsky, Regina
Janga, Kalyana C.
Greenberg, Sheldon
Sinha, Ankur
Oo, Phone
Sharma, Kavita
Wengrofsky, Perry
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-26
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 43-year-old male patient with past medical history of diabetes mellitus (DM), end stage renal disease (ESRD) on hemodialysis (HD), congestive heart failure (CHF), obstructive sleep apnea (OSA), and chronic anemia presented with complaints of left thigh pain.
A computerized tomogram (CT) of the thigh revealed evidence of edema with no evidence of a focal collection or gas formation noted.
The patient’s clinical symptoms persisted and he underwent magnetic resonance imaging (MRI) of his thigh which was reported to show small areas of muscle necrosis with fluid collection.
These findings in the acute setting concerned necrotizing fasciitis.
After careful discussion following a multidisciplinary approach, a decision was made to perform a fasciotomy with tissue debridement.
The patient was treated with IV antibiotics and discharged with a vacuum assisted wound drain.
The surgical pathology revealed evidence of muscle edema with necrosis.
Seven weeks later the patient presented with similar complaints on the other thigh (right thigh).
MRI of the thighs revealed worsening edema with features suggestive of myositis and possible muscle infarction.
A CT guided biopsy of the right quadriceps muscle revealed fibrotic interstitial connective tissue and no evidence of necrosis.
This favored a diagnosis of diabetic muscle infarction.
The disease was managed with pain control, strict diabetes management, and aggressive dialysis.
American Psychological Association (APA)
Janga, Kalyana C.& Sinha, Ankur& Wengrofsky, Perry& Oo, Phone& Greenberg, Sheldon& Tarkovsky, Regina…[et al.]. 2017. Diabetic Muscle Infarction Masquerading as Necrotizing Fasciitis. Case Reports in Nephrology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147009
Modern Language Association (MLA)
Janga, Kalyana C.…[et al.]. Diabetic Muscle Infarction Masquerading as Necrotizing Fasciitis. Case Reports in Nephrology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1147009
American Medical Association (AMA)
Janga, Kalyana C.& Sinha, Ankur& Wengrofsky, Perry& Oo, Phone& Greenberg, Sheldon& Tarkovsky, Regina…[et al.]. Diabetic Muscle Infarction Masquerading as Necrotizing Fasciitis. Case Reports in Nephrology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147009
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147009