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Diabetic Muscle Infarction : A Rare Complication of Long-Standing and Poorly Controlled Diabetes Mellitus
Joint Authors
Iyer, Shridhar N.
West, R. Lee
Drake, Almond J.
Tanenberg, Robert J.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-10-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To report a case of diabetic muscle infarction (DMI), a rare complication of long-standing poorly controlled diabetes mellitus.
Methods.
We describe a case of a 45-year-old male with an approximately 8-year history of poorly controlled type 2 diabetes mellitus with multiple microvascular complications who presented with the sudden onset of left thigh pain and swelling.
He had a swollen left thigh and a CK of 1670 U/L.
He was initially treated with intravenous antibiotics for a presumptive diagnosis of pyomyositis or necrotizing fasciitis with no improvement.
A diagnosis of diabetic muscle infarction was considered.
Results.
An MRI of the thigh demonstrated diffuse edema in the anterior compartment.
A muscle biopsy demonstrated coagulation necrosis in skeletal muscle and inflammation and infarction in the walls of small blood vessels.
These studies confirmed the final diagnosis of DMI.
He was treated with supportive care and gradually improved.
Conclusion.
DMI is a rare complication of diabetes that is often mistaken for infections such as pyomyositis and necrotizing fasciitis or thrombophlebitis.
Treatment is supportive.
Although the short-term prognosis is good in these patients, the long-term prognosis is poor.
American Psychological Association (APA)
Iyer, Shridhar N.& Drake, Almond J.& West, R. Lee& Tanenberg, Robert J.. 2011. Diabetic Muscle Infarction : A Rare Complication of Long-Standing and Poorly Controlled Diabetes Mellitus. Case Reports in Medicine،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-469735
Modern Language Association (MLA)
Iyer, Shridhar N.…[et al.]. Diabetic Muscle Infarction : A Rare Complication of Long-Standing and Poorly Controlled Diabetes Mellitus. Case Reports in Medicine No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-469735
American Medical Association (AMA)
Iyer, Shridhar N.& Drake, Almond J.& West, R. Lee& Tanenberg, Robert J.. Diabetic Muscle Infarction : A Rare Complication of Long-Standing and Poorly Controlled Diabetes Mellitus. Case Reports in Medicine. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-469735
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469735