Myonecrosis complicating uncontrolled diabetes mellitus

Proc (Bayl Univ Med Cent). 2022 Jun 10;35(5):693-694. doi: 10.1080/08998280.2022.2086787. eCollection 2022.ABSTRACTA 37-year-old woman with uncontrolled type 1 diabetes mellitus and end-stage renal disease presented to our hospital with 10 days of severe left thigh pain. Physical examination revealed warmth, swelling, and tenderness of the left anterior and medial thigh. Workup revealed a mildly elevated creatinine kinase. Magnetic resonance imaging without contrast revealed diffuse extensive soft tissue edema and a heterogeneous, tubular fluid collection within the adductor magnus. Needle aspiration revealed hematoma and myonecrosis. Cultures and cytology were negative. A diagnosis of diabetic myonecrosis was made. Myonecrosis is a rare complication of diabetes, and the gold standard for diagnosis is tissue biopsy. However, magnetic resonance imaging may be sensitive and specific for diagnosis and prevent morbidity.PMID:36034168 | PMC:PMC9400673 | DOI:10.1080/08998280.2022.2086787
Source: Baylor University Medical Center Proceedings - Category: Universities & Medical Training Authors: Source Type: research