Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report
Abstract Diabetic myonecrosis is an uncommon complication related to long‐standing poorly controlled diabetes. A 33‐year‐old Sudanese male patient with type one diabetes presented with progressive, severe bilateral thigh pain with low‐grade fever. Laboratory results show hyperglycemia with ketonuria...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-04-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.5716 |
| _version_ | 1828399816243150848 |
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| author | Ziryab Imad Taha Mahmoud Yassin Abdelrahim Abdalla Salih Boushra Hamza Ali Ibrahim Elsiddig Ahmed Sami Ahmed Abd Algadir Sohep abdalla osman |
| author_facet | Ziryab Imad Taha Mahmoud Yassin Abdelrahim Abdalla Salih Boushra Hamza Ali Ibrahim Elsiddig Ahmed Sami Ahmed Abd Algadir Sohep abdalla osman |
| author_sort | Ziryab Imad Taha Mahmoud |
| collection | DOAJ |
| description | Abstract Diabetic myonecrosis is an uncommon complication related to long‐standing poorly controlled diabetes. A 33‐year‐old Sudanese male patient with type one diabetes presented with progressive, severe bilateral thigh pain with low‐grade fever. Laboratory results show hyperglycemia with ketonuria and elevated creatine kinase but normal white cell blood count. The patient was diagnosed initially with diabetic ketoacidosis with pyomyositis and received analgesic and insulin; the patient partially improved. After the second evaluation, bilateral thigh MRI was requested and shows diffuse edema involving the medial muscle group of the upper third of the right side with intramuscular facial edema, appearing as low signal in T1 and high signal in T2 and fat suppression images with no evidence of collection or abscess. Diagnosis of diabetic myonecrosis was made. The patient was managed conservatively and discharge on aspirin with full recovery. |
| first_indexed | 2024-12-10T09:22:57Z |
| format | Article |
| id | doaj.art-438ffe6088614e6291f03b01866fb590 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-12-10T09:22:57Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-438ffe6088614e6291f03b01866fb5902022-12-22T01:54:38ZengWileyClinical Case Reports2050-09042022-04-01104n/an/a10.1002/ccr3.5716Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case reportZiryab Imad Taha Mahmoud0Yassin Abdelrahim Abdalla1Salih Boushra Hamza2Ali Ibrahim Elsiddig Ahmed3Sami Ahmed Abd Algadir4Sohep abdalla osman5University of Bahri Khartoum SudanDepartment of Internal Medicine Faculty of Medicine and Health Sciences Omdurman Islamic University Khartoum SudanDepartment of Internal Medicine Faculty of Medicine and Health Sciences Omdurman Islamic University Khartoum SudanSudanese Medical Specialization Board Khartoum SudanSudanese Medical Specialization Board Khartoum SudanSudanese Medical Specialization Board Khartoum SudanAbstract Diabetic myonecrosis is an uncommon complication related to long‐standing poorly controlled diabetes. A 33‐year‐old Sudanese male patient with type one diabetes presented with progressive, severe bilateral thigh pain with low‐grade fever. Laboratory results show hyperglycemia with ketonuria and elevated creatine kinase but normal white cell blood count. The patient was diagnosed initially with diabetic ketoacidosis with pyomyositis and received analgesic and insulin; the patient partially improved. After the second evaluation, bilateral thigh MRI was requested and shows diffuse edema involving the medial muscle group of the upper third of the right side with intramuscular facial edema, appearing as low signal in T1 and high signal in T2 and fat suppression images with no evidence of collection or abscess. Diagnosis of diabetic myonecrosis was made. The patient was managed conservatively and discharge on aspirin with full recovery.https://doi.org/10.1002/ccr3.5716diabetesedemamuscle infarctionmyonecrosistropical area |
| spellingShingle | Ziryab Imad Taha Mahmoud Yassin Abdelrahim Abdalla Salih Boushra Hamza Ali Ibrahim Elsiddig Ahmed Sami Ahmed Abd Algadir Sohep abdalla osman Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report Clinical Case Reports diabetes edema muscle infarction myonecrosis tropical area |
| title | Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report |
| title_full | Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report |
| title_fullStr | Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report |
| title_full_unstemmed | Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report |
| title_short | Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report |
| title_sort | diabetic myonecrosis an uncommon presentation of diabetes mellitus in tropical area a case report |
| topic | diabetes edema muscle infarction myonecrosis tropical area |
| url | https://doi.org/10.1002/ccr3.5716 |
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