Diabetic Myonecrosis: A Case Report of Acute Muscle Infarction in a Patient with Long-Standing Diabetes Mellitus

Diabetic Myonecrosis in Long-Standing Diabetes

Authors

  • Yahya Ur Rehman Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Nadia Hashmi Medical Officer, The Kidney Centre, Karachi, Pakistan
  • Rabia Umar General Practitioner, Saudi German Hospital, Dubai, UAE
  • Syeda Mubeena Nahri General Practitioner, Saudi German Hospital, Dubai, UAE

DOI:

https://doi.org/10.61919/jhrr.v4i3.1575

Keywords:

Diabetes, complications, necrotizing fasciitis, diabetic myonecrosis.

Abstract

Background: Diabetic myonecrosis is a rare complication of long-standing, poorly controlled diabetes mellitus, often associated with microvascular complications and diagnostic challenges. Early recognition and appropriate management are crucial to avoid unnecessary interventions and optimize patient outcomes.
Objective: To report a case of diabetic myonecrosis in a patient with poorly controlled diabetes and highlight its diagnostic approach and management.
Methods: A 49-year-old male with a 30-year history of uncontrolled type 1 diabetes presented with acute pain and swelling in the right thigh. Laboratory investigations included complete blood count, ESR, CRP, and HbA1c. Imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI) were used to evaluate muscle involvement. Conservative management included optimized insulin therapy, aspirin, and analgesics.
Results: Laboratory findings showed elevated ESR (121 mm/hr), CRP (3.98 mg/dL), and HbA1c (15.2%). MRI confirmed diffuse muscle edema in the right adductor muscles. Following treatment, pain severity decreased from 8/10 to 2/10, and mobility significantly improved over a two-week period.
Conclusion: Early diagnosis and conservative management of diabetic myonecrosis can prevent complications. Clinicians should consider this condition in patients with acute musculoskeletal pain and poorly controlled diabetes.

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Author Biographies

Yahya Ur Rehman, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

I was responsible for the conception and design of the case report, primary analysis and interpretation of the clinical data, drafting the manuscript, and revising it critically for important intellectual content. I also coordinated the overall progress of the report and ensured all clinical aspects were thoroughly addressed.

Nadia Hashmi, Medical Officer, The Kidney Centre, Karachi, Pakistan

I contributed to the analysis and interpretation of the patient's clinical data, assisted in drafting the manuscript, and provided critical revisions related to the discussion of myonecrosis and its management in diabetic patients .

Nadia Hashmi, Medical Officer, The Kidney Centre Karachi

Rabia Umar , General Practitioner, Saudi German Hospital, Dubai, UAE

I contributed to the analysis  of the patient's clinical data, assisted in drafting the manuscript, and provided critical revisions related to the discussion of myonecrosis and its management in diabetic patients .

, Rabia Umar ,General Practationar ,Saudi German Hospital Dubai

 

Syeda Mubeena Nahri, General Practitioner, Saudi German Hospital, Dubai, UAE

I contributed to the analysis and interpretation of the patient's clinical data, assisted in drafting the manuscript, and provided critical revisions related to the discussion of myonecrosis and its management in diabetic patients.

 

Dr Syeda Mubeena Nahri , General Practationar ,Saudi German Hospital Dubai

 

References

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Choudhury BK, Saikia UK, Sarma D, Saikia M, Choudhury SD, Bhuyan D. Diabetic Myonecrosis: An Underreported Complication of Diabetes Mellitus. Indian J Endocrinol Metab. 2011;15(4):316-318. doi: 10.4103/2230-8210.83343.

Iyer SN, Drake AJ, West RL, Tanenberg RJ. Diabetic Muscle Infarction: A Rare Complication of Long-Standing and Poorly Controlled Diabetes Mellitus. Case Rep Endocrinol. 2011;2011:407921. doi: 10.1155/2011/407921.

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Published

2024-09-30

How to Cite

Yahya Ur Rehman, Nadia Hashmi, , R. U., & Syeda Mubeena Nahri. (2024). Diabetic Myonecrosis: A Case Report of Acute Muscle Infarction in a Patient with Long-Standing Diabetes Mellitus: Diabetic Myonecrosis in Long-Standing Diabetes. Journal of Health and Rehabilitation Research, 4(3), 1–4. https://doi.org/10.61919/jhrr.v4i3.1575

Issue

Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024

Section

Articles

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Copyright (c) 2024 Yahya Ur Rehman, Nadia Hashmi, Rabia Umar , Syeda Mubeena Nahri

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