title: Multifocal diabetic muscle infarction: a rare complication of poorly controlled diabetes mellitus.
abstract: Diabetic muscle infarction (DMI) is a rare complication of long-standing poorly controlled diabetes mellitus. We herein describe the case of a 56-year-old man with a 10-year history of poorly controlled type 2 diabetes mellitus with multiple microvascular and macrovascular complications who presented with the sudden onset of left thigh pain and swelling. MRI suggested muscle infarction. A muscle biopsy demonstrated coagulation necrosis in the skeletal muscle with inflammation and infarction in the walls of small blood vessels. Physicians should consider DMI in the differential diagnosis of patients with diabetes who present with painful, swollen muscles without systemic signs of infection.
authors.affiliation: Department of Internal Medicine, University Hospital Taher Sfar, Tunisia.
authors.forename: Wafa
authors.initials: W
authors.lastname: Chebbi
authors.forename: Saida
authors.initials: S
authors.lastname: Jerbi
authors.forename: Rym
authors.initials: R
authors.lastname: Klii
authors.forename: Wafa
authors.initials: W
authors.lastname: Alaya
authors.forename: Sarra
authors.initials: S
authors.lastname: Mestiri
authors.forename: Baha
authors.initials: B
authors.lastname: Zantour
authors.forename: Mohamed Habib
authors.initials: MH
authors.lastname: Sfar
mesh_terms: D001706:Biopsy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007238:Infarction / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply*; D013848:Thigh
chemical_list: D007004:Hypoglycemic Agents