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Open Access Case Report

Diabetic muscle infarction in a 57 year old male: a case report

Ivan V Litvinov1, Arnold Radu2 and Natasha Garfield3*

Author Affiliations

1 Division of Dermatology, McGill University Health Centre, 687 Pine Ave. West, H7.87, Montreal, Quebec, H3A1A1, Canada

2 Department of Diagnostic Radiology, McGill University Health Centre, 687 Pine Ave. West, H7.87, Montreal, Quebec, H3A1A1, Canada

3 Division of Endocrinology, McGill University Health Centre, 687 Pine Ave. West, H7.87, Montreal, Quebec, H3A1A1, Canada

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BMC Research Notes 2012, 5:701  doi:10.1186/1756-0500-5-701

Published: 27 December 2012

Abstract

Background

Diabetic muscle infarction is a rare complication of diabetes mellitus (DM) and is often misdiagnosed as cellulitis. This complication is usually associated with poor disease prognosis and high mortality with previous studies reporting a risk of 50% recurrence or another macrovascular complication occurring within one year. Thus, there needs to be greater awareness of this complication of diabetes.

Case presentation

In the current work, we present a case report and literature review of DMI occurring in a calf of a 57 year old male. However, unlike the suspected trend, our patient has performed well after this incident and has not sustained another macrovascular event now > 15 month since his original diabetic muscle infarction.

Conclusion

Even though diabetic muscle infarction is an uncommon condition, it is important to consider this diagnosis in a diabetic patient. We hope that our findings and literature review will aid clinicians to better diagnose and manage this condition.

Keywords:
Diabetic muscle infarction; Diabetic myonecrosis