Kam Cheuk Tung, Khan Zian
Maidstone Hospital, Maidstone and Tunbridge Wells NHS Trust, Hermitage Lane, Kent ME16 9QQ, Maidstone, UK.
Medway Maritime Hospital, Medway Foundation Trust, Gillingham, UK.
Radiol Case Rep. 2022 Nov 26;18(2):577-580. doi: 10.1016/j.radcr.2022.10.098. eCollection 2023 Feb.
Diabetic myonecrosis is a rare complication of poorly controlled diabetes mellitus which commonly affects the thigh and is managed conservatively. Spontaneous ischemic necrosis of muscle is noted without a reduction in vascular supply. Pyomyositis caused by infection is another rare complication. Atypical presentation of myonecrosis and pyomyositis can occur in the form of simultaneous or sequential involvement of multiple muscle groups. We present a rare case of myonecrosis with pyomyositis in a 39-year-old male patient with a background of type 2 diabetes mellitus who presented with a 5-day history of worsening pain of the right thigh radiating to the right ankle, associated with groin swelling and fever. It is important for clinicians to have a low threshold of suspicion of this rare condition due to the other diverse and similar diagnoses, as well as to prevent further complications and morbidity.
糖尿病性肌坏死是控制不佳的糖尿病的一种罕见并发症，通常累及大腿，一般采用保守治疗。可见肌肉的自发性缺血性坏死，而血管供应并无减少。感染引起的脓性肌炎是另一种罕见并发症。肌坏死和脓性肌炎的非典型表现可表现为多个肌肉群同时或相继受累。我们报告一例罕见的肌坏死合并脓性肌炎病例，患者为39岁男性，有2型糖尿病病史，表现为右大腿疼痛加重5天，疼痛放射至右踝，伴有腹股沟肿胀和发热。由于存在其他多样且相似的诊断，临床医生对此罕见病症的怀疑阈值应较低，这对于预防进一步的并发症和发病率很重要。
