Sidharth Kapoor, Himanshu Sharma
Diabetic muscular infarction (DMI) is a rare manifestation which can be seen in patients with long-standing diabetes mellitus. We present a patient with uncontrolled diabetes type 2 presented with pain, swelling. Clinical presentation and T2-weighted MRI of the leg helped in diagnosing DMI. DMI 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 macro vascular complication occurring within one year. Thus, there needs to be greater awareness of this complication of diabetes. 59 year old non-obese man, shopkeeper by occupation, a known hypothyroid and with12 year’s history of uncontrolled type 2 diabetes presented to our hospital with 2 days history of walking difficulty. He reported that his symptoms started about 6 weeks ago, when one morning he felt sudden onset of pain and swelling in left thigh. He reported his complaints to a physician, who unsuccessfully treated him with various courses of antibiotics. The pain was gradually progressive to an extent that 2 days prior to hospitalization patient was unable to bear weight on his affected leg. He denied history of trauma, bite, muscle weakness or fever. The patient had uncontrolled diabetes type 2 for over 12 years despite being on a maximum dose of oral hypoglycaemic agents.
