AI Article Synopsis
- A 66-year-old man with serious diabetes issues was admitted to the hospital because his calves hurt a lot.
- Doctors checked for a blood clot in his legs but found none, and they did a special scan to check for infection.
- The scan showed problems in his muscles likely caused by his diabetes, but after some time and care, his pain got better on its own.
Article Abstract
A 66-year-old man with poorly controlled type 2 diabetes was admitted for acute bilateral calf pain in the context of coronary artery disease, chronic renal failure, and peripheral neuropathy. Lower-extremity Doppler ultrasound excluded deep vein thrombosis. FDG-PET was performed to exclude a suspected infection because of elevated white blood cells and inflammatory markers but normal creatinine kinase levels. PET scan demonstrated intense bilateral calf muscle and left thigh muscle uptake, which in combination with the patient's history was consistent with diabetic myonecrosis, a rare end-stage complication of diabetes. The patient was managed conservatively, and pain resolved following a typical self-limited course.
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| http://dx.doi.org/10.1097/RLU.0000000000001928 | DOI Listing |
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