PDF(Pubmed)
Abstract：
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 Staphylococcus aureus 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.
摘要：
糖尿病性肌坏死是糖尿病控制不佳的罕见并发症，通常会影响大腿，并进行保守治疗。注意到肌肉的自发性缺血性坏死，而血管供应没有减少。金黄色葡萄球菌感染引起的化脓性肌炎是另一种罕见的并发症。肌坏死和化脓性肌炎的非典型表现可以以多个肌肉群同时或依次受累的形式发生。我们介绍了一例罕见的肌坏死伴化脓性肌炎的病例，该患者患有2型糖尿病，具有5天的右大腿疼痛恶化史，与腹股沟肿胀和发烧有关。对于临床医生来说，由于其他不同和类似的诊断，对这种罕见疾病的怀疑阈值较低是很重要的。以及防止进一步的并发症和发病率。
