Autor: |
Yu-Hung Chang, Feng-Chieh Yen, Ming-Chia Hsieh, Kun-Der Lin, Shyi-Jang Shin, Shih-Chieh Hsin |
Jazyk: |
angličtina |
Rok vydání: |
2009 |
Předmět: |
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Zdroj: |
Kaohsiung Journal of Medical Sciences, Vol 25, Iss 1, Pp 25-28 (2009) |
Druh dokumentu: |
article |
ISSN: |
1607-551X |
DOI: |
10.1016/S1607-551X(09)70036-1 |
Popis: |
Diabetic muscle infarction (DMI) is a rare complication that often exists in long-standing diabetic patients. Clinically, it presents with pain, swelling and sometimes a palpable mass, and is often misdiagnosed as soft tissue infection. The athogenesis of DMI is uncertain. We present the case of a type 2 diabetic patient with liver cirrhosis who was diagnosed with muscle infarction after being treated with terlipressin for gastrointestinal bleeding. This 45-year-old male complained of increasing pain in his right posterior thigh after treatment with terlipressin for 2 days. He was initially diagnosed with soft tissue infection, but he responded poorly to antibiotic treatment. Magnetic resonance imaging suggested acute muscle infarction. We performed a muscle biopsy and the pathologist reported that the muscle was necrotic. After 5 days of bed rest, the patient was able to walk and was discharged uneventfully. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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