Diabetic myonecrosis

Discussion:

Patient is an uncontrolled diabetic, who presented with acute onset right thigh pain. Patient labs (elevated): myoglobin= 126 NG/ml CPK= 1,033 IU/L and Lactic acid= 4.0 mmol/L, HA1c= 15%. Findings are consistent for diabetic myonecrosis.

 Differentials may include (if not given history/labs):  infectious myositis and rhabdomyolysis.

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