Clinical Features of Diabetic Myonecrosis (Diabetic Muscle Infarction)

Is the diabetes poorly controlled?

Does the patient have some form of diabetic end-organ damage?

Did the patient experience the abrupt onset of atraumatic focal pain and weakness in an extremity?

Did the patient have signs of an acute systemic illness at the onset?

Does the area show generalized tenderness and swelling?

Is pain present at rest that is made worse with movement?

Does an MRI show muscle edema with abnormally high signal intensity in T2 images?

Does a muscle biopsy shows muscle edema and ischemic necrosis?

Are aerobic, anaerobic and fungal cultures negative?

Is there evidence of thromboembolic disease in large blood vessels to the area?

Is the serum creatine kinase is elevated?

Is there another condition that can explain all of the findings better?