Uncommon Muscle Complications in Diabetes: A Case Report on Diabetic Muscle Infarction

Diabetic muscle infarction (DMI) is a rare but severe complication of diabetes mellitus (DM), characterised by acute muscle pain and swelling, primarily in the lower extremities. Prompt recognition and management are critical for preventing further complications. We report the case of a 54-year-old male with a long-standing history of type 2 DM and hypertension. The patient presented with acute, severe pain in the left calf, which had progressively worsened over several days. Physical examination revealed oedema and tenderness in the left calf. Laboratory investigations indicated muscle injury and inflammation, and MRI confirmed the diagnosis of DMI by showing areas of muscle inflammation. The patient was treated with hemodialysis, dual antiplatelet, and supportive care, including analgesics for pain management and stringent blood glucose control. He was advised to avoid excessive physical activity and was educated on the importance of medication adherence and lifestyle modifications. Regular follow-up was scheduled to monitor his progress and adjust the treatment plan as necessary. This case underscores the importance of considering DMI in patients with diabetes presenting with acute muscle pain. Early diagnosis and appropriate management are essential for preventing complications and improving patient outcomes. Clinicians should maintain a high index of suspicion for DMI to ensure timely and effective intervention.