Diabetic Muscle Infarction in Association with Terlipressin Therapy: A Case Report

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• 作者：Yu-Hung Chang^a ; ^c ; Feng-Chieh Yen^c ; Ming-Chia Hsieh^b ; ^c ; Kun-Der Lin^a ; ^c ; Shyi-Jang Shin^b ; ^c ; Shih-Chieh Hsin^c ; ^{bighorn1002@yahoo.com.tw}
• 关键词：diabetic muscle infarction ; terlipressin
• 刊名：The Kaohsiung Journal of Medical Sciences
• 出版年：2009
• 出版时间：January 2009
• 年：2009
• 卷：25
• 期：1
• 页码：25-28
• 全文大小：440 K

文摘

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.