Keywords

aseptic myonecrosis, cellulitis, diabetic myonecrosis, diabetic muscle infarction, diabetic complications, muscle necrosis, necrotizing soft tissue infections

Authors

1. Boinpally, Harika MD
2. Howell, Raelina S. MD
3. Mazzie, Joseph DO
4. Slone, Eric MD
5. Woods, Jon S. MD
6. Gillette, Brian M. PhD
7. Castellano, Michael MD
8. Gorenstein, Scott MD, FACEP

Abstract

GENERAL PURPOSE: To provide information about the diagnosis and treatment of diabetic myonecrosis (DMN).

TARGET AUDIENCE:

This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.

LEARNING OBJECTIVES/OUTCOMES:

After participating in this educational activity, the participant should be better able to:

1. Cite the incidence and symptomatology of diabetic myonecrosis.

2. Identify the diagnostic tests associated with DMN.

3. Summarize the evidence-based treatments for DMN.

ABSTRACT

Diabetic myonecrosis is a rare complication of poorly controlled diabetes mellitus that presents similarly to many common conditions such as cellulitis, abscess, and fasciitis. Therefore, a high index of suspicion is required for diagnosis. Magnetic resonance imaging is the investigative test of choice. Treatment includes antiplatelet therapy, nonsteroidal anti-inflammatory agents, and glycemic control.