{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:07:11Z","timestamp":1753862831283,"version":"3.41.2"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Diabetic myonecrosis is an uncommon complication related to long\u2010standing poorly controlled diabetes. A 33\u2010year\u2010old Sudanese male patient with type one diabetes presented with progressive, severe bilateral thigh pain with low\u2010grade fever. Laboratory results show hyperglycemia with ketonuria and elevated creatine kinase but normal white cell blood count. The patient was diagnosed initially with diabetic ketoacidosis with pyomyositis and received analgesic and insulin; the patient partially improved. After the second evaluation, bilateral thigh MRI was requested and shows diffuse edema involving the medial muscle group of the upper third of the right side with intramuscular facial edema, appearing as low signal in T1 and high signal in T2 and fat suppression images with no evidence of collection or abscess. Diagnosis of diabetic myonecrosis was made. The patient was managed conservatively and discharge on aspirin with full recovery.<\/jats:p>","DOI":"10.1002\/ccr3.5716","type":"journal-article","created":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T03:53:47Z","timestamp":1649822027000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diabetic myonecrosis, an uncommon presentation of diabetes mellitus in tropical area: A case report"],"prefix":"10.1002","volume":"10","author":[{"given":"Ziryab","family":"Imad Taha Mahmoud","sequence":"first","affiliation":[{"name":"University of Bahri  Khartoum Sudan"},{"name":"Sudanese Medical Specialization Board  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yassin","family":"Abdelrahim Abdalla","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Faculty of Medicine and Health Sciences Omdurman Islamic University  Khartoum Sudan"},{"name":"PSO_Research Unit  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0231-2206","authenticated-orcid":false,"given":"Salih\u00a0Boushra","family":"Hamza","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Faculty of Medicine and Health Sciences Omdurman Islamic University  Khartoum Sudan"},{"name":"PSO_Research Unit  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Ibrahim","family":"Elsiddig Ahmed","sequence":"additional","affiliation":[{"name":"Sudanese Medical Specialization Board  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami Ahmed","family":"Abd Algadir","sequence":"additional","affiliation":[{"name":"Sudanese Medical Specialization Board  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sohep abdalla","family":"osman","sequence":"additional","affiliation":[{"name":"Sudanese Medical Specialization Board  Khartoum Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01338714"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.1.211"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/624020"},{"issue":"7","key":"e_1_2_8_5_1","first-page":"311","article-title":"Recurrent diabetic myonecrosis: a rare complication of a common disease, Indian","volume":"65","author":"Rastogi A","year":"2011","journal-title":"J Med Sci"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/sarh.2001.19961"},{"volume-title":"Global Report on Diabetes","year":"2016","author":"World Health Organization","key":"e_1_2_8_7_1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2008.02.017"},{"key":"e_1_2_8_9_1","first-page":"65","article-title":"Diabetic muscle infarction","volume":"20","author":"Morcuende JA","year":"2000","journal-title":"Iowa Orthop J"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.327125054"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2018.09.003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.900903"},{"issue":"1","key":"e_1_2_8_13_1","first-page":"190","article-title":"Diabetic muscle infarction: case report and review","volume":"31","author":"Kapur S","year":"2004","journal-title":"J Rheumatol"},{"issue":"3","key":"e_1_2_8_14_1","first-page":"1389","article-title":"Case reports in diabetic myonecrosis: an uncommon complication of a common condition","volume":"7","author":"Storandt M","year":"2020","journal-title":"EJCRIM"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.211.1.r99ap44241"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.5716","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.5716","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.5716","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T21:57:36Z","timestamp":1692827856000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.5716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1002\/ccr3.5716"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.5716","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2022,4]]},"assertion":[{"value":"2022-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e05716"}}