Case presentation A 52-year-old male presented with a month-long history of nonradiating right thigh pain, swelling, and erythema. Recently diagnosed with diabetes, hypertension, and ischemic cardiomyopathy, his severe pain rendered him disabled, requiring assistance to walk or use a wheelchair. Despite multiple emergency and urgent care visits, oral antibiotics prescribed for presumed cellulitis provided no relief. He had no history of fever, trauma, or intravenous drug use. (Image 1) Image 1.
Edema in the right thigh. (Source: Case Reports in Medicine) Clinical examination 1. Vital Signs: Blood pressure: 108/69 mm Hg Heart rate: 77 bpm Temperature: 37.5°C Respiratory rate: 18 breaths per minute Oxygen saturation: 96% on room air 2. Physical Examination: Thigh Examination: Hard, tender, erythematous 7×4 inch right anterior thigh mass Right upper thigh edema Pulses & Edema: Distal…
