A 43-year-old male patient with past medical history of diabetes mellitus (DM), end stage renal disease (ESRD) on haemodialysis (HD), congestive heart failure (CHF), obstructive sleep apnoea (OSA), and chronic anaemia presented with complaints of left thigh pain. The pain was constant and sharp; it worsened with movement and localized to the medial aspect of the left thigh. The patient denied any fever, chills, or any localized trauma to the area. Physical examination revealed marked tenderness to the left thigh with no evidence of a skin rash or edema.
Blood work was within normal limits apart from an elevated creatine phosphokinase (CPK) level of 533 IU/L (normal range 30–135 IU/L) and an elevated serum myoglobin of 494 ng/ml (normal range 7.0–46.2 ng/mL). Blood was collected for culture. What could be the most probable diagnosis for this condition? * This image based case is from…
