A 58-year-old man presented to the emergency department with a gradually worsening left calf pain for the last two weeks. He reported swelling without overlaying redness and sharp, constant pain (10/10 intensity) in the back side of the left calf. The pain was not related to exertion and minimally relieved with analgesic medication.
He denied a history of trauma, surgery, or injection in the area. Medical history Complicated type-2 diabetes mellitus with end-stage renal disease on peritoneal dialysis and diabetic retinopathy. Physical examination Left lower extremity revealed swelling over the back of left calf On palpation, the area was tender, warm and indurated Range of motion of the left knee was limited, secondary to pain Motor strength was intact, and the patient had no neurovascular deficits Laboratory investigations White blood cell count: 4400 cells/mm3 HBA1c: 12.1% Glucose…
