Which is the most likely diagnosis

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Problem

A 58-year-old woman with a history of chronic alcohol abuse presents to the ED because of leg pain and the skin changes seen in the image below. She had an intramuscular injection in the same leg 2 days ago, and her symptoms began last night. She has had diabetes mellitus for 13 years. Her medications include aspirin, metformin and insulin She appears confused. Get the instant assignment help. The blood pressure is 90/70 mm Hg, pulse 115/min, respiratory rate 21/min, and temperature 39 5 C (103.1.F) The serum creatinine is 2.5 mg/dL, Which is the most likely diagnosis?

Reference no: EM133869168

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