Pathology of the Achilles tendon in association with ciprofloxacin treatment.
Achilles tendon pain or rupture after fluoroquionolone treatment has been described as an uncommon adverse effect. We report two patients with ciprofloxacin-associated Achilles tendon disease, one with histopathological examination. Microscopic evaluation showed irregular collagen fiber arrangement, hypercellularity, and increased interfibrillar glycosaminoglycans. These pathological features are also seen in tendon overuse injuries in athletes.
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Department of Orthopedics, Huddinge University Hospital, Sweden.
Gad
A
A
Güntner
P
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Földhazy
Z
Z
Rolf
C
C
D000125:Achilles Tendon / Q000473:pathology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D000890:Anti-Infective Agents / Q000009:adverse effects*; D002939:Ciprofloxacin / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000139:chemically induced* / Q000473:pathology*; D051381:Rats; D012422:Rupture, Spontaneous; D052256:Tendinopathy / Q000139:chemically induced
D000890:Anti-Infective Agents; D002939:Ciprofloxacin