title: [Achilles tendinitis associated to levofloxacin: report of 4 cases].
abstract: Fluoroquinolone-associated tendinitis are well described in the literature, but these are not frequently observed and usually are related to the oldest fluoroquinolones. Levofloxacin is a recently introduced fluoroquinolone. In this paper we report four cases (three female, aged 39 to 70 years old) of Achilles tendinitis occurring in a period of few months. Two patients on chronic dialysis, one kidney transplant recipient, and one patient with chronic vasculitis, both with normal renal function. All were chronically using corticosteroids. In the four cases, tendinitis had an acute onset with bilateral involvement and was invalidating. In 3 cases the onset of tendinitis was early during levofloxacin treatment and in 1 case, it began 10 days after the end of the treatment. All patients were treated with rest and physiotherapy, two were treated with non-steroidal anti-inflammatory drugs. All patients had a complete recovery alter 3-8 weeks.
authors.affiliation: Laboratorio de Nefrología, Instituto y Servicio de Medicina, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.
authors.forename: Claudio
authors.initials: C
authors.lastname: Aros
authors.forename: Claudio
authors.initials: C
authors.lastname: Flores
authors.forename: Sergio
authors.initials: S
authors.lastname: Mezzano
mesh_terms: D000125:Achilles Tendon; D000328:Adult; D000368:Aged; D000890:Anti-Infective Agents / Q000009:adverse effects*; D005260:Female; D006801:Humans; D064704:Levofloxacin; D008297:Male; D008875:Middle Aged; D015242:Ofloxacin / Q000009:adverse effects*; D052256:Tendinopathy / Q000139:chemically induced* / Q000628:therapy
chemical_list: D000890:Anti-Infective Agents; D064704:Levofloxacin; D015242:Ofloxacin