title: Management of bilateral Achilles tendon rupture associated with ciprofloxacin: a review and case presentation.
abstract: Fluoroquinolone antibiotics are increasingly being recognized as a cause of Achilles tendinitis and rupture. We report the case of a 62-year old man who developed bilateral Achilles tendon rupture six days following commencement of ciprofloxacin. Tendon exploration and repair was accomplished with the use of a prosthetic substitute (Leeds-Keio ligament) but healing was complicated by left wound breakdown that was successfully repaired with a perforator-based fasciocutaneous flap. A review of the current literature on fluoroquinolone associated achilles ruptures and the various methods of tendon and soft tissue management of the primary or complicated injuries are discussed.
authors.affiliation: Department of Plastic & Reconstructive surgery, St Andrews' Center for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK. auakali@dsl.pipex.com
authors.forename: A U
authors.initials: AU
authors.lastname: Akali
authors.forename: N S
authors.initials: NS
authors.lastname: Niranjan
mesh_terms: D000125:Achilles Tendon / Q000187:drug effects* / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000368:Aged; D000890:Anti-Infective Agents / Q000009:adverse effects*; D002939:Ciprofloxacin / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000139:chemically induced / Q000601:surgery
chemical_list: D000890:Anti-Infective Agents; D002939:Ciprofloxacin