title: Severe shoulder tendinopathy associated with levofloxacin.
abstract: Fluoroquinolone (FQ)-associated tendinopathy and myopathy are uncommon but well recognized complications of the use of this class of antibacterial agents. The case of a 63-year-old previously asymptomatic female patient who developed severe left shoulder tendinopathy after surreptitiously doubling the prescribed dose of levofloxacin for the treatment of community-acquired pneumonia is reported here. Surgical stabilization with suture anchors and subacromial decompression were needed.
authors: Hospital Universitário Gaffrée e Guinle, Universidade Federal do Estado do Rio de Janeiro, Brazil. walter.eyer@ig.com.br
authors: Walter de Araujo
authors: Wde A
authors: Eyer-Silva
authors: Henrique de Barros Pinto
authors: Hde B
authors: Netto
authors: Jorge Francisco da Cunha
authors: JF
authors: Pinto
authors: Fernando Raphael de Almeida
authors: FR
authors: Ferry
authors: Rogério
authors: R
authors: Neves-Motta
mesh_terms: D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D017714:Community-Acquired Infections / Q000188:drug therapy; D005260:Female; D006801:Humans; D064704:Levofloxacin; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D015242:Ofloxacin / Q000009:adverse effects*; D018410:Pneumonia, Bacterial / Q000188:drug therapy; D012720:Severity of Illness Index; D020069:Shoulder Pain / Q000139:chemically induced*; D052256:Tendinopathy / Q000139:chemically induced*
chemical_list: D000900:Anti-Bacterial Agents; D064704:Levofloxacin; D015242:Ofloxacin