title: Fluoroquinolone-induced Achilles tendinitis.
abstract: We report a case of Achilles tendinitis after intake of ciprofloxacin for treatment of respiratory tract infection. Fluoroquinolone-induced tendinopathy is an uncommon but increasingly recognised adverse effect of this antibiotic class. Most of the cases occur in the Achilles tendon and may lead to tendon rupture. Possible predisposing risk factors include use of steroid, patients with renal impairment or renal transplant, old age, and being an athlete. The drug should be stopped once this condition is suspected. Symptomatic treatment should be given and orthopaedic referral is desirable if tendon rupture occurs.
authors.affiliation: Department of Medicine, Tung Wah Hospital, 12 Po Yan Street, Sheung Wan, Hong Kong.
authors.forename: P K
authors.initials: PK
authors.lastname: Tam
authors.affiliation: Department of Medicine, Tung Wah Hospital, 12 Po Yan Street, Sheung Wan, Hong Kong.
authors.forename: Carmen T K
authors.initials: CT
authors.lastname: Ho
mesh_terms: D000125:Achilles Tendon; D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D024841:Fluoroquinolones / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D012141:Respiratory Tract Infections / Q000188:drug therapy; D052256:Tendinopathy / Q000139:chemically induced* / Q000175:diagnosis
chemical_list: D000890:Anti-Infective Agents; D024841:Fluoroquinolones
keywords: Achilles tendon; Fluoroquinolones