title: Ciprofloxacin-associated bilateral iliopsoas tendon rupture: a case report.
abstract: Fluoroquinolone use is associated with the development of tendinopathy, most commonly affecting the Achilles tendon. Here we present the first reported case of bilateral iliopsoas tendon rupture associated with prolonged ciprofloxacin use. This older woman presented with non-traumatic, sudden onset hip pain which was diagnosed as a right iliopsoas rupture on MRI. Despite stopping ciprofloxacin, she went on to develop rupture of the contralateral iliopsoas tendon. This case highlights the time lag between fluoroquinolone use and susceptibility to this rare but important complication.
authors.affiliation: Royal United Hospital Bath NHS Trust, Bath BA1 3NG, UK.
authors.forename: Natalie
authors.initials: N
authors.lastname: Smith
authors.affiliation: Royal United Hospital Bath NHS Trust, Bath BA1 3NG, UK.
authors.forename: Robin
authors.initials: R
authors.lastname: Fackrell
authors.affiliation: Royal United Hospital Bath NHS Trust, Bath BA1 3NG, UK School of Social and Community Medicine, University of Bristol, Bristol, UK.
authors.forename: Emily
authors.initials: E
authors.lastname: Henderson
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D002939:Ciprofloxacin / Q000009:adverse effects*; D005260:Female; D006615:Hip / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D012422:Rupture, Spontaneous; D052256:Tendinopathy / Q000139:chemically induced* / Q000000981:diagnostic imaging; D013710:Tendons / Q000000981:diagnostic imaging
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin
keywords: ciprofloxacin; fluoroquinolone; iliopsoas rupture; older people; tendinopathy