Medscape	Home   Site Map   Marketplace   My Medscape   CME Center   Feedback   Help Desk

Fluoroquinolone-Induced Tendinopathy: What Do We Know? continued...
[South Med J 92(6):622-625, 1999. © 1999 Southern Medical Association]

Case Report A 28-year-old white woman came to her primary care physician's office complaining of a 3- to 4-day history of left heel pain. She denied any history of trauma or exercise over the week before presentation. Pain was worse with walking but not completely relieved with rest. She denied any radiation of the pain. Her medical history was pertinent for chronic sinusitis but negative for diabetes, hypertension, or renal disease. She denied any corticosteroid use. She had had sinus surgery for chronic pansinusitis 4 weeks earlier. Ciprofloxacin was prescribed post-operatively for 2 weeks, and her symptoms began 3 days after completing the ciprofloxacin. Her examination was remarkable for the following. Temperature was 98.1°F. She was a well-developed, well-nourished female who weighed 124 pounds. Left lower extremity examination revealed a normal appearing calf, ankle, and foot. However, she complained of extreme tenderness with light palpation of the Achilles' tendon along its entire length from the calcaneal insertion to the distal gastrocnemius. This was accentuated with plantar flexion. Thompson's sign was negative. The tendon did not appear to be ruptured; tendon swelling was palpable. Proximal calf and popliteal fossa tenderness was absent. There were no palpable venous cords. She was diagnosed with tendinitis due to ciprofloxacin. She was prescribed non-weight-bearing activity and nabumetone (500 mg BID) for 4 weeks. On repeat examination 6 weeks later, she was asymptomatic. continued...		Section 2 of 7 CONTENTS Abstract & Introduction Case Report Incidence Pathophysiology and Predisposing Factors Diagnosis and Diagnostic Studies Treatment and Prognosis Conclusion References INTERACT Printable version of this article. Email this article to a colleague. RECOMMENDED LINKS Our editor's recommendations for related articles, web pages, patient information, and similar resources are located here.

Home   Site Map   Marketplace   My Medscape   CME Center   Feedback   Help Desk

Medscape Search Options Clinical Content News Info for Patients Medical Images MEDLINE AIDSLINE TOXLINE Drug Info Bookstore Dictionary Whole Web Dow Jones Library ($) Select a database to search, enter a search term, then click “go.”    Advanced Search Forms

All material on this website is protected by copyright. Copyright © 1994-2000 by Medscape Inc. All rights reserved. This website also contains material copyrighted by 3rd parties. CME means Continuing Medical Education credit is available. Medscape requires 3.x browsers or better from Netscape or Microsoft.