Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis

The authors report a case of a 67-year-old woman with giant cell arteritis with acute Achilles tendon rupture, which occurred after 3 days of levofloxacin therapy introduced because of newly diagnosed erosive gastritis associated with Helicobacter pylori infection. The Achilles tendon rupture was su...

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Main Authors: Małgorzata Stasiek, Piotr Głuszko
Format: Article
Language:English
Published: Termedia Publishing House 2019-12-01
Series:Rheumatology
Subjects:
Online Access:https://www.termedia.pl/Acute-Achilles-tendon-rupture-after-levofloxacin-in-a-patient-with-giant-cell-arteritis,18,39432,1,1.html
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author Małgorzata Stasiek
Piotr Głuszko
author_facet Małgorzata Stasiek
Piotr Głuszko
author_sort Małgorzata Stasiek
collection DOAJ
description The authors report a case of a 67-year-old woman with giant cell arteritis with acute Achilles tendon rupture, which occurred after 3 days of levofloxacin therapy introduced because of newly diagnosed erosive gastritis associated with Helicobacter pylori infection. The Achilles tendon rupture was surgically treated and the patient made a complete recovery. In view of the widespread use of levofloxacin in practice, this case report raises important clinical implications. Tendinopathies are a known complication, quite rare in the healthy population, but the risk of rupture significantly increases in the population of patients over 60 years of age, with chronic usage of glucocorticosteroids, impaired renal function and recipients of organ transplants. What needs underlining, there are also described differences between individual fluoroquinolones as a cause of tendon damage in this group. Considering the widespread use of this group of drugs in patients, knowledge about the risk of adverse events including tendinopathy promotes safe use of fluoroquinolones.
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spelling doaj.art-177b97cc6832440690f459a62d00e9122022-12-22T01:48:42ZengTermedia Publishing HouseRheumatology0034-62332084-98342019-12-0157634334610.5114/reum.2019.9127739432Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritisMałgorzata StasiekPiotr GłuszkoThe authors report a case of a 67-year-old woman with giant cell arteritis with acute Achilles tendon rupture, which occurred after 3 days of levofloxacin therapy introduced because of newly diagnosed erosive gastritis associated with Helicobacter pylori infection. The Achilles tendon rupture was surgically treated and the patient made a complete recovery. In view of the widespread use of levofloxacin in practice, this case report raises important clinical implications. Tendinopathies are a known complication, quite rare in the healthy population, but the risk of rupture significantly increases in the population of patients over 60 years of age, with chronic usage of glucocorticosteroids, impaired renal function and recipients of organ transplants. What needs underlining, there are also described differences between individual fluoroquinolones as a cause of tendon damage in this group. Considering the widespread use of this group of drugs in patients, knowledge about the risk of adverse events including tendinopathy promotes safe use of fluoroquinolones.https://www.termedia.pl/Acute-Achilles-tendon-rupture-after-levofloxacin-in-a-patient-with-giant-cell-arteritis,18,39432,1,1.htmlfluoroquinolones achilles tendon tendinopathy rupture
spellingShingle Małgorzata Stasiek
Piotr Głuszko
Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
Rheumatology
fluoroquinolones
achilles tendon
tendinopathy
rupture
title Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
title_full Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
title_fullStr Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
title_full_unstemmed Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
title_short Acute Achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
title_sort acute achilles tendon rupture after levofloxacin in a patient with giant cell arteritis
topic fluoroquinolones
achilles tendon
tendinopathy
rupture
url https://www.termedia.pl/Acute-Achilles-tendon-rupture-after-levofloxacin-in-a-patient-with-giant-cell-arteritis,18,39432,1,1.html
work_keys_str_mv AT małgorzatastasiek acuteachillestendonruptureafterlevofloxacininapatientwithgiantcellarteritis
AT piotrgłuszko acuteachillestendonruptureafterlevofloxacininapatientwithgiantcellarteritis