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Refractory Achilles Tendinopathy and Multiple Pain on the Tendon and Tendon Attachment Site of the Foot Related to Intermittent Levofloxacin Usage: A Case Report

간헐적 Levofloxacin 약제 사용과 관련된 난치성 아킬레스건병증과 족부의 다발성 건 및 건 부착부 통증: 증례 보고

  • Seung Jun Park (Department of Orthopaedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Jin Soo Suh (Department of Orthopaedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Jun Young Choi (Department of Orthopaedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine)
  • 박승준 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 서진수 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 최준영 (인제대학교 의과대학 일산백병원 정형외과학교실)
  • Received : 2023.06.07
  • Accepted : 2023.07.13
  • Published : 2023.09.15

Abstract

Quinolone antibiotics are frequently prescribed for suspected respiratory or urinary tract infections because of their effectiveness and generally perceived safety profile. On the other hand, some studies have raised concerns regarding the potential association between quinolone use and Achilles tendinopathy or tendon rupture. There is a lack of reports on the link between quinolone use and multiple tendon and tendon attachment site pain in the foot and ankle joints; hence, this study examined this issue further. This paper presents a case report of a patient with persistent Achilles tendinopathy and multiple tendon and tendon attachment site pain in the foot who did not respond adequately to conservative treatments. In particular, the discontinuation of quinolone use resulted in favorable clinical outcomes. This report offers valuable insights into the potential risks associated with quinolone antibiotics and highlights the importance of vigilance when managing patients with tendon-related complaints. A comprehensive review of the relevant literature is also presented to contextualize these findings.

Keywords

References

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