Index to Chiropractic Literature
Index to Chiropractic Literature
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Tuesday, October 19, 2021
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ID 20391
  Title Iatrogenic tendinopathy associated with levaquin (levofloxacin) [case report]
Journal eJ Acad Chiropr Orthoped. 2008 Mar;5(1):Online access only p. 1-8
Peer Review Yes
Publication Type Case Report
Abstract/Notes Fluoroquinolone antibiotics, Levaquin (levofloxacin), ciprofloxacin (Cipro), enoxacin (Penetrex), lomefloxacin (Maxaquin), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam), cinoxacin (Cinobac), and nalidixic acid (NegGram)) are increasingly implicated as a cause of tendinopathy and particularly of Achilles tendinopathy and rupture. Reported here is the case of a 52-year old man who developed unilateral Achilles tendinopathy, without rupture, approximately 10 days following commencement of Levaquin therapy. Tendinopathy management focused on conservative, non-invasive procedures. Recovery was incomplete, with refractory weakness and muscle strength issues, as well as range of motion changes. This report includes a review of the current literature on Fluoroquinolone associated tendinopathies and of the various methods of tendon and soft tissue management.

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