Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathy: a Delphi consensus study.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Competing interests: None declared. 9. Hong Kong Med J. 2014 Dec;20(6):545-7. doi: 10.12809/hkmj134105. Fluoroquinolone-induced Achilles tendinitis. Tam PK(1), Ho CT(1). Author information: (1)Department of Medicine, Tung Wah Hospital, 12 Po Yan Street, Sheung Wan, Hong Kong. We report a case of Achilles tendinitis after intake of ciprofloxacin for treatment of respiratory tract infection. Fluoroquinolone-induced tendinopathy is an uncommon but increasingly recognised adverse effect of this antibiotic class. Most of the cases occur in the Achilles tendon and may lead to tendon rupture. Possible predisposing risk factors include use of steroid, patients with renal impairment or renal transplant, old age, and being an athlete. The drug should be stopped once this condition is suspected. Symptomatic treatment should be given and orthopaedic referral is desirable if tendon rupture occurs. DOI: 10.12809/hkmj134105