B/L quad pain post antibiotic course

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B/L quad pain post antibiotic course

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B/L quad pain post antibiotic course - June 3, 2007 8:42:00 AM

jma

Posts: 2312
Joined: August 24, 2000
From: NY
Status: offline

Hello,
A collegue has a patient that had post quad, patella pain after taking the antibiotic, cipro. Pt's MD told him to wait a few months for this to resolve but it didn't. No significant ROM or strenght limitation but pain at rest and at times with activities. How common is this and what can be done about it?

Post #: 1

Re: B/L quad pain post antibiotic course - June 3, 2007 8:16:00 PM

Dr.Wagner

Posts: 1237
Joined: January 24, 2003
From: Indianapolis
Status: offline

Well, the quinolone class is reported to delay healing of tendons and ligaments and was shown to affect the growth of pediatric patients. Quinolones have been reported in many cases of Achilles Tendon ruptures as well.

While I know of no known case of patellar tendon rupture or quad tendon rupture, it may potentially effect these areas as well.

I personally have never had a case of this.

What is there to do? Well, I really doubt there is much to do unfortunately. This could be a microscopic tissue injury.

_____________________________

Dr. Wagner DO
Moderator of Medical Complexity Forum

(in reply to jma)

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Re: B/L quad pain post antibiotic course - June 4, 2007 4:10:00 AM

jma

Posts: 2312
Joined: August 24, 2000
From: NY
Status: offline

Thanks for the reply Dr. Wagner. I do hope that there is no future rupture of any kind for my colleague's patient.

(in reply to jma)

Post #: 3