B/L quad pain post antibiotic course (Full Version)

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

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?




Dr.Wagner -> Re: B/L quad pain post antibiotic course (June 3, 2007 8:16:00 PM)

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.




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

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




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