A preventable, life-altering case of fluoroquinolone-associated tendonitis

Anne Wildermuth, Megan Holmes

Research output: Contribution to journalArticlepeer-review

Abstract

Fluoroquinolones, such as ciprofloxacin and levofloxacin, are broad-spectrum antibacterial agents that have historically been widely used for urinary tract infections, pneumonia, and intra-abdominal infections but are associated with several serious adverse reactions, including tendinopathy and tendon rupture, peripheral neuropathy, and aortic aneurysm. These drugs should not be used for uncomplicated infections unless no other antimicrobial treatment is feasible. This article describes a patient who experienced life-altering disability from a fluoroquinolone, reviews the adverse reactions of this drug class, and discusses recommended treatment for acute uncomplicated cystitis and asymptomatic bacteriuria.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalJournal of the American Academy of Physician Assistants
Volume35
Issue number11
DOIs
StatePublished - Nov 1 2022
Externally publishedYes

Keywords

  • acute cystitis
  • asymptomatic bacteriuria
  • fluoroquinolone
  • levofloxacin
  • tendon rupture
  • tendonitis

ASJC Scopus subject areas

  • Nurse Assisting

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