Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bilateral spontaneous non-traumatic rupture of the Achilles tendon: a case report. | Khanzada et al. Journal of Medical Case Reports 2011 5 263 http content 5 1 263 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Bilateral spontaneous non-traumatic rupture of the Achilles tendon a case report Zubair Khanzada1 Ulfin Rethnam1 David Widdowson2 and Ahmed Mirza1 Abstract Introduction We present an interesting case of spontaneous non-traumatic bilateral rupture of the Achilles tendons which is a rare condition. Delayed or missed diagnosis of Achilles tendon ruptures by primary treating physicians is relatively common. Case report A 78-year-old Caucasian woman presented with spontaneous non-traumatic bilateral rupture of the Achilles tendons. Her symptoms started two days after she took ciprofloxacin 500 mg twice daily for a urinary tract infection and prednisolone 30 mg once daily for chronic obstructive airway disease. Conclusion This case report aims to increase the awareness of this rare condition which should be borne in mind with regard to patients who are on steroid therapy and are concurrently started on fluoroquinolones. Introduction Spontaneous non-traumatic rupture is rare and is commonly associated with long-term use of corticosteroids 1 or fluoroquinolones 2 . When prescribed together steroids and fluoroquinolones can have a potentiating effect causing an increase in the risk of Achilles tendon rupture 3 . Bilateral spontaneous Achilles tendon rupture is extremely rare with fewer than 20 cases reported in the literature 4 . We present an interesting case of spontaneous bilateral Achilles tendon rupture. Case report A 78-year-old Caucasian woman presented to the Accident and Emergency Department with spontaneous onset of severe pain in both ankles. There was no history of trauma. The patient was given oral ciprofloxacin hydrochloride 500 mg twice daily for urinary tract infection. She was also given oral prednisolone 30 mg once daily for chronic obstructive airway disease. Two days after starting the .
