A case of nontraumatic simultaneous bilateral Achilles tendon rupture.
Journal
Journal of the American Association of Nurse Practitioners
ISSN: 2327-6924
Titre abrégé: J Am Assoc Nurse Pract
Pays: United States
ID NLM: 101600770
Informations de publication
Date de publication:
01 Dec 2023
01 Dec 2023
Historique:
received:
20
03
2023
accepted:
10
05
2023
medline:
5
12
2023
pubmed:
19
6
2023
entrez:
19
6
2023
Statut:
epublish
Résumé
Patients with corticosteroid-managed chronic obstructive pulmonary disease (COPD) are at increased risk of Achilles tendon rupture. This risk is further augmented in the setting of an acute COPD exacerbation in which antibiotics may be indicated, namely fluoroquinolones. This case concerns a 76-year-old man who experienced simultaneous nontraumatic bilateral Achilles tendon rupture during an acute COPD exacerbation. Treatment was conservative with analgesics, activity modification, and bilateral controlled ankle movement boots. Surgery was not advised because of his multiple medical comorbidities predisposing him to impaired wound healing and potential amputation. Included is a discussion on the pathophysiology, diagnosis, and treatment of Achilles tendon rupture. There is a need for greater awareness of the risk of Achilles tendon rupture from combined use of corticosteroids and fluoroquinolones. After this report, we hope to raise awareness of this complication and prevent patient suffering.
Identifiants
pubmed: 37335847
doi: 10.1097/JXX.0000000000000906
pii: 01741002-990000000-00136
doi:
Substances chimiques
Anti-Bacterial Agents
0
Fluoroquinolones
0
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
853-855Informations de copyright
Copyright © 2023 American Association of Nurse Practitioners.
Déclaration de conflit d'intérêts
Competing interests: The authors report no conflicts of interest.
Références
Kapoor C., Jhaveri M., Golwala P., Merh A., Patel A. (2016). Acute bilateral traumatic Achilles tendon rupture – A rare presentation. Cureus, 8(7), e706. https://doi.org/10.7759/cureus.706
doi: 10.7759/cureus.706
Maughan K. L., Reid Boggess B. (2022, September). Achilles tendinopathy and tendon rupture. UpToDate. www.uptodate.com
Morales D. R., Slattery J., Pacurariu A., Pinheiro L., McGettigan P., Kurz X. (2019). Relative and absolute risk of tendon rupture with fluoroquinolone and concomitant fluoroquinolone/corticosteroid therapy: Population-based nested case–control study. Clinical Drug Investigation 39(2), 205–213. https://doi.org/10.1007/s40261-018-0729-y
doi: 10.1007/s40261-018-0729-y
United States Federal Drug Administration. (2008). Highlights of prescribing information. https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/021721s020_020635s57_020634s52_lbl.pdf