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Bilateral spontaneous non-traumatic rupture of the Achilles tendon: a case report.

Khanzada Z, Rethnam U, Widdowson D, Mirza A - J Med Case Rep (2011)

Bottom Line: Delayed or missed diagnosis of Achilles tendon ruptures by primary treating physicians is relatively common.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.

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Affiliation: Department of Orthopaedics, Glan Clwyd Hospital, Bodelwyddan, Rhyl, UK. zubairshabbir@hotmail.com.

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.

No MeSH data available.


Related in: MedlinePlus

Sagittal view magnetic resonance imaging (MRI) scans of the patient's right ankle showing rupture of the Achilles tendon.
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Figure 1: Sagittal view magnetic resonance imaging (MRI) scans of the patient's right ankle showing rupture of the Achilles tendon.

Mentions: A clinical diagnosis of bilateral spontaneous rupture of Achilles tendon was suspected. Because of the rarity of the suspected diagnosis, a differential diagnosis of deep vein thrombosis (DVT) was also taken into consideration. A Doppler imaging study was obtained to rule out DVT, which proved to be negative. Magnetic resonance imaging (MRI) scans were obtained for both ankles, which confirmed bilateral Achilles tendon rupture 5 cm proximal to insertion into the calcaneus (Figures 1 and 2). There were no features suggestive of pre-existing tendinopathy on the MRI scans.


Bilateral spontaneous non-traumatic rupture of the Achilles tendon: a case report.

Khanzada Z, Rethnam U, Widdowson D, Mirza A - J Med Case Rep (2011)

Sagittal view magnetic resonance imaging (MRI) scans of the patient's right ankle showing rupture of the Achilles tendon.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3141712&req=5

Figure 1: Sagittal view magnetic resonance imaging (MRI) scans of the patient's right ankle showing rupture of the Achilles tendon.
Mentions: A clinical diagnosis of bilateral spontaneous rupture of Achilles tendon was suspected. Because of the rarity of the suspected diagnosis, a differential diagnosis of deep vein thrombosis (DVT) was also taken into consideration. A Doppler imaging study was obtained to rule out DVT, which proved to be negative. Magnetic resonance imaging (MRI) scans were obtained for both ankles, which confirmed bilateral Achilles tendon rupture 5 cm proximal to insertion into the calcaneus (Figures 1 and 2). There were no features suggestive of pre-existing tendinopathy on the MRI scans.

Bottom Line: Delayed or missed diagnosis of Achilles tendon ruptures by primary treating physicians is relatively common.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Glan Clwyd Hospital, Bodelwyddan, Rhyl, UK. zubairshabbir@hotmail.com.

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.

No MeSH data available.


Related in: MedlinePlus