Posted on Authorea 27 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161441558.88827583/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. e lnclMessage: Clinical Key interest: of Conflict review literature Keywords: and editing reviewing VKS and JK review literature manuscript, Images of PBL framing and design KK and PSB contributions: Author [email protected] Email: 15146 PA, Monroeville, Blvd, Mosside 2775 0174A Suite office, Hospitalist UPP-CCHM East, UPMC Hospitalist, FHM FACP, MD, Bedi, Singh Prabhjot Author: Corresponding Bedi Singh Prabhjot Authors: title: Running complete Title: of Levofloxacin. case to a secondary present rupture we tendon herein however, semimembranosus partial Fluoroquinolones; of and effect Achilles, adverse and well-documented iliopsoas a is rupture tendon Achilles Abstract 2021 27, February 2 1 Bedi Prabhjot tendon Achilles and Iliopsoas related rupture Levofloxacin of case rare A PCMcKeesport UPMC East UPMC Dprmn fRdooy PCEs,Mnovle A 15146 PA, Monroeville, East, UPMC 15132 Radiology, PA, of McKeesport, Department 15146 UPMC PA, 3. Medicine, Monroeville, of East, Department UPMC 2. Medicine, of Department 1. aecs fLvflxcnrltdIiposadAhle ednrupture tendon Achilles and Iliopsoas related Levofloxacin of case rare A eooai,Iipos cils ednrpue utpetno rupture tendon multiple rupture, Tendon Achilles, Iliopsoas, Levofloxacin, 1 eooai eae losa n cilstno rupture tendon Achilles and Iliopsoas related Levofloxacin ia Kuriakose Kiran , 1 ia Kuriakose Kiran , None 2 2 a Kim Jay , a Kim Jay , 1 alBLewis B Paul , 1 alLewis Paul , 1 3 1 ia Singh K Vikas , n ia Singh Vikas and , 1 1 Posted on Authorea 27 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161441558.88827583/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. )KmG .(00.TeRs fFurqiooeidcdTnioah n ednRpue htDoes What sports Rupture: and Tendon and athletes Tendinopathy Fluoroquinolone-induced Know?. for To of guide Risk Need The Clinician a literature. The (2010). K. tendinopathy: the G. Kim and of 2) Fluoroquinolones review systematic (2014). J. a https://doi.org/10.4085/1062-6050-49.2.09 Cook, and & clinicians T., Lewis, trochanter.1) lesser tendon the iliopsoas disten- towards left bursal the posteriorly trochanter and tracks greater attachment References: The that ischial right (*) its including cm. Achilles at edema findings, 2 tendon surrounding the multiple semimembranosus with measures with of right stump pelvis the gap rupture of the This noted. full-thickness tear of incidentally partial The image (*). is tion, MR cleft (OT) T2 ankle. trigonum edematous Axial right os the 4. An the by intact. of noted remains image surrounding is arrows) with MR junction (red image. trochanter paratenon myotendinous STIR this lesser in the echo bare visible at spin the is tendon fast the stump at Sagittal tendon with saturation iliopsoas tendon fat the 3. with iliopsoas of image the portion MR demonstrating A T2 saturation (*). oblique-axial fat edema hip with Left hip left 2. (*). the edema of by surrounded image aspect MR torn T2 Coronal 1. rupture. tendon semimembranosus partial and Iliopsoas, Figure/Legend: and Achilles mechanical thickness greater full concomitant to of subjected are which Fluoroquinolones joints orthopedics. to weightbearing with right recommended closely of affects force. was up tear follow commonly He partial and conservatively. low-grade tendinopathy therapy a managed physical mediated as continue left was was well tolerated, of Patient he as tear as thickness 3), this bear 4). full (Figure weight to (Figure a tendon revealed prior Achilles origin MRI right months significant tendon and was Achilles. Two semimembranosus examination right 2) Physical dell 1, bar. as palpable (Figure hip. treatment steel and tendon left into tenderness heavy iliopsoas and week hip; shoulder a a left right short lifting of ankle, cut tenderness right while was his for course hip felt in the left pain pop but in developed levofloxacin, patient a pain and the by with prednisone presented with preceded bronchitis GERD was for apnea, It treated sleep obstructive days. of 2 history for medical past with Lev- male to 74-year-old secondary rupture tendon presentation: semimembranosus Case partial present and we Achilles, herein and however, iliopsoas Fluoroquinolones; ofloxacin. of complete effect of adverse case well-documented a a is rupture tendon Achilles ednwt iaea novmn nu o5%o cases. of 50% to up in involvement bilateral with tendon 1 ery9%o urqiooeascae edntsadtno utr ae nov h Achilles the involve cases rupture tendon and tendinitis fluoroquinolone-associated of 90% Nearly h ora fciia n etei dermatology aesthetic and clinical of Journal The 2 ora fahei training athletic of Journal 2 oorkoldeorcs sfis eotdcase reported first is case our knowledge our To , 3 4,49–54. (4), , 49 3,422–427. (3), Posted on Authorea 27 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161441558.88827583/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 3 Posted on Authorea 27 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161441558.88827583/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 4 Posted on Authorea 27 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161441558.88827583/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 5 Posted on Authorea 27 Feb 2021 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.161441558.88827583/v1 — This a preprint and has not been peer reviewed. Data may be preliminary. 6