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Images in Clinical Medicine
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Volume 357:2067 November 15, 2007 Number 20
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Quinolone-Associated Rupture of the Achilles' Tendon

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An 81-year-old woman with rheumatoid arthritis, Sjögren's syndrome, and hypertension presented with swelling and pain in the area of the left heel, which had developed suddenly a week after a short course of levofloxacin for acute bronchitis. She reported neither trauma to the area nor any excessive physical activity before the pain began. Examination revealed an ecchymotic area around the left posterior heel and a moderately swollen calf. A defect was palpable in the lateral side of the Achilles' tendon; the medial side was still intact. Movement of the ankle was limited by severe pain. Magnetic resonance imaging (MRI) of . . . [Full Text of this Article]

 



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