Surgical Repair of Bilateral Achilles Tendon Rupture Following Levofloxacin Use

Fluoroquinolones are widely used in the treatment of common infections such as urinary tract and airway infections. There have been reported adverse effects of causing tendinopathy and tendon ruptures, with limited case reports involving Achilles tendon rupture. Previously documented risk factors include concurrent steroid use as well as systemic diseases such as vascular or rheumatic disease. There is a scarcity in the literature involving acute bilateral Achilles tendon ruptures following fluoroquinolone usage and subsequent surgical treatment options. The purpose of this case report is to present a rare case of a previously healthy and active elderly patient who sustained bilateral Achilles tendon ruptures following levofloxacin usage and underwent bilateral Achilles tendon repairs.