TENDON AND MUSCLE PAIN

Popular Research Articles:

Levofloxacin-Induced Tendon Rupture: A Case
Report and Review of the Literature
Liana Gold, ARNP, MSN, and Helena Igra, MD

Torn Knee Cartilage requiring surgical repair in a Pediatric Patient, secondary to levaquin.

The effects of enrofloxacin on canine tendon cells and chondrocytes proliferation in vitro.

Ofloxacin induces apoptosis in microencapsulated juvenile rabbit chondrocytes by caspase-8-dependent mitochondrial pathway.

Fluoroquinolone-induced Achilles tendon rupture [Article in German]

Quinolone-related Achilles tendinopathy in heart transplant patients: incidence and risk factors.

Fluoroquinolones-induced tendinitis and tendon rupture in kidney transplant recipients: 2 cases and a review of the literature.

Degenerative changes were observed in the tenocytes, and the cells that detached from the extracellular
matrix were recognizable
.

Recurrent tendinitis after treatment with two different fluoroquinolones

Stronger Tendon Rupture Warnings Urged

Tendinitis Associated With Levofloxacin

Levofloxacin (Tavanic) has been associated with a number of adverse reactions, including 12 cases of tendinitis

Evidence of tendinitis provoked by fluoroquinolone treatment : a case-control study.

Rupture of adductor longus tendon due to ciprofloxacin.

Achilles tendinitis associated to levofloxacin: report of 4 cases

Quinolone antibiotics have been associated with tendon problems since they were introduced in the 1980s

A Long-Term Study of the Incidence of Musculoskeletal Disorders in Children Who Have Received Levofloxacin or a Standard Non-Fluoroquinone Therapy for Acute Bacterial Infection This study is no longer recruiting patients. Sponsored by: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Ultrastructural changes of the gemifloxacin on Achilles tendon in immature rats: comparison with those of ciproxacin and ofloxacin. Bae CS, Oh DM, Bae JG, Kim JC, Kim SH, Kim SG, Jeong MJ, Kim YS, Lim SC.

Fluoroquinolone-induced arthralgia and myalgia in the treatment of sinusitis. O-Lee T, Stewart CE 4th, Seery L, Church CA.

QUINOLONE INDUCED MYOTENDINOPATHY
Vasuki Narayanasamy M.D, Harsha Vyas M.D, Guha Krishnaswamy M.D.


Stingray bite and bilateral Achilles tendonitis due to LEVOFLOXACIN use  Lini S. Bhatia, M.D., PGY2, Department of Internal Medicine, James H. Quillen College of Medicine, ETSU, Johnson City, TN

Age-dependent effects on redox status, oxidative stress, mitochondrial activity and toxicity induced by fluoroquinolones on primary cultures of rabbit tendon cells.

A cautionary tale of tendonitis [1999] Peter Jones is a rheumatologist at Queen Elizabeth Hospital, Rotorua http://www.rnzcgp.org.nz/NZFP/Issues/June99/focuspj.htm:

Avoiding Achilles tendon ruptures in the elderly - Literature Monitor Clinician Reviews, Oct, 2003
It has now been confirmed that quinolones, the most frequently prescribed antibacterial agents, increase the risk of Achilles tendon rupture in elderly patients, according to van der Linden et al


Antimicrobial therapy with fluoroquinolones can be associated with tendinitis and other tendon disorders as an adverse reaction associated with this class of antimicrobials.

 Fluoroquinolone antibiotics may cause tendon pain and rupture.

Fluoroquinolone-induced arthralgia and myalgia in the treatment of sinusitis.

Inhibitory effects of the quinolone antibiotics trovafloxacin, ciprofloxacin, and levofloxacin on osteoblastic cells in vitro.
Holtom PD, Pavkovic SA, Bravos PD, Patzakis MJ, Shepherd LE, Frenkel B.
Department of Orthopaedic Surgery and Medicine, University of Southern California School of Medicine, Los Angeles 90033, USA

Fluoroquinolones cause changes in extracellular matrix, signalling proteins, metalloproteinases and caspase-3 in cultured human tendon cells.
Sendzik J, Shakibaei M, Schafer-Korting M, Stahlmann R.

Four cases of spontaneous tendon rupture associated with Levofloxacin.  The four patients described were originally enrolled into a study of levofloxacin treatment of lower respiratory tract infection. This study included 489 patients treated with levofloxacin, a total of 3217 treatment days. Tendinopathy was not measured as an outcome in the study.

Levofloxacin-induced bilateral Achilles tendonitis Lewis JR, JG Gums, and DL Dickensheets 1999

Foot Ankle Int. 1996 Aug;17(8):496-8. 
Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review.

Rupture of the patellar ligament one month after treatment with fluoroquinolone
Rev Chir Orthop Reparatrice Appar Mot. 2000 Sep;86(5):495-7.

Fluoroquinolone-Associated Tendinopathy: A Critical Review of the Literature
Yasmin Khaliq1 and George G. Zhanel2

J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):333-5.
Fluoroquinolone therapy and Achilles tendon rupture.
Vanek D, Saxena A, Boggs JM.

Clin Rheumatol. 2003 Dec;22(6):500-1. Epub 2003 Oct 18.
Ciprofloxacin and Achilles' tendon rupture: a causal relationship.

Bilateral simultaneous spontaneous rupture of the Achilles tendon.
Mehra A, Maheshwari R, Case R, Croucher C.

Aten Primaria. 2003 Sep 15;32(4):256
Bilateral Achilles tendinitis as adverse reaction to levofloxacine.

Pharm World Sci. 2001 Jun;23(3):89-92.
Fluoroquinolone use and the change in incidence of tendon ruptures in the Netherlands.
van der Linden PD, Nab HW, Simonian S, Stricker BH, Leufkens HG, Herings RM.

Therapie. 2004 Nov-Dec;59(6):653-5.
Ofloxacin-induced achilles tendinitis in the absence of a predisposition

Rev Rhum Engl Ed. 1999 Jul-Sep;66(7-9):419-21.
Suspected role of ofloxacin in a case of arthalgia, myalgia, and multiple tendinopathy.

Therapie. 2003 Sep-Oct;58(5):463-5.
The myo-tendinopathy caused by levofloxacin

Reumatismo. 2003 Oct-Dec;55(4):267-9.
Levofloxacin-induced bilateral rupture of the Achilles tendon: clinical and sonographic findings

An Med Interna. 2004 Mar;21(3):154.
Achilles bilateral tendonitis and levofloxacin

J Orthop Sci. 2004;9(2):186-90.
Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.

Scand J Infect Dis. 2004;36(4):315-6.
Recurrent tendinitis after treatment with two different fluoroquinolones.

Rupture of multiple tendons after levofloxacin therapy.
Braun D, Petitpain N, Cosserat F, Loeuille D, Bitar S, Gillet P, Trechot P.

Arch Orthop Trauma Surg. 2005 Mar;125(2):124-6. Epub 2005 Jan 12.
Missed Achilles tendon rupture due to oral levofloxacin: surgical treatment and result.

Infection. 2000 Jul-Aug;28(4):256-7.
Fluoroquinolone-induced tendinopathy: also occurring with levofloxacin.

Aten Primaria. 2004 Mar 15;33(4):214.
Muscle and tendon problems as a side-effect of levofloxacine: review of a case

Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
Levofloxacin-induced bilateral Achilles tendonitis.

Rev Clin Esp. 2001 Sep;201(9):539-40.
Achilles pain and functional impotence in a patient with chronic obstructive pulmonary disease with pneumonia. Tendon rupture caused by levofloxacin

Gastroenterol Hepatol. 2003 Jan;26(1):53-4.
Rupture of the Achilles' tendon secondary to levofloxacin

An Med Interna. 2005 Jan;22(1):28-30.
Partial bilateral rupture of the Achilles tendon associated to levofloxacin

Med Clin (Barc). 2003 Jan 25;120(2):78-9.
Comment on: Med Clin (Barc). 2002 Jun 8;119(1):38-9.
Levofloxacin and bilateral spontaneous Achilles tendon rupture

Rev Med Chil. 2002 Nov;130(11):1277-81.
Achilles tendinitis associated to levofloxacin: report of 4 cases

J Antimicrob Chemother. 2003 Mar;51(3):747-8.
Spontaneous Achilles tendon rupture in patients treated with levofloxacin.

Foot Ankle Int. 2003 Feb;24(2):122-4.
Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin.

Chemotherapy. 2003 May;49(1-2):90-1.
Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?

Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
Levofloxacin-associated Achilles tendon rupture.

Pharmacol Exp Ther. 2004 Jan;308(1):394-402. Epub 2003 Oct 20. In vitro discrimination of fluoroquinolones toxicity on tendon cells: involvement of oxidative stress.

Clin Rheumatol. 2003 Oct;22(4-5):367-8.
Bilateral Achilles tendinitis with spontaneous rupture induced by levofloxacin in a patient with systemic sclerosis.

Scand J Infect Dis. 2003;35(10):768-70.
Levofloxacin-associated Achilles tendon rupture and tendinopathy.

J Am Board Fam Pract. 2003 Sep-Oct;16(5):458-60.
Levofloxacin-induced tendon rupture: a case report and review of the literature.

Expert Opin Drug Saf. 2005 Mar;4(2):299-309.
Fluoroquinolones and tendon disorders.
Melhus A.

Worldwide Post Marketing Surveillance

Animal and Human Studies

Taking FLUOROQUINOLONES and CORTICOSTEROIDS may cause problems with your tendons

One of the most common and pronounced adverse drug reactions to fluoroquinolones is often manifested as severe joint, muscle and tendon pain.

Physical Therapist Management of Fluoroquinolone-Induced Achilles Tendinopathy

Fluoroquinolones and risk of Achilles tendon disorders: case-control study BMJ 2002;324:1306-1307 ( 1 June )

Physical Therapist Management of Fluoroquinolone-Induced Achilles Tendinopathy

The Expert Opinion Complete Ruptures of the Achilles Tendon

4 cases of levaquin induced tendintis (orign spanish)

Study Confirms Increased Risk of Achilles Tendon Rupture With Fluoroquinolone Use

Descriptions of {fluoroquinolone induced} tendon damage

Long term outcome after Fluoroquinolones tendinopathies
13/01/2004

Tendonitis associated with fluoroquinolones may be prolonged.

Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.   J Orthop Sci 2004;9(2):186-90 (ISSN: 0949-2658)  Kowatari K; Nakashima K; Ono A; Yoshihara M; Amano M; Toh S  Department of Orthopaedic Surgery, Aomori Rosai Hospital, 1 Minamigaoka, Shirogane-machi, Hachinohe 031-8551, Japan.

Levofloxacin-associated Achilles tendon rupture and tendinopathy.  Scand J Infect Dis 2003;35(10):768-70 (ISSN: 0036-5548)   Melhus A; Apelqvist J; Larsson J; Eneroth M   Department of Medical Microbiology, Malmo University Hospital, Malmo, Sweden. asa.melhus@mikrobiol.mas.lu.se.

Levofloxacin and trovafloxacin inhibition of experimental fracture-healing.   Clin Orthop 2003 Sep;(414):95-100 (ISSN: 0009-921X)   Perry AC; Prpa B; Rouse MS; Piper KE; Hanssen AD; Steckelberg JM; Patel R   Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.

Levofloxacin-associated Achilles tendon rupture. Ann Pharmacother 2003 Jul-Aug;37(7-8):1014-7 (ISSN: 1060-0280) Mathis AS; Chan V; Gryszkiewicz M; Adamson RT; Friedman GS  Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ, USA. smathis@sbhcs.com.

Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin.  Foot Ankle Int 2003 Feb;24(2):122-4 (ISSN: 1071-1007) Cebrian P; Manjon P; Caba P  Departamento de Radiodiagnostico, Hospital Universitario 12 de Octubre, Madrid, Spain. pcvbb@yahoo.es.

Adverse events associated with pyrazinamide and levofloxacin in the treatment of latent multidrug-resistant tuberculosis
Tina Papastavros, Lisa R. Dolovich, Anne Holbrook, Lori Whitehead, and Mark Loeb

Fluoroquinolones cause changes in extracellular matrix, signalling proteins, metalloproteinases and caspase-3 in cultured human tendon cells.
Sendzik J, Shakibaei M, Schafer-Korting M, Stahlmann R.

Expert Opin Drug Saf. 2005 Mar;4(2):299-309.
Fluoroquinolones and tendon disorders.
Melhus A.
Lund University, Department of Medical Microbiology, Malmo University Hospital, S-205 02 Malmo, Sweden. asa.melhus@mikrobiol.mas.lu.se

Aten Primaria. 2005 Sep 30;36(5):286-7. [Tendinitis associated with levofloxacin] [Article in Spanish] Alvarez Luque I, Gomariz Santacecilia M, Villamor Baliarda E, Rando Matos Y, Garcia Fernandez Y.

Chondrotoxicity of quinolones in vivo and in vitro.  Hildebrand H, Kempka G, Schluter G, Schmidt M.  Bayer AG, Fachbereich Toxikologie, Pharma-Forschungszentrum, Wuppertal, Germany

Expert Opin Drug Saf. 2005 Mar;4(2):299-309. Fluoroquinolones and tendon disorders. Melhus A. Lund University, Department of Medical Microbiology, Malmo University Hospital, S-205 02 Malmo, Sweden. asa.melhus@mikrobiol.mas.lu.se

Rupture of multiple tendons after levofloxacin therapy. Braun D, Petitpain N, Cosserat F, Loeuille D, Bitar S, Gillet P, Trechot P. Pneumology Department, Maillot Hospital, 54150 Briey, France.

Irish Medicines Board Drug Safety Newsletter - Drug Safety – January 2002 - Issue No.14 The Pharmacovigilance Unit, Irish Medicines Board,Earlsford Centre, Earlsford Terrace, Dublin2.
Tel: 676 4971-7 Fax: 676 7836

TI - Epicondylitis after treatment with fluoroquinolone antibiotics.

Spontaneous Tendon Ruptures and Severe Tendinitis associated with fluoroquinolones

A case of rhabdomyolysis with fatal outcome after a treatment with levofloxacin.

Tendon Rupture associated with fluoroquinolones / Animals Studies

Casperian et al

Fluoroquinolones are relatively safe, effective antibiotics. As their use becomes more frequent, so will the adverse side effects.

Persistent and chronic poly arthritis

The pharmacological management of drug-induced rheumatic disorders.

Conventional Arthritis treatments generally compromise by relieving physical symptoms only, which are secondary to a primary cause.

Regional Pain Syndromes: Diagnosis and Management

Ciprofloxacin-associated Achilles tendon rupture in a hemodialysis patient

Tendonitis is an inflammatory condition characterized by pain at tendinous insertions into bone.

Fluoroquinolones – tendinitis : update

Tendinitis and tendon rupture with fluoroquinolones

The Achilless heel of fluoroquinolones

The comparative arthropathy of fluoroquinolones in dogs

Effects of ciprofloxacin and ofloxacin on adult human cartilage in vitro

Fluoroquinolone's Effect on Growth of Human Chondrocytes and Chondrosarcomas: In Vitro and In Vivo Correlation

Repeated rupture of the extensor tendons of the hand due to fluoroquinolones. Apropos of a case

Ultrastructure of Achilles Tendons of Rats Treated with Ofloxacin and Fed a Normal or Magnesium-Deficient Diet

Antibacterial quinolones induce joint cartilage lesions in juvenile animals at relatively low doses. They are therefore contraindicated in children and adolescents as well as in pregnant and lactating women.

Since 1983, fluoroquinolones have been reported to be associated with tendon pathology

Fluoroquinolone-Induced Tendinopathy: What Do We Know?

Their potential role in routine use for paediatric patients will remain limited because of potential joint complications

Fluorine level in the bone and cartilage in children treated with ciprofloxacin

The effect of ciprofloxacin on tendon, paratenon, and capsular fibroblast metabolism.

Fluoroquinolones in Pediatrics

Petition to Require a Warning on All Fluoroquinolone Antibiotics

Fluoroquinolones and Risk of Achilles Tendon Disorders

Spontaneous rupture of Achilles tendon and fluoroquinolones

Ciprofloxacin Inhibition of Experimental Fracture-Healing

Quinolone-associated tendonitis: a potential problem in COPD?

The Pathology & Healing of Tendinosis

One of the most common and pronounced adverse drug reactions to fluoroquinolones is often manifested as severe joint, muscle and tendon pain

Fluoroquinolone's effect on growth of human chondrocytes and chondrosarcomas. In vitro and in vivo correlation.

Long term outcome after Fluoroquinolones tendinopathies
13/01/2004

In vitro discrimination of fluoroquinolones toxicity on tendon cells: Involvement of Oxidative Stress.

Reappraisal of quinolone tolerability. The experience of their musculoskeletal adverse effects.

Quinolone-Related Achilles Tendon Rupture Risk High in Elderly on Corticosteroids

Arthritis and other chronic joint problems are far more widespread than estimated just five years ago, affecting one in three U.S. adults, or 69.9 million people in all

Tendonitis associated with fluoroquinolones may be prolonged.

Medications-Impair-Shoulder-Healing

Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.

Levofloxacin-associated Achilles tendon rupture and tendinopathy.

Levofloxacin and trovafloxacin inhibition of experimental fracture-healing.

Levofloxacin-associated Achilles tendon rupture.

Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin.

Fluoroquinolones and tendon ruptures / reported last week at the 41st annual meeting of the Infectious Diseases Society of America.
Study Confirms Increased Risk of Achilles Tendon Rupture With Fluoroquinolone Use  Peggy Peck  Oct. 15, 2003

Fluoroquinolones and tendon disorders Mersey ADR Newsletter
Issue 22 Autumn 2003

Quinolone toxicity: methods of assessment.

Ciprofloxacin reduces the stimulation of prostaglandin E2 output by interleukin-1ß in human tendon-derived cells

In Vitro Discrimination of Fluoroquinolones Toxicity on Tendon Cells: Involvement of Oxidative Stress

Expert Opin Drug Saf. 2005 Mar;4(2):299-309.
Fluoroquinolones and tendon disorders.
Melhus A.
Lund University, Department of Medical Microbiology, Malmo University Hospital, S-205 02 Malmo, Sweden. asa.melhus@mikrobiol.mas.lu.se

J Rheumatol. 2001 Jun;28(6):1405-6.
Malignant hyperthermia susceptibility revealed by myalgia and rhabdomyolysis during fluoroquinolone treatment.

Magnesium and therapeutics

Magnesium: How an important mineral helps

Something must be wrong with the muscles of FM patients because they seemed to be the origin of so much pain and dysfunction.

Malic Acid: For Muscle Pain and Stiffness

Chronic Fatigue Syndrome (CFS), Fibromyalgia Syndrome (FMS) and Gulf War Illnesses (GWI)

Chronic Fatigue Syndrome / Fibromyalgia Syndrome (FMS) is a debilitating group of illnesses

Magnesium deficiency has an effect on multiple body functions.

Hypomagnesaemia: Is defined as an abnormally low serum magnesium level

Neurotic, neuromuscular and autonomic nervous form of magnesium imbalance.

Physiopathology of symptomatic and latent forms of central nervous hyperexcitability due to magnesium deficiency: a current general scheme.

Magnesium

EMR Textbook - Neuromuscular Transmission Failure

The rate of magnesium absorption varies

BETRAYAL BY THE BRAIN: THE NEUROLOGICAL BASIS OF CHRONIC FATIGUE SYNDROME

Chondrotoxicity of quinolones in vivo and in vitro.  Hildebrand H, Kempka G, Schluter G, Schmidt M.  Bayer AG, Fachbereich Toxikologie, Pharma-Forschungszentrum, Wuppertal, Germany

Expert Opin Drug Saf. 2005 Mar;4(2):299-309. Fluoroquinolones and tendon disorders. Melhus A. Lund University, Department of Medical Microbiology, Malmo University Hospital, S-205 02 Malmo, Sweden. asa.melhus@mikrobiol.mas.lu.se

Rupture of multiple tendons after levofloxacin therapy. Braun D, Petitpain N, Cosserat F, Loeuille D, Bitar S, Gillet P, Trechot P. Pneumology Department, Maillot Hospital, 54150 Briey, France.

Irish Medicines Board Drug Safety Newsletter - Drug Safety – January 2002 - Issue No.14 The Pharmacovigilance Unit, Irish Medicines Board,Earlsford Centre, Earlsford Terrace, Dublin2.
Tel: 676 4971-7 Fax: 676 7836

TI - Epicondylitis after treatment with fluoroquinolone antibiotics.

Spontaneous Tendon Ruptures and Severe Tendinitis associated with fluoroquinolones

A case of rhabdomyolysis with fatal outcome after a treatment with levofloxacin.

Tendon Rupture associated with fluoroquinolones / Animals Studies

Casperian et al

Fluoroquinolones are relatively safe, effective antibiotics. As their use becomes more frequent, so will the adverse side effects.

Persistent and chronic poly arthritis

The pharmacological management of drug-induced rheumatic disorders.

Conventional Arthritis treatments generally compromise by relieving physical symptoms only, which are secondary to a primary cause.

Regional Pain Syndromes: Diagnosis and Management

Ciprofloxacin-associated Achilles tendon rupture in a hemodialysis patient

Tendonitis is an inflammatory condition characterized by pain at tendinous insertions into bone.

Fluoroquinolones – tendinitis : update

Tendinitis and tendon rupture with fluoroquinolones

The Achilless heel of fluoroquinolones

The comparative arthropathy of fluoroquinolones in dogs

Effects of ciprofloxacin and ofloxacin on adult human cartilage in vitro

Fluoroquinolone's Effect on Growth of Human Chondrocytes and Chondrosarcomas: In Vitro and In Vivo Correlation

Repeated rupture of the extensor tendons of the hand due to fluoroquinolones. Apropos of a case

Ultrastructure of Achilles Tendons of Rats Treated with Ofloxacin and Fed a Normal or Magnesium-Deficient Diet

Antibacterial quinolones induce joint cartilage lesions in juvenile animals at relatively low doses. They are therefore contraindicated in children and adolescents as well as in pregnant and lactating women.

Since 1983, fluoroquinolones have been reported to be associated with tendon pathology

Fluoroquinolone-Induced Tendinopathy: What Do We Know?

Their potential role in routine use for paediatric patients will remain limited because of potential joint complications

Fluorine level in the bone and cartilage in children treated with ciprofloxacin

The effect of ciprofloxacin on tendon, paratenon, and capsular fibroblast metabolism.

Fluoroquinolones in Pediatrics

Petition to Require a Warning on All Fluoroquinolone Antibiotics

Fluoroquinolones and Risk of Achilles Tendon Disorders

Spontaneous rupture of Achilles tendon and fluoroquinolones

Ciprofloxacin Inhibition of Experimental Fracture-Healing

Quinolone-associated tendonitis: a potential problem in COPD?

The Pathology & Healing of Tendinosis

One of the most common and pronounced adverse drug reactions to fluoroquinolones is often manifested as severe joint, muscle and tendon pain

Fluoroquinolone's effect on growth of human chondrocytes and chondrosarcomas. In vitro and in vivo correlation.

Long term outcome after Fluoroquinolones tendinopathies
13/01/2004

In vitro discrimination of fluoroquinolones toxicity on tendon cells: Involvement of Oxidative Stress.

Reappraisal of quinolone tolerability. The experience of their musculoskeletal adverse effects.

Quinolone-Related Achilles Tendon Rupture Risk High in Elderly on Corticosteroids

Arthritis and other chronic joint problems are far more widespread than estimated just five years ago, affecting one in three U.S. adults, or 69.9 million people in all

Tendonitis associated with fluoroquinolones may be prolonged.

Medications-Impair-Shoulder-Healing

Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.

Levofloxacin-associated Achilles tendon rupture and tendinopathy.

Levofloxacin and trovafloxacin inhibition of experimental fracture-healing.

Levofloxacin-associated Achilles tendon rupture.

Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin.

Fluoroquinolones and tendon ruptures / reported last week at the 41st annual meeting of the Infectious Diseases Society of America.
Study Confirms Increased Risk of Achilles Tendon Rupture With Fluoroquinolone Use  Peggy Peck  Oct. 15, 2003

Fluoroquinolones and tendon disorders Mersey ADR Newsletter
Issue 22 Autumn 2003

Quinolone toxicity: methods of assessment.

Ciprofloxacin reduces the stimulation of prostaglandin E2 output by interleukin-1ß in human tendon-derived cells

In Vitro Discrimination of Fluoroquinolones Toxicity on Tendon Cells: Involvement of Oxidative Stress

Expert Opin Drug Saf. 2005 Mar;4(2):299-309.
Fluoroquinolones and tendon disorders.
Melhus A.
Lund University, Department of Medical Microbiology, Malmo University Hospital, S-205 02 Malmo, Sweden. asa.melhus@mikrobiol.mas.lu.se


Additional Links from PubMed/Medline

1    Bringas Calvo R, Iglesias Cortinas D.
[Acute and bilateral uveitis secondary to moxifloxacin]
Arch Soc Esp Oftalmol. 2004 Jul;79(7):357-60. Spanish.
PMID: 15286907 [PubMed - in process

2    Bringas Calvo R, Iglesias Cortinas D.[Acute and bilateral uveitis secondary to moxifloxacin]
Arch Soc Esp Oftalmol. 2004 Jul;79(7):357-60. Spanish.
PMID: 15286907 [PubMed - in process]

3    McKinley BT, Oglesby RJ.A 57-year-old male retired colonel with acute ankle swelling.
Mil Med. 2004 Mar;169(3):254-6. No abstract available.
PMID: 15080249 [PubMed - indexed for MEDLINE]

4    Kastner M, Rahm U, Baumann-Wilschke I, Bello A, Stahlmann R.Concentrations of the des-F(6)-quinolone garenoxacin in plasma and joint cartilage of immature rats.
Arch Toxicol. 2004 Feb;78(2):61-7. Epub 2003 Dec 06.
PMID: 14661070 [PubMed - in process]

5    Kahn F, Christensson B.[A rapid development of Achilles tendon rupture following quinolone treatment]
Lakartidningen. 2004 Jan 15;101(3):190-1. Swedish. No abstract available.
PMID: 14763088 [PubMed - indexed for MEDLINE]

6    [No authors listed]Antibiotics: Achilles' heel of the Achilles' tendon.
Harv Health Lett. 2004 Jan;29(3):7. No abstract available.
PMID: 14734287 [PubMed - indexed for MEDLINE]

7    Pouzaud F, Bernard-Beaubois K, Thevenin M, Warnet JM, Hayem G, Rat P.In vitro discrimination of fluoroquinolones toxicity on tendon cells: involvement of oxidative stress.
J Pharmacol Exp Ther. 2004 Jan;308(1):394-402. Epub 2003 Oct 20.
PMID: 14569066 [PubMed - indexed for MEDLINE]

8    Rodriguez-Vera FJ, Pereira Vega A, Pujol de la Llave E.[Tendinitis by quinolones: treatment and drug class effect in two new cases]
Rev Clin Esp. 2004 Jan;204(1):35-6. Spanish. No abstract available.
PMID: 14746761 [PubMed - indexed for MEDLINE]

9    Burkhardt O, Kohnlein T, Pap T, Welte T.Recurrent tendinitis after treatment with two different fluoroquinolones.
Scand J Infect Dis. 2004;36(4):315-6.
PMID: 15198194 [PubMed - indexed for MEDLINE]

10    Shah P.[Do tendon lesions occur during quinolone administration?]
Dtsch Med Wochenschr. 2003 Oct 17;128(42):2214. German. No abstract available.
PMID: 14562223 [PubMed - indexed for MEDLINE]

11    Shakibaei M, Stahlmann R.Ultrastructural changes induced by the des-F(6)-quinolone garenoxacin (BMS-284756) and two fluoStahlmann R.Children as a special population at risk--quinolones as an example for xenobiotics exhibiting skeletal toxicity.
Arch Toxicol. 2003 Jan;77(1):7-11. Epub 2002 Oct 26. Review.
PMID: 12491034 [PubMed - indexed for MEDLINE]
roquinolones in Achilles tendon from immature rats.
Arch Toxicol. 2003 Sep;77(9):521-6. Epub 2003 Jun 17.
PMID: 12811465 [PubMed - indexed for MEDLINE]

12    van der Linden PD, Sturkenboom MC, Herings RM, Leufkens HM, Rowlands S, Stricker BH.Increased risk of achilles tendon rupture with quinolone antibacterial use, especially in elderly patients taking oral corticosteroids.
Arch Intern Med. 2003 Aug 11-25;163(15):1801-7.
PMID: 12912715 [PubMed - indexed for MEDLINE]

13    Mathis AS, Chan V, Gryszkiewicz M, Adamson RT, Friedman GS.Levofloxacin-associated Achilles tendon rupture.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
PMID: 12841810 [PubMed - indexed for MEDLINE]

14    Vanek D, Saxena A, Boggs JM.Fluoroquinolone therapy and Achilles tendon rupture.
J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):333-5. Review.
PMID: 12869605 [PubMed - indexed for MEDLINE]

15    Khaliq Y, Zhanel GG.Fluoroquinolone-associated tendinopathy: a critical review of the literature.
Clin Infect Dis. 2003 Jun 1;36(11):1404-10. Epub 2003 May 20. Review.
PMID: 12766835 [PubMed - indexed for MEDLINE]

16    Schindler C, Pittrow D, Kirch W.Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?
Chemotherapy. 2003 May;49(1-2):90-1. No abstract available.
PMID: 12756981 [PubMed - indexed for MEDLINE]

17    Oostra F.[Question marks about the use of enrofloxacin in sport horses]
Tijdschr Diergeneeskd. 2003 Feb 15;128(4):124. Dutch. No abstract available.
PMID: 12625163 [PubMed - indexed for MEDLINE]

18    Hammond EE, Miller CA, Sneed L, Radcliffe RW.Mycoplasma-associated polyarthritis in a reticulated giraffe.
J Wildl Dis. 2003 Jan;39(1):233-7.
PMID: 12685090 [PubMed - indexed for MEDLINE]

19    Melhus A, Apelqvist J, Larsson J, Eneroth M.Levofloxacin-associated Achilles tendon rupture and tendinopathy.
Scand J Infect Dis. 2003;35(10):768-70.
PMID: 14606622 [PubMed - indexed for MEDLINE]

20    Cuzzolin L, Fanos V.Safety of fluoroquinolones in paediatrics.
Expert Opin Drug Saf. 2002 Nov;1(4):319-24. Review.
PMID: 12904131 [PubMed - indexed for MEDLINE]

21    Aros C, Flores C, Mezzano S.[Achilles tendinitis associated to levofloxacin: report of 4 cases]
Rev Med Chil. 2002 Nov;130(11):1277-81. Spanish.
PMID: 12587511 [PubMed - indexed for MEDLINE]

22    Nagai A, Miyazaki M, Morita T, Furubo S, Kizawa K, Fukumoto H, Sanzen T, Hayakawa H, Kawamura Y.Comparative articular toxicity of garenoxacin, a novel quinolone antimicrobial agent, in juvenile beagle dogs.
J Toxicol Sci. 2002 Aug;27(3):219-28.
PMID: 12238145 [PubMed - indexed for MEDLINE]

23    Lozo E, Riecke K, Schwabe R, Vormann J, Stahlmann R.Synergistic effect of ofloxacin and magnesium deficiency on joint cartilage in immature rats.
Antimicrob Agents Chemother. 2002 Jun;46(6):1755-9.
PMID: 12019086 [PubMed - indexed for MEDLINE]

24    van der Linden PD, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH.Fluoroquinolones and risk of Achilles tendon disorders: case-control study.
BMJ. 2002 Jun 1;324(7349):1306-7. No abstract available.
PMID: 12039823 [PubMed - indexed for MEDLINE]

25    Yee CL, Duffy C, Gerbino PG, Stryker S, Noel GJ.Tendon or joint disorders in children after treatment with fluoroquinolones or azithromycin.
Pediatr Infect Dis J. 2002 Jun;21(6):525-9.
PMID: 12182376 [PubMed - indexed for MEDLINE]

26    Guis S, Bendahan D, Kozak-Ribbens G, Mattei JP, Le Fur Y, Confort-Gouny S, Figarella-Branger D, Jouglard J, Cozzone PJ.Investigation of fluoroquinolone-induced myalgia using (31)P magnetic resonance spectroscopy and in vitro contracture tests.
Arthritis Rheum. 2002 Mar;46(3):774-8.
PMID: 11920414 [PubMed - indexed for MEDLINE]

27    Postnikov SS, Semykin SIu, Nazhimov VP, Novichkova GA.[On fluoroquinolones treatment safety in children (clinical, morphological and catamnesis data)]
Antibiot Khimioter. 2002;47(9):14-7. Russian.
PMID: 12619515 [PubMed - indexed for MEDLINE]

28    Gendrel D.[Fluoroquinolones in children]
Med Trop (Mars). 2002;62(2):185-92. Review. French.
PMID: 12192718 [PubMed - indexed for MEDLINE]

29    Saint F, Salomon L, Cicco A, de la Taille A, Chopin D, Abbou CC.[Tendinopathy associated with fluoroquinolones: individuals at risk, incriminated physiopathologic mechanisms, therapeutic management]
Prog Urol. 2001 Dec;11(6):1331-4. Review. French.
PMID: 11859676 [PubMed - indexed for MEDLINE]

30    Danes I, Arnau JM.[Safety of quinolones administration in children?]
Med Clin (Barc). 2001 Nov 24;117(17):676-7. Spanish. No abstract available.
PMID: 11734174 [PubMed - indexed for MEDLINE]

31    Shakibaei M, de Souza P, van Sickle D, Stahlmann R.Biochemical changes in Achilles tendon from juvenile dogs after treatment with ciprofloxacin or feeding a magnesium-deficient diet.
Arch Toxicol. 2001 Aug;75(6):369-74.
PMID: 11570695 [PubMed - indexed for MEDLINE]

32    Butler MW, Griffin JF, Quinlan WR, McDonnell TJ.Quinolone-associated tendonitis: a potential problem in COPD?
Ir J Med Sci. 2001 Jul-Sep;170(3):198-9.
PMID: 12120977 [PubMed - indexed for MEDLINE]

33    van der Linden PD, van Puijenbroek EP, Feenstra J, Veld BA, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH.Tendon disorders attributed to fluoroquinolones: a study on 42 spontaneous reports in the period 1988 to 1998.
Arthritis Rheum. 2001 Jun;45(3):235-9.
PMID: 11409663 [PubMed - indexed for MEDLINE]

34    Davenport CL, Boston RC, Richardson DW.Effects of enrofloxacin and magnesium deficiency on matrix metabolism in equine articular cartilage.
Am J Vet Res. 2001 Feb;62(2):160-6.
PMID: 11212020 [PubMed - indexed for MEDLINE]

35    Postnikov CC, Semiakin SI, Nazhimov VP, Kapranov NI.[Comparative yearly growth rate of children with mucoviscidosis treated and not treated with ciprofloxacin:clinicomorphological comparisons]
Antibiot Khimioter. 2001;46(10):11-3. Russian.
PMID: 11881187 [PubMed - indexed for MEDLINE]

36    Gendrel D, Moulin F.Fluoroquinolones in paediatrics.
Paediatr Drugs. 2001;3(5):365-77. Review.
PMID: 11393329 [PubMed - indexed for MEDLINE]

37    Carrion Valero F, Facila Rubio L, Marin Pardo J.[Syncope after administration of moxifloxacin]
Arch Bronconeumol. 2000 Nov;36(10):603-4. Spanish. No abstract available.
PMID: 11149208 [PubMed - indexed for MEDLINE]

38    Saint F, Gueguen G, Biserte J, Fontaine C, Mazeman E.[Rupture of the patellar ligament one month after treatment with fluoroquinolone]
Rev Chir Orthop Reparatrice Appar Mot. 2000 Sep;86(5):495-7. French.
PMID: 10970974 [PubMed - indexed for MEDLINE]

39    Fanos V, Cuzzolin L.Fluoroquinolones in pediatrics and their nephrotoxicity in adults: minireview.
J Chemother. 2000 Jun;12(3):228-31. Review.
PMID: 10877518 [PubMed - indexed for MEDLINE]

40    Guzman A, Garcia C, Demestre I.Subchronic toxicity of the new quinolone antibacterial agent irloxacin in beagle dogs.
Arzneimittelforschung. 2000 May;50(5):485-94.
PMID: 10858877 [PubMed - indexed for MEDLINE]

41    Casparian JM, Luchi M, Moffat RE, Hinthorn D.Quinolones and tendon ruptures.
South Med J. 2000 May;93(5):488-91. Review.
PMID: 10832946 [PubMed - indexed for MEDLINE]

42    Simonin MA, Gegout-Pottie P, Minn A, Gillet P, Netter P, Terlain B.Pefloxacin-induced achilles tendon toxicity in rodents: biochemical changes in proteoglycan synthesis and oxidative damage to collagen.
Antimicrob Agents Chemother. 2000 Apr;44(4):867-72.
PMID: 10722483 [PubMed - indexed for MEDLINE]

43    Huddleston PM, Steckelberg JM, Hanssen AD, Rouse MS, Bolander ME, Patel R.Ciprofloxacin inhibition of experimental fracture healing.
J Bone Joint Surg Am. 2000 Feb;82(2):161-73.
PMID: 10682725 [PubMed - indexed for MEDLINE]

44    Padeiskaia EN.[Arthrotoxicity of quinolones and fluoroquinolones in experiment:character of lesion and mechanism of action]
Antibiot Khimioter. 2000;45(8):36-41. Review. Russian. No abstract available.
PMID: 10989723 [PubMed - indexed for MEDLINE]

45    Stahlmann R, Kuhner S, Shakibaei M, Flores J, Vormann J, van Sickle DC.Effects of magnesium deficiency on joint cartilage in immature beagle dogs: immunohistochemistry, electron microscopy, and mineral concentrations.
Arch Toxicol. 2000 Jan;73(10-11):573-80.
PMID: 10663389 [PubMed - indexed for MEDLINE]

46    Stahlmann R, Kuhner S, Shakibaei M, Schwabe R, Flores J, Evander SA, van Sickle DC.Chondrotoxicity of ciprofloxacin in immature beagle dogs: immunohistochemistry, electron microscopy and drug plasma concentrations.
Arch Toxicol. 2000 Jan;73(10-11):564-72.
PMID: 10663388 [PubMed - indexed for MEDLINE]

47    Egerbacher M, Seiberl G, Wolfesberger B, Walter I.Ciprofloxacin causes cytoskeletal changes and detachment of human and rat chondrocytes in vitro.
Arch Toxicol. 2000 Jan;73(10-11):557-63.
PMID: 10663387 [PubMed - indexed for MEDLINE]

48    Reeta K, Uppal R, Jhaj R, Malhotra S, Bhargava VK.Adverse drug reactions to fluoroquinolones in pediatric patients in a tertiary care hospital.
Indian J Physiol Pharmacol. 2000 Jan;44(1):113-4. No abstract available.
PMID: 10919107 [PubMed - indexed for MEDLINE]

49    van der Linden PD, van de Lei J, Nab HW, Knol A, Stricker BH.Achilles tendinitis associated with fluoroquinolones.
Br J Clin Pharmacol. 1999 Sep;48(3):433-7.
PMID: 10510157 [PubMed - indexed for MEDLINE]

50    Bender WJ.The use of quinolones in pediatric patients.
S D J Med. 1999 Sep;52(9):351-2. No abstract available.
PMID: 10522470 [PubMed - indexed for MEDLINE]

51    Lewis JR, Gums JG, Dickensheets DL.Levofloxacin-induced bilateral Achilles tendonitis.
Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
PMID: 10466906 [PubMed - indexed for MEDLINE]

52    Takizawa T, Hashimoto K, Minami T, Yamashita S, Owen K.The comparative arthropathy of fluoroquinolones in dogs.
Hum Exp Toxicol. 1999 Jun;18(6):392-9.
PMID: 10413244 [PubMed - indexed for MEDLINE]

53    Harrell RM.Fluoroquinolone-induced tendinopathy: what do we know?
South Med J. 1999 Jun;92(6):622-5. Review.
PMID: 10372859 [PubMed - indexed for MEDLINE]

54    Beluche LA, Bertone AL, Anderson DE, Kohn CW, Weisbrode SE.In vitro dose-dependent effects of enrofloxacin on equine articular cartilage.
Am J Vet Res. 1999 May;60(5):577-82.
PMID: 10328427 [PubMed - indexed for MEDLINE]

55    Schaad UB.Pediatric use of quinolones.
Pediatr Infect Dis J. 1999 May;18(5):469-70. No abstract available.
PMID: 10353524 [PubMed - indexed for MEDLINE]

56    Jafri HS, McCracken GH Jr.Fluoroquinolones in paediatrics.
Drugs. 1999;58 Suppl 2:43-8. Review.
PMID: 10553704 [PubMed - indexed for MEDLINE]

57    Gabutti L, Stoller R, Marti HP.[Fluoroquinolones as etiology of tendinopathy]
Ther Umsch. 1998 Sep;55(9):558-61. German.
PMID: 9789471 [PubMed - indexed for MEDLINE]

58    Forster C, Rucker M, Shakibaei M, Baumann-Wilschke I, Vormann J, Stahlmann R.Effects of fluoroquinolones and magnesium deficiency in murine limb bud cultures.
Arch Toxicol. 1998 Jun;72(7):411-9.
PMID: 9708880 [PubMed - indexed for MEDLINE]

59    Pariente-Khayat A, Vauzelle-Kervroedan F, d'Athis P, Breart G, Gendrel D, Aujard Y, Olive G, Pons G.[Retrospective survey of fluoroquinolone use in children]
Arch Pediatr. 1998 May;5(5):484-8. French.
PMID: 9759180 [PubMed - indexed for MEDLINE]

60    Marti HP, Stoller R, Frey FJ.Fluoroquinolones as a cause of tendon disorders in patients with renal failure/renal transplants.
Br J Rheumatol. 1998 Mar;37(3):343-4. Review. No abstract available.
PMID: 9566681 [PubMed - indexed for MEDLINE]

61    Bertin P, Gillet P, Treves R, Netter P.[Do some drugs have adverse effects on cartilage?]
Therapie. 1998 Jan-Feb;53(1):17-20. Review. French.
PMID: 9773095 [PubMed - indexed for MEDLINE]

62    Menschik M, Neumuller J, Steiner CW, Erlacher L, Koller M, Ullrich R, Graninger W, Graninger WB.Effects of ciprofloxacin and ofloxacin on adult human cartilage in vitro.
Antimicrob Agents Chemother. 1997 Nov;41(11):2562-5.
PMID: 9371369 [PubMed - indexed for MEDLINE]

63    Burkhardt JE, Walterspiel JN, Schaad UB.Quinolone arthropathy in animals versus children.
Clin Infect Dis. 1997 Nov;25(5):1196-204. Review.
PMID: 9402381 [PubMed - indexed for MEDLINE]

64    Decoq G, Moriniere P, Dufour I, Chetaille E, Andrejak M.[Is hemodialysis a risk factor for tendinopathies due to fluoroquinolones?]
Therapie. 1997 Nov-Dec;52(6):613-4. French. No abstract available.
PMID: 9734119 [PubMed - indexed for MEDLINE]

65    Kashida Y, Kato M.Toxic effects of quinolone antibacterial agents on the musculoskeletal system in juvenile rats.
Toxicol Pathol. 1997 Nov-Dec;25(6):635-43.
PMID: 9437810 [PubMed - indexed for MEDLINE]

66    Vormann J, Forster C, Zippel U, Lozo E, Gunther T, Merker H, Stahlmann R.Effects of magnesium deficiency on magnesium and calcium content in bone and cartilage in developing rats in correlation to chondrotoxicity.
Calcif Tissue Int. 1997 Sep;61(3):230-8.
PMID: 9262515 [PubMed - indexed for MEDLINE]

67    Sabella C, Goldfarb J.Fluoroquinolone therapy in pediatrics: where we stand.
Clin Pediatr (Phila). 1997 Aug;36(8):445-8. Review. No abstract available.
PMID: 9272317 [PubMed - indexed for MEDLINE]

68    Kahn MF, Hayem G.Tendons and fluoroquinolones. Unresolved issues.
Rev Rhum Engl Ed. 1997 Jul-Sep;64(7-9):437-9. Review. No abstract available.
PMID: 9338923 [PubMed - indexed for MEDLINE]

69    Koeger AC, Bellaiche L, Roger B.Magnetic resonance imaging in fluoroquinolone induced tendinopathy.
J Rheumatol. 1997 May;24(5):1015-7. No abstract available. Erratum in: J Rheumatol 1998 Jan;25(1):193.
PMID: 9150105 [PubMed - indexed for MEDLINE]

70    Schou HS.[Fluorquinones and tendinitis]
Ugeskr Laeger. 1997 Feb 3;159(6):784-5. Danish. No abstract available.
PMID: 9045475 [PubMed - indexed for MEDLINE]

71    Levadoux M, Carli P, Gadea JF, De Mauleon De Bruyere P, Perre C.[Repeated rupture of the extensor tendons of the hand due to fluoroquinolones. Apropos of a case]
Ann Chir Main Memb Super. 1997;16(2):130-3. French.
PMID: 9289004 [PubMed - indexed for MEDLINE]

72    de la Garza Estrada VA, Vazquez Caballero R, Camacho Carranza JL.Achilles tendon rupture and fluoroquinolones use: report of two cases.
Arch Med Res. 1997 Autumn;28(3):429-30.
PMID: 9291644 [PubMed - indexed for MEDLINE]

73    Hampel B, Hullmann R, Schmidt H.Ciprofloxacin in pediatrics: worldwide clinical experience based on compassionate use--safety report.
Pediatr Infect Dis J. 1997 Jan;16(1):127-9; discussion 160-2. Review.
PMID: 9002122 [PubMed - indexed for MEDLINE]

74    Warren RW.Rheumatologic aspects of pediatric cystic fibrosis patients treated with fluoroquinolones.
Pediatr Infect Dis J. 1997 Jan;16(1):118-22; discussion 123-6. Review.
PMID: 9002121 [PubMed - indexed for MEDLINE]

75    Hampel B, Hullmann R, Schmidt H.Ciprofloxacin in pediatrics: worldwide clinical experience based on compassionate use--safety report.
Pediatr Infect Dis J. 1997 Jan;16(1):127-9; discussion 160-2. Review.
PMID: 9002122 [PubMed - indexed for MEDLINE]

76    Nightingale SL.From the Food and Drug Administration.
JAMA. 1996 Sep 11;276(10):774. No abstract available.
PMID: 8769577 [PubMed - indexed for MEDLINE]

77    McGarvey WC, Singh D, Trevino SG.Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review.
Foot Ankle Int. 1996 Aug;17(8):496-8. Review.
PMID: 8863030 [PubMed - indexed for MEDLINE]

78    Pierfitte C, Royer RJ.Tendon disorders with fluoroquinolones.
Therapie. 1996 Jul-Aug;51(4):419-20. No abstract available.
PMID: 8953821 [PubMed - indexed for MEDLINE]

79    Loeuille D, Gillet P, Netter P.Fluoroquinolone induced arthralgia and magnetic resonance imaging.
J Rheumatol. 1996 Jul;23(7):1313-4. No abstract available.
PMID: 8823722 [PubMed - indexed for MEDLINE]

80    Zabraniecki L, Negrier I, Vergne P, Arnaud M, Bonnet C, Bertin P, Treves R.Fluoroquinolone induced tendinopathy: report of 6 cases.
J Rheumatol. 1996 Mar;23(3):516-20.
PMID: 8832995 [PubMed - indexed for MEDLINE]

81    Schaad UB.[Use of quinolones in children and articular risk]
Arch Pediatr. 1996 Feb;3(2):183-4. French. No abstract available.
PMID: 8785543 [PubMed - indexed for MEDLINE]

82    Gendrel D.[Use of fluoroquinolones in children]
Arch Pediatr. 1996;3 Suppl 1:292s-294s. French. No abstract available.
PMID: 8796046 [PubMed - indexed for MEDLINE]

83    Forster C, Kociok K, Shakibaei M, Merker HJ, Stahlmann R.Quinolone-induced cartilage lesions are not reversible in rats.
Arch Toxicol. 1996;70(8):474-81.
PMID: 8783810 [PubMed - indexed for MEDLINE]

84    Linseman DA, Hampton LA, Branstetter DG.Quinolone-induced arthropathy in the neonatal mouse. Morphological analysis of articular lesions produced by pipemidic acid and ciprofloxacin.
Fundam Appl Toxicol. 1995 Nov;28(1):59-64.
PMID: 8566484 [PubMed - indexed for MEDLINE]

85    Scheen AJ.[Secondary effects of fluoroquinolones: experience of French drug monitoring]
Rev Med Liege. 1995 Nov;50(11):492-3. French. No abstract available.
PMID: 8532999 [PubMed - indexed for MEDLINE]

86    Stahlmann R, Forster C, Shakibaei M, Vormann J, Gunther T, Merker HJ.Magnesium deficiency induces joint cartilage lesions in juvenile rats which are identical to quinolone-induced arthropathy.
Antimicrob Agents Chemother. 1995 Sep;39(9):2013-8.
PMID: 8540708 [PubMed - indexed for MEDLINE

87    Arico M, Bossi G, Caselli D, Cosi G, Villa A, Beluffi G, Genovese E.Long-term magnetic resonance survey of cartilage damage in leukemic children treated with fluoroquinolones.
Pediatr Infect Dis J. 1995 Aug;14(8):713-4. No abstract available.
PMID: 8532433 [PubMed - indexed for MEDLINE]

88    Carvalho WA.[Pharmacology, clinical indications and toxicity of modern fluoroquinolones]
Rev Assoc Med Bras. 1995 Jul-Aug;41(4):293-304. Review. Portuguese. No abstract available.
PMID: 8731611 [PubMed - indexed for MEDLINE]

89    Kato M, Takada S, Kashida Y, Nomura M.Histological examination on Achilles tendon lesions induced by quinolone antibacterial agents in juvenile rats.
Toxicol Pathol. 1995 May-Jun;23(3):385-92.
PMID: 7659960 [PubMed - indexed for MEDLINE]

90    Gendrel D, Aujard Y.[Quinolones in pediatrics]
Arch Pediatr. 1995 May;2(5):409-11. Review. French. No abstract available.
PMID: 7640729 [PubMed - indexed for MEDLINE]

91    Szarfman A, Chen M, Blum MD.More on fluoroquinolone antibiotics and tendon rupture.
N Engl J Med. 1995 Jan 19;332(3):193. No abstract available.
PMID: 7800023 [PubMed - indexed for MEDLINE]

92    Pierfitte C, Gillet P, Royer RJ.More on fluoroquinolone antibiotics and tendon rupture.
N Engl J Med. 1995 Jan 19;332(3):193. No abstract available.
PMID: 7800022 [PubMed - indexed for MEDLINE

93    Pierfitte C.[Tendinopathies and fluoroquinolones: a public health problem? Value of drug monitoring studies]
Bull Soc Sci Med Grand Duche Luxemb. 1995;132(3):39-40. French. No abstract available.
PMID: 8665625 [PubMed - indexed for MEDLINE]

94    Hanton G, Le Net JL, Ruty B, Leblanc B.Characterization of the arteritis induced by infusion of rats with UK-61,260, an inodilator, for 24 h. A comparison with the arteritis induced by fenoldopam mesylate.
Arch Toxicol. 1995;69(10):698-704.
PMID: 8572928 [PubMed - indexed for MEDLINE]

95    Gillet P, Blum A, Hestin D, Pourel J, Pierfitte C, Mainard D, Kessler M, Netter P.Magnetic resonance imaging may be an asset to diagnose and classify fluoroquinolone-associated Achilles tendinitis.
Fundam Clin Pharmacol. 1995;9(1):52-6.
PMID: 7768488 [PubMed - indexed for MEDLINE]

96    Arora NK.Are fluoroquinolones safe in children?
Indian J Pediatr. 1994 Nov-Dec;61(6):601-3. No abstract available.
PMID: 7721362 [PubMed - indexed for MEDLINE]

97    Donck JB, Segaert MF, Vanrenterghem YF.Fluoroquinolones and Achilles tendinopathy in renal transplant recipients.
Transplantation. 1994 Sep 27;58(6):736-7. No abstract available.
PMID: 7940700 [PubMed - indexed for MEDLINE]

98    Hernandez MV, Peris P, Sierra J, Collado A, Munoz-Gomez J.[Tendinitis due to fluoroquinolones. Description of 2 cases]
Med Clin (Barc). 1994 Sep 10;103(7):264-6. Review. Spanish.
PMID: 7934295 [PubMed - indexed for MEDLINE]

99    Nuutinen M, Turtinen J, Uhari M.Growth and joint symptoms in children treated with nalidixic acid.
Pediatr Infect Dis J. 1994 Sep;13(9):798-800.
PMID: 7808849 [PubMed - indexed for MEDLINE]

100    Royer RJ, Pierfitte C, Netter P.Features of tendon disorders with fluoroquinolones.
Therapie. 1994 Jan-Feb;49(1):75-6. No abstract available.
PMID: 8091374 [PubMed - indexed for MEDLINE]

101    Biswal N, Mathai B, Bhatia BD.P-floxacin induced arthropathy.
Indian Pediatr. 1993 May;30(5):718-9. No abstract available.
PMID: 8282410 [PubMed - indexed for MEDLINE]

102    Castera L, Pauwels A, Haettich B, Debenes B, Levy VG.[Arthropathy caused by fluoroquinolones in a patient after liver transplantation]
Rev Med Interne. 1993 May;14(5):354-5. French. No abstract available.
PMID: 8235155 [PubMed - indexed for MEDLINE]

103    Samuelson WM, Pleasants RA, Whitaker MS.Arthropathy secondary to ciprofloxacin in an adult cystic fibrosis patient.
Ann Pharmacother. 1993 Mar;27(3):302-3.
PMID: 8453165 [PubMed - indexed for MEDLINE]

104    Ribard P, Audisio F, Kahn MF, De Bandt M, Jorgensen C, Hayem G, Meyer O, Palazzo E.Seven Achilles tendinitis including 3 complicated by rupture during fluoroquinolone therapy.
J Rheumatol. 1992 Sep;19(9):1479-81.
PMID: 1433021 [PubMed - indexed for MEDLINE]

105    Chevalier X, Albengres E, Voisin MC, Tillement JP, Larget-Piet B.A case of destructive polyarthropathy in a 17-year-old youth following pefloxacin treatment.
Drug Saf. 1992 Jul-Aug;7(4):310-4.
PMID: 1524702 [PubMed - indexed for MEDLINE]

106    Chaslerie A, Bannwarth B, Landreau JM, Yver L, Begaud B.[Tendon rupture and fluoro-quinolones: an undesirable effect of drug selection]
Rev Rhum Mal Osteoartic. 1992 Apr;59(4):297-8. French. No abstract available.
PMID: 1496284 [PubMed - indexed for MEDLINE]

107    Burkhardt JE, Hill MA, Carlton WW.Morphologic and biochemical changes in articular cartilages of immature beagle dogs dosed with difloxacin.
Toxicol Pathol. 1992;20(2):246-52.
PMID: 1475585 [PubMed - indexed for MEDLINE]

108    Gough AW, Kasali OB, Sigler RE, Baragi V.Quinolone arthropathy--acute toxicity to immature articular cartilage.
Toxicol Pathol. 1992;20(3 Pt 1):436-49; discussion 449-50. Review.
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109    Specht TE, Frederick G.Quinolone-induced arthropathy in immature Equidae.
J Am Vet Med Assoc. 1991 Feb 15;198(4):516. No abstract available.
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110    Stahlmann R.[Cartilage-damaging effect of quinolones]
Infection. 1991;19 Suppl 1:S38-46. Review. German.
PMID: 2007514 [PubMed - indexed for MEDLINE]

111    Burkhardt JE, Hill MA, Carlton WW, Kesterson JW.Histologic and histochemical changes in articular cartilages of immature beagle dogs dosed with difloxacin, a fluoroquinolone.
Vet Pathol. 1990 May;27(3):162-70.
PMID: 2353417 [PubMed - indexed for MEDLINE]

112    Kesseler A, Lacassie A, Hugot JP, Talon P, Thomas D, Astier L.[Arthropathies following the administration of pefloxacin to an adolescent with mucoviscidosis]
Ann Pediatr (Paris). 1989 Apr;36(4):275-8. French.
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113    Chalumeau M, Gendrel D, Breart G, Pons G.[An example of hospital-based pharmacoepidemiology in paediatrics: tolerance of fluoroquinolones]
Arch Pediatr. 2004 Jun;11(6):500-2. French. No abstract available.
PMID: 15158810 [PubMed - in process]

114    Perry AC, Prpa B, Rouse MS, Piper KE, Hanssen AD, Steckelberg JM, Patel R.Levofloxacin and trovafloxacin inhibition of experimental fracture-healing.
Clin Orthop. 2003 Sep;(414):95-100.
PMID: 12966282 [PubMed - indexed for MEDLINE]

115    Kappel EM, Shakibaei M, Bello A, Stahlmann R.Effects of the Des-F(6)-quinolone garenoxacin (BMS-284756), in comparison to those of ciprofloxacin and ofloxacin, on joint cartilage in immature rats.
Antimicrob Agents Chemother. 2002 Oct;46(10):3320-2.
PMID: 12234871 [PubMed - indexed for MEDLINE]

116    Chhajed PN, Plit ML, Hopkins PM, Malouf MA, Glanville AR.Achilles tendon disease in lung transplant recipients: association with ciprofloxacin.
Eur Respir J. 2002 Mar;19(3):469-71.
PMID: 11936524 [PubMed - indexed for MEDLINE]

117    van der Linden PD, Nab HW, Simonian S, Stricker BH, Leufkens HG, Herings RM.Fluoroquinolone use and the change in incidence of tendon ruptures in the Netherlands.
Pharm World Sci. 2001 Jun;23(3):89-92. Review.
PMID: 11468881 [PubMed - indexed for MEDLINE]

118    Vergne P, Bertin P, Bonnet C, Scotto C, Treves R.Drug-induced rheumatic disorders: incidence, prevention and management.
Drug Saf. 2000 Oct;23(4):279-93. Review.
PMID: 11051216 [PubMed - indexed for MEDLINE]

119    Courtney CL.Cecal torsion in rodents associated with chronic administration of clinafloxacin.
Toxicol Pathol. 2000 Sep-Oct;28(5):643-8.
PMID: 11026598 [PubMed - indexed for MEDLINE]

120    Freiss S, Lecocq J, Isner ME, Vautravers P.Frozen shoulder and fluoroquinones. Two case reports.
Joint Bone Spine. 2000;67(3):245-9. No abstract available.
PMID: 10875328 [PubMed - indexed for MEDLINE]

121    Waterston SW, Maffulli N, Ewen SW.Subcutaneous rupture of the Achilles tendon: basic science and some aspects of clinical practice.
Br J Sports Med. 1997 Dec;31(4):285-98. Review. No abstract available.
PMID: 9429005 [PubMed - indexed for MEDLINE]

122    Bethell DB, Hien TT, Phi LT, Day NP, Vinh H, Duong NM, Len NV, Chuong LV, White NJ.Effects on growth of single short courses of fluoroquinolones.
Arch Dis Child. 1996 Jan;74(1):44-6.
PMID: 8660045 [PubMed - indexed for MEDLINE]

123    [No authors listed][Muscular symptoms during fluoroquinolone treatment may be adverse effects]
Lakartidningen. 1995 Oct 18;92(42):3923. Swedish. No abstract available.
PMID: 7564662 [PubMed - indexed for MEDLINE]

124     Multhaupt HA, Alvarez JC, Rafferty PA, Warhol MJ, Lackman RD.Fluoroquinolone's effect on growth of human chondrocytes and chondrosarcomas. In vitro and in vivo correlation.
J Bone Joint Surg Am. 2001;83-A Suppl 2(Pt 1):56-61.
PMID: 11685846 [PubMed - indexed for MEDLINE]

125    Egerbacher M, Edinger J, Tschulenk W.Effects of enrofloxacin and ciprofloxacin hydrochloride on canine and equine chondrocytes in culture.
Am J Vet Res. 2001 May;62(5):704-8.
PMID: 11341389 [PubMed - indexed for MEDLINE]

126     Dagan R.Fluoroquinolones in paediatrics--1995.
Drugs. 1995;49 Suppl 2:92-9. Review.
PMID: 8549423 [PubMed - indexed for MEDLINE]

127     Borgnolo G, Simon G, Francescutti C, Lattuada L, Zanier L.Antibiotic prescription in italian children: a population-based study in Friuli Venezia Giulia, north-east Italy.
Acta Paediatr. 2001 Nov;90(11):1316-20.
PMID: 11808906 [PubMed - indexed for MEDLINE]

128     Bernard-Beaubois K, Hecquet C, Hayem G, Rat P, Adolphe M.In vitro study of cytotoxicity of quinolones on rabbit tenocytes.
Cell Biol Toxicol. 1998 Aug;14(4):283-92.
PMID: 9733283 [PubMed - indexed for MEDLINE

129      Stahlmann R, Zippel U, Forster C, Schwabe R, Shakibaei M, Merker HJ, Borner K.Chondrotoxicity and toxicokinetics of sparfloxacin in juvenile rats.
Antimicrob Agents Chemother. 1998 Jun;42(6):1470-5.
PMID: 9624496 [PubMed - indexed for MEDLINE]

 


Citations with no abstracts

Additional Research is also available in the Tendon_Archives, Arthritis Archives and the Muscle Archives

PDF Files:

Fluoroquinolones associated with Achilles’ tendinitis circa 1983

Tendinopathies as a result of fluoroquinolone therapy have been well known since 1983

From PubMed:

1.    Tomas ME, Perez Carreras M, Morillasa JD, Castellano G, Solis JA.
[Rupture of the Achilles' tendon secondary to levofloxacin]
Gastroenterol Hepatol. 2003 Jan;26(1):53-4. Spanish. No abstract available.
PMID: 12525331 [PubMed - indexed for MEDLINE]

2.     Hugo-Persson M.
[Rupture of the Achilles tendon after ciproxine therapy]
Lakartidningen. 1996 Apr 17;93(16):1520. Swedish. No abstract available.
PMID: 8667750 [PubMed - indexed for MEDLINE]

3.McGarvey WC, Singh D, Trevino SG.
Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a
case report and literature review.
Foot Ankle Int. 1996 Aug;17(8):496-8. Review.
PMID: 8863030 [PubMed - indexed for MEDLINE]

4. Jagose JT, McGregor DR, Nind GR, Bailey RR.
Achilles tendon rupture due to ciprofloxacin.
N Z Med J. 1996 Dec 13;109(1035):471-2. No abstract available.
PMID: 9006634 [PubMed - indexed for MEDLINE]

5. West MB, Gow P.
Ciprofloxacin, bilateral Achilles tendonitis and unilateral tendon rupture--a case report.
N Z Med J. 1998 Jan 23;111(1058):18-9. No abstract available.
PMID: 9484431 [PubMed - indexed for MEDLINE]

6. Kowatari K, Nakashima K, Ono A, Yoshihara M, Amano M, Toh S.
Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.
J Orthop Sci. 2004;9(2):186-90. Review.
PMID: 15045551 [PubMed - indexed for MEDLINE]

7. Chhajed PN, Plit ML, Hopkins PM, Malouf MA, Glanville AR.
Achilles tendon disease in lung transplant recipients: association with ciprofloxacin.
Eur Respir J. 2002 Mar;19(3):469-71.
PMID: 11936524 [PubMed - indexed for MEDLINE]

8. de La Red G, Mejia JC, Cervera R, Llado A, Mensa J, Font J.
Bilateral Achilles tendinitis with spontaneous rupture induced by levofloxacin in a patient with systemic sclerosis.
Clin Rheumatol. 2003 Oct;22(4-5):367-8. No abstract available.
PMID: 14579169 [PubMed - indexed for MEDLINE]

9. Mathis AS, Chan V, Gryszkiewicz M, Adamson RT, Friedman GS.
Levofloxacin-associated Achilles tendon rupture.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
PMID: 12841810 [PubMed - indexed for MEDLINE]

10. Aros C, Flores C, Mezzano S.[Achilles tendinitis associated to levofloxacin: report of 4 cases]
Rev Med Chil. 2002 Nov;130(11):1277-81. Spanish.
PMID: 12587511 [PubMed - indexed for MEDLINE]

11. Shah P.[Do tendon lesions occur during quinolone administration?]
Dtsch Med Wochenschr. 2003 Oct 17;128(42):2214. German. No abstract available.
PMID: 14562223 [PubMed - indexed for MEDLINE]

12.  Melhus A, Apelqvist J, Larsson J, Eneroth M.
Levofloxacin-associated Achilles tendon rupture and tendinopathy.
Scand J Infect Dis. 2003;35(10):768-70.
PMID: 14606622 [PubMed - indexed for MEDLINE]

13. Cebrian P, Manjon P, Caba P.
Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to
levofloxacin.
Foot Ankle Int. 2003 Feb;24(2):122-4.
PMID: 12627618 [PubMed - indexed for MEDLINE]

14.  Bernacer L, Artigues A, Serrano A.
[Levofloxacin and bilateral spontaneous Achilles tendon rupture]
Med Clin (Barc). 2003 Jan 25;120(2):78-9. Spanish. No abstract available.
PMID: 12570920 [PubMed - indexed for MEDLINE]

15. Haddow LJ, Chandra Sekhar M, Hajela V, Gopal Rao G.
Spontaneous Achilles tendon rupture in patients treated with levofloxacin.
J Antimicrob Chemother. 2003 Mar;51(3):747-8. No abstract available.
PMID: 12615887 [PubMed - indexed for MEDLINE]

16. Othmani S, Battikh R, Ben Abdallah N.
[The myo-tendinopathy caused by levofloxacin]
Therapie. 2003 Sep-Oct;58(5):463-5. French. No abstract available.
PMID: 14682197 [PubMed - indexed for MEDLINE]

17. Gutierrez E, Morales E, Garcia Rubiales MA, Valentin MO.
[Levofloxacin and Achilles tendon involvement in hemodialysis patients]
Nefrologia. 2003 Nov-Dec;23(6):558-9. Spanish. No abstract available.
PMID: 15002793 [PubMed - indexed for MEDLINE]

18. Nuno Mateo FJ, Noval Menendez J, Suarez M, Guinea O.
[Achilles pain and functional impotence in a patient with chronic obstructive pulmonary disease with pneumonia. Tendon rupture caused by levofloxacin]
Rev Clin Esp. 2001 Sep;201(9):539-40. Spanish. No abstract available.
PMID: 11692412 [PubMed - indexed for MEDLINE]

19. Movin T, Gad A, Guntner P, Foldhazy Z, Rolf C.
Pathology of the Achilles tendon in association with ciprofloxacin treatment.
Foot Ankle Int. 1997 May;18(5):297-9.
PMID: 9167931 [PubMed - indexed for MEDLINE]

20. Gomez Rodriguez N, Ibanez Ruan J, Gonzalez Perez M.
[Achilles bilateral tendonitis and levofloxacin]
An Med Interna. 2004 Mar;21(3):154. Spanish. No abstract available.
PMID: 15043504 [PubMed - indexed for MEDLINE]

21. Filippucci E, Farina A, Bartolucci F, Spallacci C, Busilacchi P, Grassi W.[Levofloxacin-induced bilateral rupture of the Achilles tendon: clinical and sonographic findings]
Reumatismo. 2003 Oct-Dec;55(4):267-9. Italian.
PMID: 14872227 [PubMed - indexed for MEDLINE]

22. Skovgaard D, Feldt-Rasmussen BF, Nimb L, Hede A, Kjaer M.
[Bilateral Achilles tendon rupture in individuals with renal transplantation]
Ugeskr Laeger. 1996 Dec 30;159(1):57-8. Danish.
PMID: 9012076 [PubMed - indexed for MEDLINE]

23. Burkhardt O, Kohnlein T, Pap T, Welte T.
Recurrent tendinitis after treatment with two different fluoroquinolones.
Scand J Infect Dis. 2004;36(4):315-6.
PMID: 15198194 [PubMed - indexed for MEDLINE]

24. Mirovsky Y, Pollack L, Arlazoroff A, Halperin N.
[Ciprofloxacin-associated bilateral acute achilles tendinitis]
Harefuah. 1995 Dec 1;129(11):470-2, 535. Hebrew.
PMID: 8846955 [PubMed - indexed for MEDLINE]

25. Ribard P, Audisio F, Kahn MF, De Bandt M, Jorgensen C, Hayem G, Meyer O, Palazzo E.
Seven Achilles tendinitis including 3 complicated by rupture during fluoroquinolone therapy.
J Rheumatol. 1992 Sep;19(9):1479-81.
PMID: 1433021 [PubMed - indexed for MEDLINE]

26. Lewis JR, Gums JG, Dickensheets DL.
Levofloxacin-induced bilateral Achilles tendonitis.
Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
PMID: 10466906 [PubMed - indexed for MEDLINE]

27. Shinohara YT, Tasker SA, Wallace MR, Couch KE, Olson PE.
What is the risk of Achilles tendon rupture with ciprofloxacin?
J Rheumatol. 1997 Jan;24(1):238-9. No abstract available.
PMID: 9002057 [PubMed - indexed for MEDLINE]

28 Greene BL.Physical therapist management of fluoroquinolone-induced Achilles tendinopathy.
Phys Ther. 2002 Dec;82(12):1224-31.
PMID: 12444881 [PubMed - indexed for MEDLINE]

29 Perrot S, Kaplan G, Ziza JM.
[3 cases of Achilles tendinitis caused by pefloxacin, 2 of them with tendon rupture]
Rev Rhum Mal Osteoartic. 1992 Feb;59(2):162. French. No abstract available.
PMID: 1604233 [PubMed - indexed for MEDLINE]

30 Perrot S, Ziza JM, De Bourran-Cauet G, Desplaces N, Lachand AT.
[A new complication related to quinolones: rupture of Achilles tendon]
Presse Med. 1991 Jul 6-13;20(26):1234. French. No abstract available.
PMID: 1831902 [PubMed - indexed for MEDLINE]

31 Schindler C, Pittrow D, Kirch W.
Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?
Chemotherapy. 2003 May;49(1-2):90-1. No abstract available.
PMID: 12756981 [PubMed - indexed for MEDLINE]

32 Fink RJ, Corn RC.
Fracture of an ossified Achilles tendon.
Clin Orthop. 1982 Sep;(169):148-50. No abstract available.
PMID: 6809391 [PubMed - indexed for MEDLINE]

33 Blanco Andres C, Bravo Toledo R.
[Bilateral tendinitis caused by ciprofloxacin]
Aten Primaria. 1998 Feb 28;21(3):184-5. Spanish. No abstract available.
PMID: 9607242 [PubMed - indexed for MEDLINE]

34 Huston KA.
Achilles tendinitis and tendon rupture due to fluoroquinolone antibiotics.
N Engl J Med. 1994 Sep 15;331(11):748. No abstract available.
PMID: 8058092 [PubMed - indexed for MEDLINE]

35 Lee WT, Collins JF.
Ciprofloxacin associated bilateral achilles tendon rupture.
Aust N Z J Med. 1992 Oct;22(5):500. No abstract available.
PMID: 1445042 [PubMed - indexed for MEDLINE]

36 Jones JG.
Achilles tendon rupture following steroid injection.
J Bone Joint Surg Am. 1985 Jan;67(1):170. No abstract available.
PMID: 3968099 [PubMed - indexed for MEDLINE]

37 Malaguti M, Triolo L, Biagini M.
Ciprofloxacin-associated Achilles tendon rupture in a hemodialysis patient.
J Nephrol. 2001 Sep-Oct;14