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Open Access Highly Accessed Case report

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

Zubair Khanzada1*, Ulfin Rethnam1, David Widdowson2 and Ahmed Mirza1

Author Affiliations

1 Department of Orthopaedics, Glan Clwyd Hospital, Bodelwyddan, Rhyl, UK

2 Department of Radiology, Glan Clwyd Hospital, Bodelwyddan, Rhyl, UK

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Journal of Medical Case Reports 2011, 5:263  doi:10.1186/1752-1947-5-263

Published: 30 June 2011

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.