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培氟沙星及其他氟喹诺酮衍生物所致跟腱炎

[Tendinitis of the Achilles tendon caused by pefloxacin and other fluoroquinolone derivatives].

作者信息

Dekens-Konter J A, Knol A, Olsson S, Meyboom R H, de Koning G H

机构信息

Registratie Evaluatie Bijwerkingen, Apotheek AZG, Groningen.

出版信息

Ned Tijdschr Geneeskd. 1994 Mar 5;138(10):528-31.

PMID:8139714
Abstract

Four cases were reported to the Netherlands Pharmacovigilance Foundation LAREB of Achilles tendinitis, as a suspected adverse reaction to pefloxacin; the patients were two men of 64 years old, one of 33 and one of 76 years old. More than twenty cases of tendinitis have previously been described in the literature in association with pefloxacin and various other fluoroquinolone derivatives; tendon rupture was a frequent complication. In the data base of the WHO Collaborating Centre for International Drug Monitoring tendon disorders are a very rare reaction, with the exception of fluoroquinolone derivatives. More information is needed with regard to the frequency of tendinopathy during the use of pefloxacin and the other drugs in this group. Achilles tendon rupture is an serious condition, often requiring surgical treatment. Patients using a fluoroquinolone derivative should be informed of the risk of developing tendinitis and tendon rupture.

摘要

有4例跟腱炎病例报告给了荷兰药物警戒基金会LAREB,怀疑是对培氟沙星的不良反应;患者为两名64岁男性、一名33岁男性和一名76岁男性。此前文献中已描述过20多例与培氟沙星及其他多种氟喹诺酮衍生物相关的肌腱炎病例;肌腱断裂是常见并发症。在世界卫生组织国际药物监测合作中心的数据库中,除氟喹诺酮衍生物外,肌腱疾病是非常罕见的不良反应。关于使用培氟沙星及该组其他药物期间肌腱病的发生频率,还需要更多信息。跟腱断裂是一种严重病症,通常需要手术治疗。应告知使用氟喹诺酮衍生物的患者发生肌腱炎和肌腱断裂的风险。

相似文献

1
[Tendinitis of the Achilles tendon caused by pefloxacin and other fluoroquinolone derivatives].培氟沙星及其他氟喹诺酮衍生物所致跟腱炎
Ned Tijdschr Geneeskd. 1994 Mar 5;138(10):528-31.
2
Tendon disorders attributed to fluoroquinolones: a study on 42 spontaneous reports in the period 1988 to 1998.氟喹诺酮类药物所致肌腱疾病:对1988年至1998年间42份自发报告的研究
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Seven Achilles tendinitis including 3 complicated by rupture during fluoroquinolone therapy.7例跟腱炎,其中3例在氟喹诺酮治疗期间并发跟腱断裂。
J Rheumatol. 1992 Sep;19(9):1479-81.
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[3 cases of Achilles tendinitis caused by pefloxacin, 2 of them with tendon rupture].
Rev Rhum Mal Osteoartic. 1992 Feb;59(2):162.
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[Achilles tendinitis associated to levofloxacin: report of 4 cases].[左氧氟沙星相关性跟腱炎:4例报告]
Rev Med Chil. 2002 Nov;130(11):1277-81.
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Fluoroquinolone-associated tendinopathy: a critical review of the literature.氟喹诺酮相关性肌腱病:文献综述
Clin Infect Dis. 2003 Jun 1;36(11):1404-10. doi: 10.1086/375078. Epub 2003 May 20.
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Achilles tendinitis and tendon rupture due to fluoroquinolone antibiotics.氟喹诺酮类抗生素所致跟腱炎和跟腱断裂
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An elderly patient with fluoroquinolone-associated achilles tendinitis.一名患有氟喹诺酮相关性跟腱炎的老年患者。
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Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review.与氟喹诺酮类抗生素相关的部分跟腱断裂:一例病例报告及文献综述
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引用本文的文献

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Spontaneous bilateral Achilles tendon rupture in a patient treated with oral levofloxacin.口服左氧氟沙星治疗的患者发生自发性双侧跟腱断裂。
J Orthop Traumatol. 2007 Jun;8(2):86-90. doi: 10.1007/s10195-007-0168-7. Epub 2007 Jun 8.