Presentation
Here we present the first reported case of bilateral iliopsoas tendon rupture associated with prolonged ciprofloxacin use. This older woman presented with non-traumatic, sudden onset hip pain which was diagnosed as a right iliopsoas rupture on MRI. [ncbi.nlm.nih.gov]
Entire Body System
- Intravenous Administration
Intravenous administration of ciprofloxacin in patients with additional risks may elevate the risk of QTc interval prolongation. [ncbi.nlm.nih.gov]
with moderate to excellent bioavailability. 1, 4 Serum drug levels achieved after oral administration are comparable to those with intravenous dosing, which allows an early transition from intravenous to oral therapy and a potential reduction of treatment [aafp.org]
However, this may change the absorption of the medication compared to taking the capsule whole.[15] Chemistry[edit] It has a volume of distribution of 2.4 L/kg following intravenous administration.[1] References[edit] ^ a b c d e "Zanaflex (tizanidine [en.wikipedia.org]
- Foreign Body Aspiration
Foreign body aspirations occur among children more than adults and can cause life threatening complications. Acute respiratory failure due to foreign body aspiration in adults is a rare condition. [ncbi.nlm.nih.gov]
Gastrointestinal
- Nausea
She presented to clinic with nausea and anorexia within a few days of addition of ciprofloxacin to her current regimen of medications, which included digoxin. [ncbi.nlm.nih.gov]
Can be exacerbated by the drugs’ effects on cell membrane channels Adverse Effects Use of fluoroquinolones may result to these adverse effects: GI: nausea, vomiting, diarrhea, dry mouth CNS: headache, dizziness, insomnia, depression Immunological: bone [nurseslabs.com]
Both treatments were well tolerated, but the frequencies of nausea and diarrhea were lower in the ciprofloxacin ER group than in the ciprofloxacin IR group (nausea, ER, 0.6%; IR, 2.2%; P = 0.033; diarrhea, ER, 0.2%; IR, 1.4%; P = 0.037). [aac.asm.org]
The patient was discharged, but returned 12 hours later because of nausea, arthralgias, and no urinary output for 24 hours. Her temperature was 38.2°C, her serum [jamanetwork.com]
The most frequently reported adverse effects are nausea, diarrhoea, vomiting, dyspepsia, abdominal pain, headache, restlessness, rash, dizziness and pruritus. Drug interactions Plasma levels of theophylline may be increased. [apps.who.int]
- Abdominal Pain
Upon physical examination a slight general abdominal pain on palpation and some fresh blood at rectal digital examination were found. [ncbi.nlm.nih.gov]
The most frequently reported adverse effects are nausea, diarrhoea, vomiting, dyspepsia, abdominal pain, headache, restlessness, rash, dizziness and pruritus. Drug interactions Plasma levels of theophylline may be increased. [apps.who.int]
Common side effects of Cipro include abdominal pain, diarrhea, headache, and rash. [medicinenet.com]
Skin
- Skin Rash
Acute generalized exanthematous pustulosis (AGEP) is an uncommon and self-limiting skin rash commonly caused by drugs and is characterized by the acute onset of fever, pustulosis, and neutrophilia from 4 to 10 days after the drug intake. [ncbi.nlm.nih.gov]
red or purple skin rash that spreads and causes blistering and peeling). [drugs.com]
[…] or eyes); or severe skin reaction --fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling. [cigna.com]
Where The Red Blood Cells Burst Called Hemolytic Anemia A Type Of Blood Disorder With A Decrease In All Types Of Blood Cells Called Pancytopenia A Type Of Bumpy Skin Rash Called A Maculopapular Rash A Type Of Kidney Inflammation Called Interstitial Nephritis [webmd.com]
- Intertrigo
Clinical history revealed that she had been treating a bacterial inguinal intertrigo for 4 days with ciprofloxacin 500 mg tablets twice daily and desloratadine 5 mg tablet once daily. [ncbi.nlm.nih.gov]
Urogenital
- Kidney Failure
We present a case of myoglobin-associated kidney failure in the setting of repeated ciprofloxacin administration in a lung transplant patient. Kidney biopsy was critical to establishing the diagnosis and avoiding future exposure. [ncbi.nlm.nih.gov]
Other possible serious side effects and adverse events include liver dysfunction or failure. high blood sugar (hyperglycemia), renal failure (kidney failure), cardiac arrest, hepatitis, stroke, convulsions, seizures, jaundice, leukopenia, C. difficile [medicinenet.com]
Ciprofloxacin can cause damage to the liver and kidneys, which can result in sudden liver or kidney failure. Patients can also develop problems with making new blood cells, resulting in anemia. [livestrong.com]
Inflammation Called Interstitial Nephritis A Type Of Muscle Paralysis Due To Blocked Nerve Function Called Neuromuscular Blockade A Yellowing Of The Eyes Or Skin From Buildup Of Bilirubin Called Jaundice Abnormal Heart Rhythm Acute Kidney Failure Acute [webmd.com]
You must tell your doctor if your child has ever had any reaction to any antibiotic or if your child has kidney failure. If you have forgotten to tell your doctor, check with the doctor or pharmacist before giving ciprofloxacin to your child. [medicinesforchildren.org.uk]
Neurologic
- Headache
Headache, confusion, seizures, cortical visual disturbances or blindness are the key symptoms. As this syndrome is reversible and readily treated by interrupting or discontinuing the aetiology, it should sharply be acknowledged. [ncbi.nlm.nih.gov]
Common ciprofloxacin side effects may include: nausea, vomiting, diarrhea, stomach pain; vaginal itching or discharge; headache; or abnormal liver function tests. This is not a complete list of side effects and others may occur. [drugs.com]
Stop using this medicine and call your doctor at once if you have symptoms such as: headache, hunger, irritability, numbness, tingling, burning pain, confusion, agitation, paranoia, problems with memory or concentration, thoughts of suicide, or sudden [uofmhealth.org]
The most frequently reported adverse effects are nausea, diarrhoea, vomiting, dyspepsia, abdominal pain, headache, restlessness, rash, dizziness and pruritus. Drug interactions Plasma levels of theophylline may be increased. [apps.who.int]
- Encephalopathy
Hemiballism accompanied by mental changes imposed a diagnostic challenge in the differentiation between hepatic encephalopathy and stroke. [ncbi.nlm.nih.gov]
- Radiculopathy
After standard therapy with pharmacotherapy and physical therapy for radiculopathy failed, magnetic resonance imaging was performed showing near complete avulsion of the right hamstring tendons from the ischial tuberosity. [ncbi.nlm.nih.gov]
Treatment
[…] to faulty diagnosis and treatment. [ncbi.nlm.nih.gov]
Prognosis
Lymphocytosis is believed to indicate favourable prognosis and peripheral eosinophilia occurs in 20–30% of acute clinical courses 3. [erj.ersjournals.com]
Etiology
However, a negative transformation result can not sufficiently exclude presence of an etiological relationship 8. [erj.ersjournals.com]
[…] secondary thrombocytosis.3 Primary thrombocytosis refers to elevated thrombocyte count, which is a manifestation of a myeloproliferative disorder, while secondary thrombocytosis is used to describe elevation in thrombocyte count not of myeloproliferative etiology [ptcommunity.com]
Furthermore, one of the more consensual etiologic factors is the presence of biofilms in the nasal mucosa. [elsevier.es]
The microbial etiology and antimicrobial therapy of adults with acute community-acquired sinusitis: a fifteen-year experience at the University of Virginia and review of other selected studies. [doi.org]
Epidemiology
Nevertheless, local differences indicate that other epidemiologic parameters should be further evaluated. Dr. [doi.org]
Following our initial review, three additional epidemiological studies 2,3,4 were subsequently published between 2015 and 2018, each of which are described in greater detail below. [fda.gov]
California, USA. 5 Department of Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, USA. 6 Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine, UCLA, Los Angeles, California, USA. 7 Department of Epidemiology [ncbi.nlm.nih.gov]
Pathophysiology
Pathophysiology and pharmacotherapy of peptic disease, Thesis, University of Amsterdam, 1981 Google Scholar Brouwers JRBJ. Pharmacokinetics of the newer fluoroquinolones. [doi.org]
[…] surveillance data indicating that these medications were associated with subsequent tendonitis and tendon rupture. 4 Several large epidemiological studies have confirmed this association. 5, 6 Secondary cell biology and animal research has elucidated the pathophysiology [bmjopen.bmj.com]
Prevention
These data suggest that ciprofloxacin monotherapy as a prophylaxis regimen prior to leech therapy may not be effective in preventing infection. [ncbi.nlm.nih.gov]
In one study, taking 500 mg of Saccharomyces boulardii twice daily enhanced the effectiveness of the antibiotic vancomycin in preventing recurrent clostridium infection. [peacehealth.org]
Ciprofloxacin works by preventing the bacteria from growing, which allows the immune system to eliminate the infection. Ciprofloxacin belongs to a class of antibiotics known as fluoroquinolones. [livestrong.com]
However, since neither Cipro nor the other fluoroquinolines bind to ocular proteins, permanent damage to the eye can be prevented. [iovs.arvojournals.org]
[…] topoisomerase inhibitor that inhibits DNA topoisomerase IV, which catalyses ATP-dependent breakage of both strands of DNA, passage of the unbroken strands through the breaks, and rejoining of the broken strands. antibacterial drug A drug used to treat or prevent [ebi.ac.uk]