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A 50-year-old obese man complained to his physician of a sharp pain in his left calf.Medical history indicated that 1 week ago, he had started an antibiotic treatment foracute prostatitis. Further exams led to the diagnosis of Achilles tendon rupture.Which of the following drugs most likely led to the patient’s leg pain?A. DoxycyclineB. CeftriaxoneC. ErythromycinD. Ciprofloxacin

Question

A 50-year-old obese man complained to his physician of a sharp pain in his left calf.Medical history indicated that 1 week ago, he had started an antibiotic treatment foracute prostatitis. Further exams led to the diagnosis of Achilles tendon rupture.Which of the following drugs most likely led to the patient’s leg pain?A. DoxycyclineB. CeftriaxoneC. ErythromycinD. Ciprofloxacin

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Solution

D. Ciprofloxacin

This is because Ciprofloxacin, a fluoroquinolone antibiotic, is known to have a side effect of causing tendonitis and tendon rupture, including the Achilles tendon. This is especially true in older patients and those with kidney, heart, and lung transplants. The patient's obesity could also contribute to the risk. The other antibiotics listed do not commonly cause this side effect.

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