case_images: PMC11385687_01
case_images: MR imaging findings of the ankles. Axial (A) and coronal (B) T2-weighted short inversion time inversion recovery images show a high signal intensity (arrows), a finding suggestive of an edematous change due to inflammation, in the anterior region of the right Achilles tendon (an asterisk in panel (A) surrounded by the soleus, flexor digitorum longus, and peroneus brevis muscles.
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case_images: PMC11385687_01_IMCRJ-17-777-g0001.jpg
case_images: f0001
case_images: Magnetic resonance (MR) imaging of the right ankle indicated the presence of inflammation in the soft tissue around the right Achilles tendon (Figure 1); therefore, the patient was suspected to have fluoroquinolone-associated tendinopathy.
case_images: The time course of the patient. After making a diagnosis of fluoroquinolone-associated tendinopathy, levofloxacin was discontinued and oral doxycycline was commenced. Over the next three weeks, the patient's right leg manifestations gradually subsided without any exacerbation of abdominal symptoms despite the absence of significant improvement in his serum CRP levels.
case_images: IMCRJ-17-777-g0002.jpg
case_images: PMC11385687_01_IMCRJ-17-777-g0002.jpg
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case_images: The patient did not complain of right flank pain or pruritic rash and was discharged (Figure 2).  