A few weeks ago I saw a 90 year old retired doctor, whose physician daughter brought him in, with one completely ruptured Achilles tendon and one partially ruptured. Usually these require significant trauma – which he did not have. What was the cause? In his case the tendon ruptures were the result of his having taken Cipro, a Fluoroquinolone antibiotic for an infection. In fact such tendon injuries, and other complications with use of these antibiotics are relatively common so that the FDA on 7/26/2016 wrote:
Health Care News
A recent study from the US Naval Academy has shown that the use of NSAIDs (nonsteroidal anti-inflammatory drugs) such as advil, motrin, aleve, diclofenac and meloxicam around the time of surgery or afterward.
For my 31 years of Orthopaedic Surgery practice and ten years of training before that, EVERYONE followed the axiom that an empty stomach before surgery was absolutely essential to avoid potentially fatal aspiration. But now it appears that may be completely wrong.