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One meta-analysis revealed that these drugs were administered in 21.2% cases of tendon rupture, mostly accompanied with levofloxacin (27.1%) [57], whereas another reported that steroids were utilized in 32.7% cases of fluoroquinolone adverse effects and in 52.5% of cases of tendon rupture [35]

Compared with similar published cases, our patient had an exceptionally low pH (6.9) and bicarbonate level (1.7 mmol/L) and is among the most severe [1, 5, 6] Table 1 presents a summary of some of the cases published to date