Objective: To describe the use of chiropractic care and co-management in a patient with vertigo.
Clinical features: A 68-year-old male sought care for vertigo of 4 years duration. He had seen numerous providers and specialists with no improvement in his symptoms.
Intervention and Outcome: Based on history and examination, the patient was given a diagnosis of fluoroquinolone-associated vertigo. The diagnosis was confirmed by a medical neurologist. Alternative diagnoses were excluded by an otolaryngologist.
Conclusion: Chiropractors who see patients with vertigo should carefully consider iatrogenic etiologies when symptoms are not readily reproducible.
Author keywords: Vertigo, neuropathy, fluoroquinolone, antibiotics, chiropractic
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