Ciprofloxacin is a broad spectum quinolone antibiotic. Side effects re
ported include nausea and other gastrointestinal symptoms; skin and mu
sculoskeletal side effects may also occur. No bleeding abnormalities o
r alteration in coagulation have been documented. We report a case whe
re ciprofloxacin appeared to contribute to an idiosyncratic prolongati
on of bleeding time although a rechallenge 8 months later did not repr
oduce the effect. Moreover, subsequent investigation of the influence
of ciprofloxacin on bleeding parameters in 10 healthy volunteers demon
strated no alterations in bleeding parameters.