RT Journal Article SR Electronic T1 Documented vancomycin-induced severe immune-mediated thrombocytopaenia JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr-2018-224682 DO 10.1136/bcr-2018-224682 VO 2018 A1 Wendy Gerstein A1 Elizabeth Colombo A1 Farzana Harji YR 2018 UL http://casereports.bmj.com/content/2018/bcr-2018-224682.abstract AB A 69-year-old man developed Propionibacterium acnes left knee hardware infection after suffering from an infected ingrown toenail. The hardware was removed and he was treated with intravenous vancomycin. Ten days after initiation of vancomycin, he developed severe thrombocytopaenia, epistaxis and petechiae. Vancomycin was discontinued, and platelets rapidly recovered. Serum vancomycin IgG were positive. Patient completed a 6-week course of ceftriaxone with no further complications.