TY - JOUR T1 - Documented vancomycin-induced severe immune-mediated thrombocytopaenia JF - BMJ Case Reports DO - 10.1136/bcr-2018-224682 VL - 2018 SP - bcr-2018-224682 AU - Wendy Gerstein AU - Elizabeth Colombo AU - Farzana Harji Y1 - 2018/08/27 UR - http://casereports.bmj.com/content/2018/bcr-2018-224682.abstract N2 - 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. ER -