{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T13:10:01Z","timestamp":1756386601786,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,6,6]]},"abstract":"<jats:p>A 59-year-old male presented with methicillin-resistant<jats:italic>Staphylococcus aureus<\/jats:italic> bacteraemia from a prostatic abscess and was treated with vancomycin. Two weeks into his treatment course, he developed severe joint pains, abdominal pain with bloody, mucinous stools and a diffuse palpable purpuric rash on his extremities. Biopsy of the rash showed IgA immune-complex deposition consistent with Henoch-Sch\u00c3\u00b6nlein purpura. After treatment with glucocorticoids, his symptoms resolved completely. Vancomycin is an extremely commonly used antibiotic with certain well-known adverse effects. Henoch-Sch\u00c3\u00b6nlein purpura, a vasculitis involving abdominal pain, arthralgias and palpable purpura, is a much less common side effect, as seen in this patient. Given that vancomycin is widely used internationally, clinicians should be aware of the risks entailed by its use.<\/jats:p>","DOI":"10.1136\/bcr-2017-219988","type":"journal-article","created":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T02:50:14Z","timestamp":1498013414000},"page":"bcr-2017-219988","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["A dirty cause of vancomycin-mediated Henoch-Schonlein purpura: oxygen tubing is not a foley"],"prefix":"10.1136","volume":"2017","author":[{"given":"Nikhil H","family":"Shah","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristopher P","family":"Kline","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manas K","family":"Shukla","sequence":"additional","affiliation":[{"name":"Internal Medicine, Malcom Randall Veterans Affairs Medical Center, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,20]]},"reference":[{"key":"2025082805345915000_2017.jun20_2.bcr-2017-219988.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11279-7"},{"key":"2025082805345915000_2017.jun20_2.bcr-2017-219988.2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199909000-00002"},{"key":"2025082805345915000_2017.jun20_2.bcr-2017-219988.3","unstructured":"Langford C , Fauci A . 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