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The patient was treated with piperacillin\/tazobactam after having a poor response to co-amoxiclav. The patient had been tested for immunoglobulin levels, and the levels were very low. She has a history of ITP for which she received steroids. She also received rituximab for the same on four separate occasions, and the last one was about 1 year ago.<\/jats:p>","DOI":"10.1155\/2018\/2096186","type":"journal-article","created":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T19:30:58Z","timestamp":1521660658000},"page":"1-3","source":"Crossref","is-referenced-by-count":2,"title":["Hypogammaglobulinemia Observed One Year after Rituximab Treatment for Idiopathic Thrombocytopenic Purpura"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7807-6556","authenticated-orcid":true,"given":"Bilal Ahmad","family":"Shoukat","sequence":"first","affiliation":[{"name":"Our Lady\u2019s Hospital, Navan, Meath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Ali","sequence":"additional","affiliation":[{"name":"Our Lady\u2019s Hospital, Navan, Meath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dileep","family":"Kumar","sequence":"additional","affiliation":[{"name":"Our Lady\u2019s Hospital, Navan, Meath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Bilal Gilani","sequence":"additional","affiliation":[{"name":"Providence Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8545-5853","authenticated-orcid":true,"given":"Adeela","family":"Zahid","sequence":"additional","affiliation":[{"name":"Our Lady\u2019s Hospital, Navan, Meath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaheer","family":"Aslam Joiya","sequence":"additional","affiliation":[{"name":"Our Lady\u2019s Hospital, Navan, Meath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maqsood","family":"Anwar Malik","sequence":"additional","affiliation":[{"name":"Our Lady\u2019s Hospital, Navan, Meath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2007.08.053"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/b978-0-12-385991-4.00002-7"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(10)61381-5"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2009.26.4556"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2005.05.007"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.2003.04385.x"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/md.0b013e3181f2caef"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2014.11.009"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.clml.2012.11.011"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2014.06.003"},{"key":"11","first-page":"S133","volume":"131","year":"2009","journal-title":"Clinical Immunology"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s10875-008-9182-7"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2009.068940"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1111\/cei.12496"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-1-200701020-00006"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2011-11-393975"}],"container-title":["Case Reports in Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2018\/2096186.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2018\/2096186.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2018\/2096186.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T19:30:59Z","timestamp":1521660659000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crim\/2018\/2096186\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":16,"alternative-id":["2096186","2096186"],"URL":"https:\/\/doi.org\/10.1155\/2018\/2096186","relation":{},"ISSN":["1687-9627","1687-9635"],"issn-type":[{"type":"print","value":"1687-9627"},{"type":"electronic","value":"1687-9635"}],"subject":[],"published":{"date-parts":[[2018]]}}}