Evidence map›Paper›PMID 41034005›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Ampicillin-dependent IgG Antibody Mediated Thrombocytopenia Confirmed Using Flow Cytometry.

Ayane Ikeda, Tatsuya Konishi, Masaki Maruta, Tatsuhiko Kutsuna, Jun Yamanouchi, Masaki Takao, Katsuto Takenaka

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ayane IkedaDepartment of Hematology, Clinical Immunology and Infectious Diseases, Ehime University Graduate School of Medicine, Japan.
Tatsuya KonishiDivision of Blood Transfusion and Cell Therapy, Ehime University Hospital, Japan.
Masaki MarutaDepartment of Hematology, Clinical Immunology and Infectious Diseases, Ehime University Graduate School of Medicine, Japan.
Tatsuhiko KutsunaDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, Japan.
Jun YamanouchiDivision of Blood Transfusion and Cell Therapy, Ehime University Hospital, Japan.
Masaki TakaoDepartment of Orthopaedic Surgery, Ehime University Graduate School of Medicine, Japan.
Katsuto TakenakaDepartment of Hematology, Clinical Immunology and Infectious Diseases, Ehime University Graduate School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-induced immune thrombocytopenia (DITP) caused by ampicillin (ABPC) is rarely reported. An 87-year-old woman developed severe thrombocytopenia on postoperative day 3 during treatment with multiple drugs, including ABPC, for chronic periprosthetic infection following total knee arthroplasty. Although the platelet counts were unresponsive to oral prednisolone and intravenous immunoglobulin, they recovered promptly after the discontinuation of ABPC. Flow cytometry demonstrated ABPC-dependent IgG binding to healthy donor platelets. This is the first report to confirm ABPC-dependent platelet-reactive IgG using flow cytometry, thereby expanding the diagnostic tools for suspected DITP and highlighting the need for early recognition, prompt drug withdrawal, and appropriate supportive care.

Indexed as

AmpicillinAnti-Bacterial AgentsFlow CytometryImmunoglobulin GPurpura, Thrombocytopenic, IdiopathicThrombocytopeniaAged, 80 and overBlood PlateletsFemaleHumansAmpicillinAnti-Bacterial AgentsImmunoglobulin Gampicillindrug-induced immune thrombocytopeniaflow cytometryplatelet antibodyβ-lactam antibiotics

Identifiers

PMID41034005
PMCPMC13265095

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.