case_images: PMC10765047_01
case_images: Clinical course after bone marrow transplantation in a patient with 
  
  W. muralis
  
   detected . BMT, Bone marrow transplantation; CFPM, cefepime; CRP, C-reactive protein; CT, computed tomography; G-CSF, granulocyte colony stimulating factor; MEPM, meropenem; ND, not done; ST, sulfamethoxazole/trimethoprim; TEIC, teicoplanin; WBC, white blood cell.
case_images: acmi-5-679.v3-g001.jpg
case_images: PMC10765047_01_acmi-5-679.v3-g001.jpg
case_images: F1
case_images: HCT, the patient complained of abdominal pain with vomiting and bloody stool (Fig. 1). His body temperature was 38  C. A prompt improvement of fever and cellulitis was observed by day 18 after HCT (Fig. 1).
case_images: (a). Facial cellulitis on the patient's left cheek (yellow circles). (b). Blood culture results over time. Gram-positive, rod-shaped bacteria were isolated from the blood culture samples after 5 days of incubation. Small colonies were observed after 2 days of incubation on 10 % sheep blood agar plates (left picture). The colonies were round, pale orange, Gram-positive bacilli, and their diameter expanded to 2-3 mm after 5 days of additional incubation (middle and right pictures).
case_images: acmi-5-679.v3-g002.jpg
case_images: PMC10765047_01_acmi-5-679.v3-g002.jpg
case_images: F2
case_images: Enhanced computer tomography findings led to a diagnosis of facial cellulitis (Fig. 2a). These colonies appeared as round, pale orange, Gram-positive bacilli that expanded to a diameter of 2-3 mm after 5 days of additional incubation (Fig. 2b).