case_images: PMC10928406_01
case_images: Photograph of the patient's hand after 24 h of antimicrobial therapy.
case_images: acmi-6-398-g001.jpg
case_images: PMC10928406_01_acmi-6-398-g001.jpg
case_images: F1
case_images: In the next 24 h the local inflammatory signs worsened, with extensive bullae forming on the epidermis (Fig. 1).
case_images: Microscopic examination of the blood smear by Gram stain showing large, 'box-car'-shaped Gram-positive rods with squared-off ends and parallel sides.
case_images: acmi-6-398-g002.jpg
case_images: PMC10928406_01_acmi-6-398-g002.jpg
case_images: F2
case_images: After 41.7 h of incubation, one vial from the blood culture set was flagged as positive and the microscopic examination of the smear by Gram stain revealed the presence of large, 'box-car'-shaped Gram-positive rods with squared-off ends and parallel sides (Fig. 2).
case_images: Macroscopic appearance of B. pumilus colonies in chocolate agar after 24 h of incubation at 35+-2  C in 5 % CO2.
case_images: acmi-6-398-g003.jpg
case_images: PMC10928406_01_acmi-6-398-g003.jpg
case_images: F3
case_images: After 24 h of incubation at 35+-2  C in 5 % CO2, the subculture in chocolate agar revealed the presence of medium sized, opaque, grey colonies (Fig. 3), which were then identified by MALDI-TOF MS on VITEK MS (bioMerieux) as B. pumilus.