PMC5804607_01
Chest radiograph indicated bilateral pleural effusion and pulmonary congestion
40981_2017_96_Fig1_HTML.jpg
PMC5804607_01_40981_2017_96_Fig1_HTML.jpg
Fig1
A chest radiograph indicated bilateral pleural effusion and pulmonary congestion (Fig. 1).
Time course of laboratory data and antibiotic treatment
40981_2017_96_Fig2_HTML.jpg
PMC5804607_01_40981_2017_96_Fig2_HTML.jpg
Fig2
Intravenous ampicillin/sulbactam (6 g/day) therapy was initiated to treat a potential bacterial infection (Fig. 2). On day 3, clindamycin (1200 mg/day) was combined with levofloxacin (Fig. 2). On day 4, intravenous imipenem (750 mg/day) therapy was initiated instead of levofloxacin and clindamycin therapy (Fig. 2). On day 5, levofloxacin (250-500 mg) was combined with imipenem (Fig. 2).
Bacillus cereus was isolated from two blood sample cultures collected at admission
40981_2017_96_Fig3_HTML.jpg
PMC5804607_01_40981_2017_96_Fig3_HTML.jpg
Fig3
B. cereus was isolated from two blood sample cultures (arterial blood and venous blood) collected at admission (Fig. 3), and intravenous levofloxacin (250-500 mg/day) therapy was initiated instead of ampicillin/sulbactam therapy (Fig. 2).
Chest radiograph indicated extensive bilateral infiltrates
40981_2017_96_Fig4_HTML.jpg
PMC5804607_01_40981_2017_96_Fig4_HTML.jpg
Fig4
A chest radiograph (Fig. 4) and computed tomography (CT) (Fig. 5) indicated extensive bilateral infiltrates.