PMC6010975_01
Gram staining of blood cultures (x1000) showed small Gram-positive cocci and gram variable cocci.
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PMC6010975_01_gr1.jpg
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C-reactive protein 37.9 mg/dL. Contrast-enhanced computed tomography showed an irregular thickening of the gastric and duodenal walls with pneumoperitoneum and ascites (Fig. 1). On day 3, the admission blood cultures became positive for a small Gram-positive coccal bacterium and a gram variable coccal bacterium (Fig. 1).