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As a result of resistant suppression, an empiric antibiotic drug therapy with piperacillin/tazobactam had been started. The 4MRGN screening was positive. That is why, therapy had been switched empirically to ceftazidime/avibactam plus colistin. A tongue ulcer with abscess development and phlegmonous soft tissue reaction ended up being revealed whilst the focus associated with illness. Several microbiological probes including a blood tradition discovered complex - 4MRGN that express