A 33-year-old patient presented to the Launceston General Hospital with a history of gastrointestinal pain, vomiting and weight loss. The patient had a PEG-J tube in place for gastro-jejunal feeding, but shortly after admission commenced total parenteral nutrition (TPN). Around 7 weeks following admission the patient’s blood cultures grew a gram-negative organism, which was identified in the laboratory using MALDI-TOF as Elizabethkingia miricola, and antibiotic susceptibility testing was performed. E. miricola is an environmental organism which is rarely isolated as a cause of human infection. This case study looks at the isolation of this species as a cause of bacteraemia in a TPN-dependent patient.