What is the most likely reservoir for the causative organism in this case?Why draw blood twice?Discuss.

The physician asks you to draw blood and tells the patient he should return in four weeks for another blood sample.  She says there is no need to culture the wound.
1.  On the basis of the limited information above, the physician has obviously made a diagnosis.  What is it?  What does it look like when Gram stained?
2. What is the most likely reservoir for the causative organism in this case?
3. Why draw blood twice?
4. Why not culture the wound for the bacterium?