Liver abscess caused by Klebsiella pneumoniae.

m l Abdominal computed tomography scan showing a 10-cm iameter Klebsiella pneumoniae abscess is given. Notice the ypodense lesion with internal septa, a distinctive feature of lebsiella related liver abscesses [1]. The image refers to a 29-year old Indian man who preented with a 4-day history of fever, chills, anorexia and atigue. An ultrasound-guided percutaneous drainage was laced yielding 150 cm3 of purulent fluid. Two out of three lood cultures grew Klebsiella pneumoniae. The patient was iven intravenous gentamicin and metronidazole leading to clinical and radiological improvement. Klebsiella pneumoniae was identified in recent studies as he most common cause of pyogenic liver abscess (PLA) in sia and United States [2]. Symptoms of PLA are often non-specific such as fever, atigue and anorexia. High fever is the most common finding t presentation (occurring in 90% of patients), while only onealf of patients present with specific signs localized to the ight upper abdominal quadrant as abdominal pain, jaundice nd hepatomegaly [2]. Klebsiella pneumoniae-associated liver abscesses have