Invasive liver abscess syndrome in North America

Most community-acquired Klebsiella pneumonia infections cause pneumonia or urinary tract infections. Invasive liver abscess syndrome is very rare in Western countries. Clinicians should be aware about invasive Klebsiella pneumonia liver abscess especially in patients with Asian background presented with liver abscess failed the treatment with antibiotics. Over the past decade, few patients were diagnosed as having a liver abscess caused by Klebsiella pneumoniae in two case series in the Unites States of America (1). This is a 25 years old male from Philippine with no past medical history presented with fever, rigors, fatigue and night sweats for three days. Patient travelled to Philippines five months ago where he stayed for one month. Upon presentation, patient was febrile with Temp 104F, heart rate 139 beats/minute, and Blood pressure 113/76 mm Hg. He appeared to be diaphoretic and tachypneic on physical exam. Abdomen was soft and non-tender.