Liver Abscess

Usual Organisms

Escherichia coli, Klebsiella spp., Streptococcus (anginosus group), Enterococcus spp., other viridans streptococci, Bacteroides spp.

Management

Consult interventional radiology or general surgery for drainage. Request gram stain and for anaerobic cultures, as well as histopathology

Obtain blood cultures

If patient is from or has travelled to a region with high endemicity, check amebic serology. Infectious Disease Consultation recommended

Empiric Therapy Pending Further Workup for Bacterial Liver Abscess

Duration depends on adequacy and timing of drainage

Reassess Therapy on Day 3