Liver Abscess

Usual Organisms

Escherichia coli, Klebsiella spp., Streptococcus anginosus group, Enterococcus spp., other Viridans group Streptococci, Bacteroides spp and other anaerobes.

Management

Consult Interventional Radiology or General Surgery for drainage.
Send specimens for Gram stain and culture.

Peripheral blood cultures x 2 sets.

Infectious Disease consultation is strongly recommended.

Empiric Antimicrobial Therapy

Reassess Therapy on Day 3