Pyogenic Liver Abscess as a Cause of Sepsis: A Case Report

Pyogenic liver abscess (PLA) is a potentially life-threatening condition that can progress to sepsis if not treated promptly. The condition often presents with non-specific symptoms such as persistent fever and abdominal pain, which can delay diagnosis. Computed tomography plays a crucial role in identifying hepatic abscesses and guiding timely intervention. We report the case of a 54-year-old man with a one-week history of high fever and epigastric pain. Imaging confirmed the presence of a liver abscess, and due to haemodynamic instability, surgical drainage was performed, yielding purulent material in which Streptococcus anginosus was isolated. Subsequent drainage 72 hours later resulted in the complete resolution of the abscess and the successful completion of antibiotic therapy.