Abstract
Pyogenic liver abscess is a serious disease, which is potentially fatal if left untreated. In developed countries, pyogenic abscesses are the most common but worldwide, amoebae are the most common cause. We report a 60-year-old diabetic woman with a 2 months history of pain abdomen, 1 month history of high fever and anorexia who had multiple liver abscess caused by anaerobic Actinomyces species and Enterococcus faecalis and was complicated by peritonitis. Treatment included prompt percutaneous drainage coupled with long-term intravenous administration of Amikacin, Metronidazole and Piperacillin/ Tazobactum. The patient later died due to peritonitis.
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