Podcast 638: Pyogenic Liver Abscess


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By medicalminute and Emergency Medical Minute. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Pyogenic liver abscesses can be caused by
    • Intra-abdominal infection progressing to peritonitis which then drains into liver
    • Bacteremia leading to hematogenous spead and seeding
    • Local biliary infection with contiguous spread
  • Patients typically present with signs of sepsis or septic shock and the abscess can be diagnosed using ultrasound or CT
  • Treat with IV fluids, broad spectrum antibiotics, and consultation for drainage


Kurland JE, Brann OS. Pyogenic and amebic liver abscesses. Curr Gastroenterol Rep. 2004 Aug;6(4):273-9. doi: 10.1007/s11894-004-0078-2. PMID: 15245694.

Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: recent trends in etiology and mortality. Clin Infect Dis. 2004 Dec 1;39(11):1654-9. doi: 10.1086/425616. Epub 2004 Nov 9. PMID: 15578367.

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

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