Liver Abscess Which Presented as Fever of Unknown Origin (FUO)

Author: A. Damodaran, M.D.
Reviewer: V. Dimov, M.D.

The images below show a liver abscess which presented as fever of unknown origin (FUO). The primary source was a pericolonic abscess which seeded liver abscesses.

Previous CT of the abdomen showed a normal liver (3 months prior to the presentation) (click to enlarge the images).

CT scan: the whole body image shows old scars from coronary artery bypass graft (CABG) surgery and abdominal surgery (click to enlarge the images).

The reason for the FUO was liver abscesses (click to enlarge the images).

Radiology report of the CT scan of the abdomen (click to enlarge the images).

Comprehensive Metabolic Panel (CMP) shows elevated alkaline phosphatase (AP) but normal AST/ALT (click to enlarge the images).

Alkaline phosphatase (AP) levels were elevated during the disease progression (click to enlarge the images).

CT-guided percutaneous drainage of the liver abscesses, the needle is seen at the top of the picture (click to enlarge the images).

Culture results from the drained abscess fluid (click to enlarge the images).

Related reading

Ameobic liver abscess presenting as fever of unknown origin (FUO). Serology, isotope scanning and metronidazole therapy in diagnosis and treatment. Farid Z, Trabolsi B, Kilpatrick ME, Yassin WM, Watten RH. J Trop Med Hyg. 1982 Dec;85(6):255-8.
Liver Abscess: eMedicine General Surgery. eMedicine Specialties > General Surgery > Abdomen.
Pyogenic liver abscess. Cleveland Clinic Journal of Medicine July 2010 vol. 77 7 426-427.

Published: 10/11/2004
Updated: 07/03/2010

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