Pyogenic Liver Abscess With an Empyema.

INTRODUCTION

Reports of extraintestinal manifestations of () infections are rare. The frequency of these infections comprises approximately 0.17% to 0.6% of all infections. While they are becoming more frequent worldwide, the precise trend is unclear.

CASE PRESENTATION

An 83-year-old female patient presented with pleuritic chest pain 2 to 3 months after a needle biopsy of her liver abscess confirmed . She was found to have extension of the liver abscess into the chest cavity, leading to empyema, and was treated with intravenous antimicrobials.

DISCUSSION

This is the fifth known reported case of leading to a pyogenic liver abscess and the first case where the liver abscess was associated with an empyema. While long-term metronidazole is considered effective for managing extra intestinal infection, our patient was treated with vancomycin and meropenem.

CONCLUSION

To determine epidemiology and a proper treatment regimen for extraintestinal C difficile infection, a greater accumulation of cases is necessary.