Case history
Case history
A healthy 55-year-old man presents with a 1-week history of fevers, chills, fatigue, and anorexia, followed by right shoulder pain, paroxysmal cough, and generalised abdominal pain. He is ill-appearing, and his physical examination is notable for a temperature of 38.3°C (101°F) and a tender liver edge that is palpated approximately 2 cm below the right costal margin. Percussion or movement worsens the pain.
Other presentations
The most common presenting symptoms of liver abscess are fever, chills, and right upper quadrant pain.[3][4] Right-sided pulmonary symptoms may also occur. Liver abscess can present in an insidious manner. The symptoms can be non-specific and of variable duration. Therefore, absence of abdominal pain and tenderness does not exclude the diagnosis. Clinical manifestations in older patients are similar to those in younger patients.[5]
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