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 generalized abdominal pain. He is ill-appearing, and his physical exam is notable for a temperature of 101°F (38.3°C) 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 nonspecific 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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