Abstract
Introduction Pyogenic liver abscess (PLA) is a rare clinical entity, occurring in ∼2.3 per 100,000
patients. Perinatal PLA syndromes are exceedingly rare with just seven previously
described cases in the literature and no prior Klebsiella-associated reports.
Case A 29-year-old gravida 2 para 1 woman at 11 weeks gestation reporting fever, body
aches, and headache. Search for an infectious source identified a 4-cm liver abscess.
Percutaneous drainage confirmed Klebsiella pneumoniae infection. The patient was treated with antibiotics until imaging verified complete
resolution of the abscess.
Conclusion PLA is an uncommon etiology of sepsis in pregnancy. A thorough workup until a source
was identified resulted in accurate diagnosis. This allowed for directed therapy and
prompt recovery, undoubtedly contributing to favorable pregnancy outcomes in this
first report of Klebsiella-associated perinatal PLA.
Keywords
pyogenic liver abscess - liver abscess - pregnancy - sepsis - perinatal infection
