A 72-year-old man presented to the emergency department with a history of fever, general malaise, anorexia, and weight loss of 5-6 kilos over the last 3-4 months. He was diagnosed with diabetes mellitus before 7 years. He had no history of abdominal surgery or gastrointestinal intervention. On physical examination, his body temperature was 39.5°C and his abdomen was soft and non-tender. Abdominal ultrasonography revealed a heterogeneous hypoechoic lesion area measuring 90 × 50 mm in the right lobe of the liver. Abdominal computed tomography showed an irregular limited lesion (Figure 1). The patient had fever (39°C-40°C) 2-3 times a day with severe chills, after which cultures were performed and empiric ceftriaxone 2 g/day (IV) was initiated.
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