Bacteremia as a Rare Presentation of Polymicrobial Pyogenic Liver Abscesses and Its Management Challenges.

Extracolonic manifestations of have been rarely reported. We herein report a case of a 60-year-old immunocompetent man presenting with fever, nausea, abdominal pain, and loose stools for 2 weeks. Triple-phase liver computed tomography demonstrated pyogenic liver abscesses and portal pylephlebitis. Blood cultures grew and , and liver abscess cultures grew , , and the viridans group . Antibiotics coverage was selected to direct at all identified organisms. This demonstrates an unusual case of bacteremia in a patient with polymicrobial pyogenic liver abscesses and pylephlebitis.