Pyogenic Liver Abscess, Brain Abscess, and Culture Negative Infective Endocarditis: A Diagnostic Challenge in a Multimorbid Patient
Abstract
We present the case of a 71-year-old male who developed pyogenic liver abscesses, multiple brain abscesses, and suspected culture negative infective endocarditis (IE). This case highlights the diagnostic complexity and therapeutic challenges encountered in the management of disseminated infections in a patient with significant comorbidities. It underscores the importance of maintaining a high clinical suspicion for IE despite negative blood cultures and inconclusive echocardiographic findings. The case is used to explore key diagnostic reasoning, antimicrobial choices, and learning points relevant to trainees.
Keywords
Infective Endocarditis, Pyogenic Liver Abscess, Brain Abscess, Culture-Negative, Sepsis, Ventriculitis, Antibiotic Therapy.
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