# An Unusual Presentation of Monofocal Methicillin-Resistant Staphylococcus aureus Hepatic Abscess in an Otherwise Healthy Man

## TL;DR

A healthy 43-year-old man developed a rare single MRSA liver abscess, treated with drainage and antibiotics.

## Contribution

Presents a rare case of monofocal MRSA hepatic abscess in an otherwise healthy individual.

## Key findings

- The patient had no evident risk factors for MRSA infection.
- US-guided drainage and antibiotics effectively treated the abscess.
- Literature review supports comprehensive management strategies for such cases.

## Abstract

A hepatic abscess is the collection of suppurative matter within the parenchyma of the liver. While most pyogenic liver abscesses (PLAs) are polymicrobial in nature, some rare cases are caused by methicillin-resistant Staphylococcus aureus (MRSA). We present a case of a 43 year-old male without evident exposures who presented with abdominal pain and via CT imaging was found to have monofocal MRSA hepatic abscess. An ultrasonography (US)-guided abscess drainage along with a pigtail catheter placement was performed along with antibiotic initiation. This article emphasizes the clinical manifestations of hepatic abscesses and employs literature reviews to offer a comprehensive approach to managing these patient populations.