# Liver abscess as a complication of acute Lyme disease: a case report

## TL;DR

A patient with acute Lyme disease developed a liver abscess, which resolved with antibiotic treatment.

## Contribution

This case report highlights liver abscess as a rare complication of acute Lyme disease.

## Key findings

- A liver abscess was detected in a patient with acute Lyme disease.
- The abscess resolved with antibiotic treatment for Lyme disease.
- No other cause for the abscess was identified.

## Abstract

This is a report of a patient who presented with acute Lyme disease and was found to have a liver abscess as part of evaluation of abnormal liver test abnormalities. He had had a prior ultrasound 8 months previously as part of evaluation for a potential abdominal aneurysm and no abscess had been noted at that time. No other cause for the abscess was found, and the abscess resolved with coincident antibiotic treatment for his Lyme disease.