Shah Naveed, Hasina Quari, Sanjay Bhat, Tanveer H Banday, Shah Nawaz.
Gas-forming pyogenic liver abscess in an Immuno Competent young adult male.
Pak J Surg Jan ;29(1):77-81.

Gas-forming phogenic liver abscess (GPLA) is a rare condition associated with a high mortality rate. It is commonly associated with underlying immunosuppression like chronic kidney disease, diabetes mellitus, HIV infection etc. Gas formation occurs as a result of mixed acid fermentation within the abscess by formic hydrogenlyase, an enzyme produced by certain bacteria. Presentations can be nonspecific leading to a delay in diagnosis. Management includes urgent surgical drainage of the abscess under broad spectrum antibiotic coverage. We report a case of GPLA as a result of Klebsiella species in an immune competent individual.

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