31st July 2023

A 45-year-old woman who recently immigrated from Taiwan presents to A&E with fever

A 45-year-old woman who recently immigrated from Taiwan presents to A&E with fever and abdominal pain. On examination, there is prominent scleral icterus, and severe epigastric and RUQ pain with associated rebound tenderness. An enlarged liver is able to be palpated. Bloods show a massive leukocytosis and elevated ALP. Ultrasound demonstrates a liver abscess measuring 4.5 cm.

What is the definitive management of this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.