Diabetes mellitus and Klebsiella pneumoniae liver abscess in adults.

Klebsiella pneumoniae hepatic abscess in five diabetic patients is reported. The recognition of a possible association between diabetes mellitus and pyogenic hepatic abscess, especially solitary ones, is highlighted. The clinical presentation including metastatic complications and the need for early diagnosis and institution of therapy are emphasized. Needle aspiration under ultrasonography is advocated and culture for anaerobes is stressed.