A 48-year-old Samoan man presented to Tupua Tamasese Hospital in Apia, Samoa, with a 3-day history of abdominal pain and fever. Abdominal ultrasonography showed a liver abscess measuring cm. Despite surgical drainage and ther-7 ϫ 8 apy with intravenous amoxycillin and clavulanic acid, high intermittent fevers persisted. An a-hemolytic streptococcus was isolated from the surgical specimens. The ...