The most common clinical manifestations of a primary liver abscess include fever, right upper quadrant tenderness, nausea, vomiting, diarrhea, leukocytosis, and elevated alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and bilirubin.7 Approximately 13% of patients with a primary liver abscess develop metastatic infections, with the most common manifestations being endophthalmitis, meningitis, and cerebral abscess.5,7,9,12Klebsiella pneumoniae is the most common bacterial isolate to cause metastatic infections.9 Here, GPT is linked to meningitis.