A complicated case of Liv...

 A 45-year-old man with a history of chronic alcohol consumption presented to the emergency department with abdominal pain and high-grade fever for 10 days. The pain was initially located in the right upper quadrant but later became generalized. His past medical or surgical history was not contributory. He was thin and malnourished. On examination, the pulse rate was 80per minute, bloodpressure 100/60 mmHg,andrespiratoryrate 20 breaths per minute. The abdomen was distended and tense. There was generalized tenderness, most marked over the right upper quadrant, but muscle spasm was absent. Hematological investigations showed hemoglobin 80 g/L, total leukocyte count 15,500/μL with 91% neutrophils, platelet count 35,000/μL, and a low prothrombin index of 43%. Biochemistry revealed hyperbilirubinemia (total, 3.6 mg/dL, conjugated 3.3 mg/dL), elevated liver enzymes (alkaline phosphates 6080 U/L, aspartate transaminase 101 U/L, alanine transaminase 97 U/L), and deranged renal functions (urea 232 mg/dL, creatinine 2.75 mg/dL). Human immunodeficiency virus testing was negative, and the in-hospital blood glucose levels were normal. A contrast enhanced computed tomography of the abdomen revealed multiple liver abscesses of varying size (stars), including one showing air foci located in the liver segment VI. Q- Whats the diagnosis?