Coexisting Pyogenic and Tuberculous Liver Abscess in Uncontrolled Diabetes: A Diagnostic Challenge.

Hepatic tuberculosis can mimic pyogenic liver abscess, particularly in patients with uncontrolled diabetes. Persistent or atypical hepatic lesions unresponsive to antibiotics should prompt tissue diagnosis using histopathology and molecular assays like GeneXpert to ensure timely diagnosis and appropriate management.