A 74-year-old male was admitted to our intensive care unit (ICU) with high fever and shock. His medical history included poorly controlled blood sugar which led to the long-term complications of diabetes, including liver abscess for one year (Figure 1A,B,C,D). Chest computerized tomography (CT) scan, bronchoalveolar lavage (BAL), CT-guided percutaneous catheter drainage (CTPCD) and blood sample culture were performed to detect the pathogenic microorganisms.