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We present the case of a patient, with previously unknown liver metastases, presenting with a liver abscess and  Clostridium septicum  septicaemia.  C. septicum  is known to be associated with both malignancy and immunosuppression and therefore in patients where this organism is isolated, efforts must be made to exclude an occult underlying malignancy or haematological disorder.

A reminder of the association between Clostridium septicumand colonic adenocarcinoma