Salmonella enterica serotype Typhi (S. typhi) is the causative agent of typhoid fever, an acute systemic infection that is common in developing countries, associated with low socioeconomic levels and poor sanitary conditions.1 Since the advent of antibiotics, S. typhi infection and its hepatic complications have become increasingly rare.2 We present a 3 year old boy with hepatic pyogenic abscess diagnosed and monitored by ultrasonography(USG). Male child presented with high grade fever and abdominal pain since 21 days and ultrasonography revealed liver abscess(5.4*3.9*4.5cm) with cholecystitis. Examination showed sick looking child with pallor and grade II PEM. Enlarged liver (span of 8 cm) with guarding and no gall bladder swelling was noted. Cardiac examination was normal and abdominal girth was maintained. USG abdomen revealed hypoechoic lesion with shaggy margins in the right lobe of the liver( 3.5*2.8*3.1cm). Widal titres were positive and haemogram showed leucocytosis. Child was initiated on parenteral cefoperazone and metronidazole for 3 weeks and showed improvement on repeat USG at the end of 3 weeks