Klebsiella pneumoniae liver abscess (KLA) is an emerging infectious liver disease in developed countries such as the United States. This is particularly common in the East Asians living in the United States who has other comorbid medical problems, especially diabetes mellitus. Metastatic infections involving non-contiguous areas originating from Klebsiella pneumoniae liver abscess have been documented as being the causal source for endophthalmitis, brain abscess, lung abscess, psoas abscess, splenic abscess and septic arthritis. The incidence of metastatic infection in the setting of KLA is higher than in liver abscesses of any other bacterial origin. Klebsiella pneumoniae liver abscess (KLA) is an emerging infectious liver disease in developed countries such as the United States. This is particularly common in the East Asians living in the United States who has other comorbid medical problems, especially diabetes mellitus. Although cases with Klebsiella pneumonia liver abscess causing endophthalmitis, brain abscess, lung abscess and psoas abscess have been documented, spreading to the face and causing nasal abscess is possible as described above. This case illustrates the importance of looking for an underlying liver abscess in patients coming in with nasal abscess, skin and soft tissue infection positive for Klebsiella pneumoniae . Even though skin and soft tissue infections are common in diabetics, Klebsiella pneumonia skin infections which are not responding to treatment should prompt work up of underlying liver abscess in people of East Asian origin.