Klebsiella-Related Paraspinal Abscess: A Rare Cause of Sepsis-Associated Cholestasis

Vertebral osteomyelitis with or without paraspinal abscess is a rare clinical condition, accounting for only 1-7% of all bone infections. Its incidence is rising especially in the elderly population with chronic debilitating diseases such as diabetes mellitus (DM). It has been known for many years that patients with non-hepatic infections can develop cholestasis. Therefore, we present a case of cholestasis that was caused by klebsiella-related paraspinal abscess as a rare nonhepatic infection caused by an atypical organism causing an atypical presentation in uncontrolled diabetic female.