Klebsiella pneumoniae Epidural Abscess Presenting as Tubercular Spondylodiscitis: A Diagnostic Pitfall in a Diabetic Patient From Nepal

Klebsiella pneumoniae spinal epidural abscess is rare and can mimic tuberculous spondylodiscitis in endemic regions. We report a diabetic patient with pulmonary tuberculosis presenting with lumbar spondylodiscitis and epidural abscess. CT-guided biopsy identified Klebsiella pneumoniae, with no evidence of tuberculosis. Ceftriaxone led to recovery, highlighting the importance of tissue-based diagnosis.