斜坡骨髓炎是一种罕见的颅底感染，主要影响老年糖尿病患者，通常由恶性外耳炎或鼻旁窦感染引起。表现为严重耳痛、发热、听觉胀痛、脓性耳漏。临床病史、体格检查、测试数据、放射线检查结果和病原体鉴定都有助于诊断。治疗包括延长静脉注射广谱抗生素，严重病例需要手术清创。 现报道一例20岁女孩，双耳流脓，鼻塞，流脓性鼻涕，颈部隐痛，久而久之加重。 MRI 显示斜坡和右寰枕关节存在骨髓炎。使用内窥镜技术经鼻引流斜坡脓肿。微生物测试显示中间链球菌。术后恢复顺利，并延长了抗生素治疗。早期识别和治疗对于防止严重后果至关重要，如本例所示，手术和抗生素护理可改善患者的治疗效果。版权所有 © 2024，Shinde 等人。

Clival osteomyelitis is an uncommon skull base infection that mostly affects elderly diabetics and is frequently caused by malignant otitis externa or paranasal sinus infections. It manifests as severe otalgia, fever, auditory fullness, and purulent otorrhea. Clinical history, physical examination, test data, radiographic findings, and pathogen identification all contribute to a diagnosis. Treatment consists of extended intravenous broad-spectrum antibiotics, with severe cases necessitating surgical debridement. We present a case of a 20-year-old girl with bilateral ear discharge, nasal blockage, and purulent rhinorrhea, as well as a dull neck ache increased by extension. An MRI revealed osteomyelitis in the clivus and right atlanto-occipital joint. The clival abscess was drained transnasally using endoscopic techniques. Microbiological tests revealed Streptococcus intermedius. The post-operative recovery was uneventful, with extended antibiotic therapy. Early identification and treatment are critical for preventing serious consequences, as illustrated in this case, where surgical and antibiotic care improves patient outcomes.Copyright © 2024, Shinde et al.