AI Article Synopsis
- Clival osteomyelitis is a rare skull base infection mainly seen in older diabetics, often resulting from ear or sinus infections, and is characterized by symptoms like severe ear pain, fever, and nasal discharge.* -
- Diagnosis involves reviewing the patient’s history, physical exams, radiographic imaging, and identifying the causative pathogens, while treatment typically requires prolonged intravenous antibiotics and possibly surgery for severe cases.* -
- A case study of a 20-year-old girl highlighted the importance of early detection; she underwent successful transnasal drainage of a clival abscess caused by Streptococcus intermedius, followed by a smooth recovery with antibiotics.*
Article Abstract
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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335692 | PMC |
| http://dx.doi.org/10.7759/cureus.65055 | DOI Listing |
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Article Synopsis
- Clival osteomyelitis is a rare skull base infection mainly seen in older diabetics, often resulting from ear or sinus infections, and is characterized by symptoms like severe ear pain, fever, and nasal discharge.* -
- Diagnosis involves reviewing the patient’s history, physical exams, radiographic imaging, and identifying the causative pathogens, while treatment typically requires prolonged intravenous antibiotics and possibly surgery for severe cases.* -
- A case study of a 20-year-old girl highlighted the importance of early detection; she underwent successful transnasal drainage of a clival abscess caused by Streptococcus intermedius, followed by a smooth recovery with antibiotics.*
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