causative organism, for decompressing large lesions, and when the patient is deteriorating despite antibiotic therapy.5 The duration of antibiotic treatment is to an extent empirical.In previous reports of brainstem abscesses treated with antibiotics, the treatment was usually continued for 6-8 weeks.In our case, antibiotics were continued for 10 months because of the coexistent cervical osteomyelitis.This case illustrates a devastating complication arising from endotrachracheal intubation and the possibility of conservative management in the management of medulla abscesses owing to the obvious risks of surgical intervention.