Tuberculosis rarely affects the middle ear cleft; therefore, except fo
r those working in close association with respiratory physicians, the
disease is a curiosity and not often considered in the differential di
agnosis of otorrhea. The diagnosis is thus made too late, with resulti
ng complications such as irreversible hearing loss and facial nerve pa
ralysis. A case report and review of the literature are presented, emp
hasizing that tuberculosis should be considered in the differential di
agnosis of chronic ear infection.