Tuberculosis otitis media

Tuberculosis otitis media is relatively rare and often masquerade as other common otological conditions resulting in delay of diagnosis and complications of disease. It is usually characterised by painless chronic ear discharge with multiple tympanic membrane perforation and presence of abundant granula- tion tissues in the middle ear on examination. We report the case of a 66-year-old man who presented with symptoms of acute otitis media secondary to tuberculosis.