Objective: The tuberculous otitis media is a rare extra-pulmonary localization. The new clinical pattern of tuberculosis should be recognized by clinicians. Methods: The author analyzed 12 clinical documentations of TOM (including 9 recent documentations), without any evident pulmonary involvement. Results: The prevalence of TOM in female et male was 10/2. Epidemiologic findings (professional contact, hospitalization history or contact with TB patients) may contribute to the elevated risk. The diagnosis is difficult in the number of cases of primary ear tuberculosis without any evident pulmonary involvement. The modification of otoscopic aspects is similary to other forms of OM. Conclusion: The clinical presentations of TOM today can be acute or sub-acute or chronic. Histological examination should be performed with all otitis media with high index of suspicion.
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