1. Tuberculous otitis media is the second most frequent ENT disease of tuberculous origin. Most cases occur secondarily, when organisms are couhed into the nasopharynx from pulmonary lesions, or as the result of hematogenous spread. The clinical findings are profuse otorrhea, absence of pain, profound hearing loss, perforation of tympanic menbrane and paralysis of facial nerve. We have experienced one case of dissminated tuberculosis associated with tuberculous otitis media. The patient was a 5 year old boy and his chief complaints were pallor, generalized edema, and purulent otorrhea. We report a case of disseminated tuberculosis with brief review of literature.