Tuberculosis can masquerade any disease. Tuberculous mastoiditis is a silent disease. We report a case of tubercular mastoiditis which presented as a post-auricular swelling with ear discharge, pain, tinnitus, and reduced hearing. Radiological findings were suggestive of abscess; however, the histopathological report showed evidence of tubercular foci. A high level of clinical suspicion is needed for early diagnosis and antitubercular therapy should be initiated early to prevent the possible complication.
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