“…The introduction of unpasteurized goat's or cow's milk is now a risk factor in infants as in our case [5] . According to the literature, a considerable delay before diagnosis is often reported ranging from 12 months to several years due to the rarity of this infection [6] . Concerning the clinical picture, a triad was mentioned associating persistent otorrhea despite antibiotic treatment, facial paralysis which can alone evoke the tubercular origin, and multiple tympanic perforation [6] .…”