Tuberculosis remains as a major health problem in the developing nations such as the Philippines. It is a great mimicker causing clinicians difficulty and confusion in the diagnosis of acute and chronic ear infections. Tuberculosis is a rare cause of chronic suppurative otitis media leading to a delay in the diagnosis.1 This case report presents a 13-year-old, male, with a four-month history of chronic ear discharge initially managed as a case of chronic suppurative otitis media. The patient was eventually managed surgically and was started on Anti-Koch’s regimen which eventually afforded improvement of symptoms. The purpose of this report is to help enlighten physicians on other possible clinical manifestation of tuberculous otitis media. Keywords: Tuberculous Otitis Media, Luc’s Abscess, Subperiosteal abscess