This report aims to present a rare case of Tuberculous Otitis Media (TBOM) in a pediatric patient. The impact of this case report is to give awareness that TBOM can mimic other chronic otitis media and to re- emphasize that this must be considered in the differential diagnosis of persistent suppurative ear discharges. Correctly diagnosing this entity can significantly reduce complication, mortality, time, and money. Despite being uncommon, tuberculous otitis media (TBOM) is nonetheless a serious disease. TBOM is a rare condition having 0.04% of total CSOM cases and if left untreated it can cause critical damage in the middle ear and its surrounding structures. This paper discusses the case of a 9-year-old male, from a coastal town in the Ilocos Norte who presented with a chronic bilateral ear discharge with otalgia, conductive hearing loss (CHL) and facial palsy (House-Brackmann IV). This study included elements of the clinical presentation, diagnostic considerations, and available treatment options. A strong suspicion should prompt the clinician in cases of chronic ear discharges who failed in the different treatment response. The clinical challenge is to correctly diagnose and detect the disease early because of its profound effects on treatment outcomes. After proper diagnosis, the initial management of TBOM should be medical and surgical intervention may be added to drug therapy in cases of complications.