Otogenic tetanus though immunisable but still existing Seema Ramlakhan Gupta, Sanket Deepak Vakharia Indian Journal of Otology 2019 25(1):37-39 Otogenic tetanus is an uncommon entity which may follow ear suppuration or ear injury. Straightforward diagnosis may not be possible if the otolaryngologist is not familiar with the entity. Delay in diagnosis may lead to serious consequences. The global incidence of tetanus is still estimated at about one million cases annually with a high case fatality ratio. These patients initially present with discharging ears; therefore, this case report is intended to increase awareness among otolaryngologists who would be the first to diagnose and initiate appropriate management. In spite of simple preventive measures available through immunization, tetanus remains a major cause of mortality in some developing countries such as India.