Actinomycosis is a granulomatous infection which is most common in the cervicofacial region. It is very rare in middle ear and mastoid. Actinomycosis should be considered as one of the differential diagnosis of chronic otitis media, although it is rare. The diagnosis is often made at histopathological examination only. Surgical debridement and prolonged course of antibiotics (penicillin) is the treatment of choice in middle ear actinomycosis. Early diagnosis and prompt treatment make the prognosis good. Here we report a case of a 9 year old girl who presented with recurrent otorrhea, initially suspected as a case of chronic otitis media squamous disease, finally diagnosed to have actinomycosis.