This is a case report of otogenic tetanus in a 6 year female with history of incomplete immunization, who presented with history of fever, trismus, difficulty in swallowing and breathing, non-foul smelling discharge from left ear, neck stiffness and single episode of convulsion. Gram staining and Culture of ear discharge sample diagnosed it to be Clostridium tetani infection. Patient was successfully treated with Antitetanus serum and Tetanus toxoid along with supportive management. After 5 weeks patient was discharged.