A 12-year-old boy with fever and blue ears.

Typhoid fever is endemic in tropical countries including India. In fact, waterborne diseases account for over 80% admissions in the hospital. As compared to adult patients, children with typhoid fever are less prone to get complications. The common complications of typhoid fever in children include circulatory collapse, encephalopathy, hepatitis, gastrointestinal hemorrhage and carrier state. In this communication we report an extremely rare complication of gangrene of both ears in a 10-year old boy with typhoid fever.