encephalopathy due to tubercular otitis media middle ear infection due to mycobacterium tuberculosis has been reduced from 35 to 00509 in the last century due to advent of effective antituberculosis therapy on the other side this decrease in frequency of tuberculous otitis media along with indistinguishable signs and symptoms of frequently occurring nontuberculous otitis media makes clinicians vulnerable to delayed or misdiagnosis of the disease a case of tubercular otitis media with atypical clinical manifestations in the form of encephalopathy is presented treatment of patients with thermal lesions with ointments on watersoluble base treatment of patients with thermal burns by ointments prepared on a watersoluble base dioxidine and dioxicol makes it possible to reduce the bacterial dissemination within a short time and prepare the wound for autodermoplasty which in turn reduces the danger of the development of infectious complications in addition to a marked antimicrobial effect the ointment possess high hydrophobic and hydrophilic properties and do not induce allergic reactions and side effects