Labyrinths are an acute inflammation of the membranous labyrinth. Paparella classifies them as Labyrinths Circumscription Paralaberintitis or affectation where there is the bony labyrinth and endosteum. The serous or sterile toxic or chemical irritation toxic of the inner ear with vertigo and hearing loss and suppurative or purulent bacterial infection where there is frank with deafness. Patient: 27 years old, male, occupation laborer. Consult for table for approximately 24 hours of evolution of the left ear pain that adds more otorragy vertigo, which decreased the otalgia. Developed nausea and vomiting on two occasions. On physical examination, it turns out the flag on the left ear normal external auditory canal with blood stains. Poster inferior tympanic membrane microperforations. It presents a complete blood count with 19,000 white blood cells and a neutrophilia of 86%. If one performs tomography heard where noted partial opacification of the left mastoid with trabecular net retained. Audiometry shows a sensorineural hearing loss deep left ear and the right side is normal. If antibiotic treatment carries with Ceftriaxone 4 g / day with torpid developments in the first 48 hours so that it adds vancomycin 2 g / day plus dexamethasone 24 mg / day and realized a myringotomy finding to large purulent discharge. With that subsequently presents good clinical laboratory. Very interesting case for....