 [ Symptoms ] does a baby always have a temperature with an ear infection [ Disease ] yes a baby can have an ear infection without a fever signs that might indicate an ear infection can include increased fussiness ear pulling not wanting to be placed in a horizontal position and drainage from the ear most commonly these symptoms can be seen toward the end of a head cold it is always great to check in with your doctor office when you have a concern    a traige nurse can often help you decide if you should come in to be checked out