When your baby is uncomfortable, it can be difficult to understand what is wrong. Babies cannot explain where they hurt, so parents often look for familiar signs such as crying, fussiness, poor sleep, or fever. But does an ear infection always cause a fever? No. A baby can have an ear infection without a fever. While fever can occur with an ear infection, it is not required. Some babies may experience ear pain, pressure, feeding difficulties, or changes in sleep and behavior without developing an elevated temperature. Knowing the signs of a baby ear infection without fever can help parents recognize when their child may need medical attention. This guide explains what symptoms to watch for, what else can cause ear discomfort, and when you should contact a pediatrician. Can Babies Have an Ear Infection Without a Fever? Yes. Babies can develop an ear infection without having a fever. Fever is one possible symptom of infection, but not every child develops one. Some babies may have relatively mild symptoms, while others may experience noticeable pain or behavioral changes.