Viral-Bacterial Synergistic Interaction in the Pathogenesis of Otitis Media in Aboriginal Children

The mechanisms involved in development of acute and subsequently chronic otitis media (OM) are still largely unknown. However, increasing epidemiological and virological- microbiological evidence suggest that respiratory viruses play an important pathogenetic role in acute OM, and may be involved, directly or indirectly in at least some cases of chronic OM (1, 2, 23, 51).

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Microbiology of Otitis Media in Aboriginal Australians
The Significance of Prelingual Conductive Hearing Loss for Auditory and Linguistic Development of Aboriginal Infants