Otitis media with effusion (OME) is a common condition that can cause deafn
ess as well as speech and behavioural disturbance. It has long been conside
red to be a noninfective process resulting from Eustachian tube dysfunction
; however, molecular biological techniques have implicated bacteria in the
aetiology of this condition. One such organism is Alloiococcus otitidis, wh
ich has been detected in middle ear fluid of patients with OME which has no
t yielded micro-organisms with conventional microbiological culture methods
. The exact role of this infectious agent in the pathogenesis of otitis med
ia has yet to be elucidated.