Pneumococcal otitis media can impair cognitive development. – VoICE
Key Concept

Key Evidence: A study analyzing the long-term consequences of middle ear disease in children in an urban health center and a private practice in the United States found that time spent with middle ear effusion during the first 3 years of life was significantly associated with lower school performance and lower scores in cognitive ability, speech, and language.

Teele, D.W, Klein, J.O., Chase, C., et al 1990. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. Journal of Infectious Diseases. 162(3).
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