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Otitis media with effusion (OME) and ear infections are connected in two ways: 1  After most ear infections have been treated, fluid (an effusion) remains in the middle ear for a few days or weeks.  When the Eustachian tube is partially blocked, fluid builds up in the middle ear.
1 If the fluid becomes superinfected (bacterial otitis), the fluid turns to pus, the eardrum bulges and pain increases. 2  Ear infections peak at age 6 months to 2 years. 3  They are a common problem until age 8.4  The onset of ear infections peak on day 3 of a cold. About 50% of children with an ear infection will have a fever. 2  Complication: In 5% to 10% of children, the pressure in the middle ear causes the eardrum to rupture and drain cloudy fluid or pus. 3  This small hole usually heals over in 2 or 3 days.