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It is strictly a commensal species of the nasopharynx.
en.wikipedia.org
There is very little lymphoid tissue in the nasopharynx of young babies; humans are born without substantial adenoids.
en.wikipedia.org
The eustachian tubes, which connect the middle ear to the pharynx, open into the nasopharynx.
en.wikipedia.org
Some viral replication of an echovirus occurs in the nasopharynx after infection and then spreads to regional lymph nodes.
en.wikipedia.org
It exists as normal flora (nonpathogenic) in the nasopharynx of up to 515% of adults.
en.wikipedia.org
By reflux or aspiration of unwanted secretions from the nasopharynx into the normally sterile middle-ear space, the fluid may then become infected - usually with bacteria.
en.wikipedia.org

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