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24 Cards in this Set

  • Front
  • Back

characteristics of the genera

gpc in chains that tend to elongate


colonial morphology: small, round, smooth, shiny, more translucent and not as white as Staph


fastidious, facultative anaerobes


catalase -


antigenic structure

C carbohydrate in cell wall, Lancefield typing (Group Strep A-V), viridans don't have this


M protein to help evade immune system and phagocytosis, related to virulence

Gamma isolates

Streptococcus viridans group


Enterococcus


Streptococcus Group D Non-Enterococcus

Streptococcus viridians group

BE -


Normal flora: mouth and vagina


causes: Subacute bacterial endocarditis (SBE) from dental procedures


fever, malaise, fatigue, weight loss, mild pain, anemia, petechiae, Janeway lesions, Roth spots, heart murmur

treatment of Streptococcus viridans group

Penicillin

Enterococcus

BE +


6.5 % NaCl +


Normal Flora: intestine


Diseases: Bacteremia and Edocarditis


Wound Infections


UTI (what they mostly cause)

treatment of Enterococcus

B-Lactamase -: Ampicillin


B-Lactamase +: Vancomycin

Streptococcus Group D Non-Enterococcus


Streptococcus bovis


BE +


6.5 % NaCl -


Rare in humans


Endocarditis

treatment of Streptococcis Group D Non-Enterococcus

Penicillin

Alpha Isolates

Streptococcus pneumonia


Streptococcus viridans group

Streptococcus pneumonia

BE -


6.5 % NaCl -


Optichin +


Lancet-shaped gpdc with large capsules


mucoid colony: flattens with age, looks like checker


normal flora: oral cavity in small numbers


Streptococcus pneumonia diseases and prevention

Lobar pneumonia


Meningitis


Otitis media


Bacteremia


vaccine

Streptococcus pneumonia treatment

Penicillin


Ciprofloxacin


Vancomycin

Streptococcus viridans group

BE -


Optochin _


Alpha form most common


S. mutans and S. sanguis: associated with dental carries

Beta isolates

Group D Enterococus


Streptococcus Group A


Streptococcus Group B


Beta-Hemolytic Streptococci Not Group A, B, D


others

Group D Enterococcus

very rare


BE +

Streptococcus Group A

Streptococcus pyogenes


normal flora: oral cavity in small numbers


extracellular products: streptokinase, streptodornase, hyaluronidase, erythrogenic toxin, hemolysins

Streptococcus Group A diseases

Strep throat


Scarlet Fever


Erysipelas, cellulitis


Impetigo


Wound Infections


Pyogenic Strep A infections: necrotizing fasciitis, toxic shock- like syndrome


post-steptococcal diseases (sequelae): acute glonerulonephritis, Rheumatic fever

Streptococcus Group A agar and Treatment

SXT agar: isolates Strep A really well


Penicillin


Erythromycin

Streptococcus Group B

Streptococcus agalactiae


normal flora: oral cavity, may colonize vagina


Streptococcus Group B infections in Neonates

test as soon as you know are pregnant and closer to birth


high mortality rates


meningitis and sepsis


respiratory distress syndrome (RDS)

Streptococcus Group B treatment

Penicillin

Beta-Hemolytic Streptococci Not Group A, B, D

in oral cavity


Group C most common, then F then G


Treatment: penicillin


may cause infections similar to Group A

other related Catalase Negative, GPC

Leuconostoc: similar morphologically and biochemically to Enterococcus, opportunist, intrinsic resistance to vancomycin


Aerococcus


Gemella


Pediococcus


Lactococcus


Nutritionally variant streps: Abiotrophia, Granulicatella