Streptococcus anginosus group - Revision history

Aidan: Text replacement - "[[Cellular shape::" to "[[Shape::"

2020-10-13T18:25:46Z

Text replacement - "[[Cellular shape::" to "[[Shape::"

← Older revision		Revision as of 18:25, 13 October 2020
Line 3:		Line 3:
	===Microbiology===		===Microbiology===

	*Catalase [[Catalase::negative]], variably hemolytic [[Stain::Gram-positive]] [[~~Cellular shape~~::coccus\|cocci]] within the [[viridans group streptococci]]		*Catalase [[Catalase::negative]], variably hemolytic [[Stain::Gram-positive]] [[Shape::coccus\|cocci]] within the [[viridans group streptococci]]
	*Contains ''Streptococcus anginosus'', ''Streptococcus constellatus'', and ''Streptococcus intermedius''		*Contains ''Streptococcus anginosus'', ''Streptococcus constellatus'', and ''Streptococcus intermedius''
	**''S. anginosus'' has two subspecies: ''S. anginosus'' subsp. ''anginosus'' and ''S. anginosus'' subsp. ''whileyi''		**''S. anginosus'' has two subspecies: ''S. anginosus'' subsp. ''anginosus'' and ''S. anginosus'' subsp. ''whileyi''

Aidan: /* Investigations */

2020-09-13T22:37:18Z

Investigations

← Older revision		Revision as of 22:37, 13 September 2020
Line 1:		Line 1:
	== Background ==		==Background==

	=== Microbiology ===		===Microbiology===

	*Catalase [[Catalase::negative]], variably hemolytic [[Stain::Gram-positive]] [[Cellular shape::coccus\|cocci]] within the [[viridans group streptococci]]		*Catalase [[Catalase::negative]], variably hemolytic [[Stain::Gram-positive]] [[Cellular shape::coccus\|cocci]] within the [[viridans group streptococci]]
Line 14:		Line 14:
	**Failure to ferment sorbitol		**Failure to ferment sorbitol

	== Clinical Manifestations ==		==Clinical Manifestations==

	* Tendency to form [[Abscess\|abscesses]], unlike other [[streptococci]], which can be polymicrobial with [[anaerobes]] and [[Enterobacterales]]		*Tendency to form [[Abscess\|abscesses]], unlike other [[streptococci]], which can be polymicrobial with [[anaerobes]] and [[Enterobacterales]]
	* Infections can range in severity, and include [[pharyngitis]], [[dental abscess]], [[skin and soft tissue infection]], [[pneumonia]], [[empyema]], [[lung abscess]], [[brain abscess]], [[liver abscess]], and [[kidney abscess]]		*Infections can range in severity, and include [[pharyngitis]], [[dental abscess]], [[skin and soft tissue infection]], [[pneumonia]], [[empyema]], [[lung abscess]], [[brain abscess]], [[liver abscess]], and [[kidney abscess]]

	== Investigations ==		==Investigations==

	* Presence of bacteremia without focus should prompt investigations to identify an occult abscess		*Presence of bacteremia without focus should prompt investigations to identify an occult abscess
			*The [[HANDOC score]] can assess need for [[echocardiography]]

	== Management ==		==Management==

	*Typically treated with [[Is treated by::ceftriaxone]] or other third-generation [[Cephalosporins\|cephalosporin]] pending susceptibilities		*Typically treated with [[Is treated by::ceftriaxone]] or other third-generation [[Cephalosporins\|cephalosporin]] pending susceptibilities
		⚫	*If found in an abscess, should be considered polymicrobial and treated with concomitant [[metronidazole]]
	*20-30% clindamycin resistance
			*Clindamycin resistance is high, approximately 20-30%
⚫	*If found in an abscess, should be considered polymicrobial and treated with

	{{DISPLAYTITLE:''Streptococcus anginosus'' group}}		{{DISPLAYTITLE:''Streptococcus anginosus'' group}}

Aidan at 22:33, 13 September 2020

2020-09-13T22:33:24Z

← Older revision		Revision as of 22:33, 13 September 2020
Line 1:		Line 1:
			== Background ==
⚫	* Contains ''S. anginosus'', ''S. constellatus'', and ''S. intermedius''

⚫	* Have a buttered popcorn smell on plate
			=== Microbiology ===
⚫	* 20-30% clindamycin resistance

			*Catalase [[Catalase::negative]], variably hemolytic [[Stain::Gram-positive]] [[Cellular shape::coccus\|cocci]] within the [[viridans group streptococci]]
		⚫	*Contains ''Streptococcus anginosus'', ''Streptococcus constellatus'', and ''Streptococcus intermedius''
			**''S. anginosus'' has two subspecies: ''S. anginosus'' subsp. ''anginosus'' and ''S. anginosus'' subsp. ''whileyi''
			**''S. constellatus'' has three subspecies: ''S. constellatus'' subsp. ''constellatus'', ''S. constellatus'' subsp. ''pharyngis'', and ''S. constellatus'' subsp. ''viborgensis''
		⚫	*Have a buttered popcorn smell on plate
			*Normal flora of oral cavity, throat, stool, and vagina
			*Identified using three rapid tests:
			**Voges-Proskaur (VP) test for acetoin production
			**Arginine hydrolysis
			**Failure to ferment sorbitol

			== Clinical Manifestations ==

			* Tendency to form [[Abscess\|abscesses]], unlike other [[streptococci]], which can be polymicrobial with [[anaerobes]] and [[Enterobacterales]]
			* Infections can range in severity, and include [[pharyngitis]], [[dental abscess]], [[skin and soft tissue infection]], [[pneumonia]], [[empyema]], [[lung abscess]], [[brain abscess]], [[liver abscess]], and [[kidney abscess]]

			== Investigations ==

			* Presence of bacteremia without focus should prompt investigations to identify an occult abscess

			== Management ==

			*Typically treated with [[Is treated by::ceftriaxone]] or other third-generation [[Cephalosporins\|cephalosporin]] pending susceptibilities
		⚫	*20-30% clindamycin resistance
			*If found in an abscess, should be considered polymicrobial and treated with

	{{DISPLAYTITLE:''Streptococcus anginosus'' group}}		{{DISPLAYTITLE:''Streptococcus anginosus'' group}}

Aidan at 19:47, 13 August 2019

2019-08-13T19:47:33Z

← Older revision		Revision as of 19:47, 13 August 2019
Line 3:		Line 3:
	* 20-30% clindamycin resistance		* 20-30% clindamycin resistance

			{{DISPLAYTITLE:''Streptococcus anginosus'' group}}
	[[Category:Gram-positive cocci]]		[[Category:Gram-positive cocci]]

Aidan at 11:18, 13 August 2019

2019-08-13T11:18:24Z

← Older revision		Revision as of 11:18, 13 August 2019
Line 3:		Line 3:
	* 20-30% clindamycin resistance		* 20-30% clindamycin resistance

	[[Category:Gram-positive ~~bacteria~~]]		[[Category:Gram-positive cocci]]

Aidan at 11:18, 13 August 2019

2019-08-13T11:18:15Z

← Older revision		Revision as of 11:18, 13 August 2019
Line 2:		Line 2:
	* Have a buttered popcorn smell on plate		* Have a buttered popcorn smell on plate
	* 20-30% clindamycin resistance		* 20-30% clindamycin resistance

			[[Category:Gram-positive bacteria]]

Aidan: /* Streptococcus anginosus group */

2019-08-13T11:18:02Z

Streptococcus anginosus group

← Older revision		Revision as of 11:18, 13 August 2019
Line 1:		Line 1:
	= ''Streptococcus anginosus'' group =

	* Contains ''S. anginosus'', ''S. constellatus'', and ''S. intermedius''		* Contains ''S. anginosus'', ''S. constellatus'', and ''S. intermedius''
	* Have a buttered popcorn smell on plate		* Have a buttered popcorn smell on plate

Aidan: Aidan moved page ''Streptococcus anginosus'' group to Streptococcus anginosus group without leaving a redirect

2019-08-13T11:17:50Z

Aidan moved page ''Streptococcus anginosus'' group to Streptococcus anginosus group without leaving a redirect

← Older revision	Revision as of 11:17, 13 August 2019
(No difference)

Aidan: Aidan moved page Streptococcus Streptococcus anginosus group to ''Streptococcus anginosus'' group without leaving a redirect

2019-08-13T11:17:40Z

Aidan moved page Streptococcus Streptococcus anginosus group to ''Streptococcus anginosus'' group without leaving a redirect

← Older revision	Revision as of 11:17, 13 August 2019
(No difference)

Maintenance script: Imported from text file

2019-08-11T18:06:00Z

Imported from text file

New page

= ''Streptococcus anginosus'' group =

* Contains ''S. anginosus'', ''S. constellatus'', and ''S. intermedius''
* Have a buttered popcorn smell on plate
* 20-30% clindamycin resistance