Viridans group streptococci: Difference between revisions

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== Microbiology ==
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== Background ==
   
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=== Microbiology ===
 
* Gram-positive cocci
 
* Gram-positive cocci
 
* Commensal oral flora
 
* Commensal oral flora
   
== Organisms ==
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=== Species ===
 
* [[Streptococcus anginosus group|''Streptococcus anginosus'' group]] (previously milleri group): most likely to cause invasive pyogenic infections similar to ''[[Staphylococcus aureus]]''
 
* [[Streptococcus anginosus group|''Streptococcus anginosus'' group]] (previously milleri group): most likely to cause invasive pyogenic infections similar to ''[[Staphylococcus aureus]]''
 
** ''[[Streptococcus anginosus]]''
 
** ''[[Streptococcus anginosus]]''
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* [[Streptococcus mutans group|''Streptococcus mutans'' group]]
 
* [[Streptococcus mutans group|''Streptococcus mutans'' group]]
 
** ''[[Streptococcus mutans]]''
 
** ''[[Streptococcus mutans]]''
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== Management ==
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* Penicillin non-susceptibility varies by species
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** ''S. salivarius'' group is 80% non-susceptible (in Korea<ref>Chun S, Huh HJ, Lee NY. Species-specific difference in antimicrobial susceptibility among viridans group streptococci. Ann Lab Med. 2015 Mar;35(2):205-11. doi: [https://doi.org/10.3343/alm.2015.35.2.205 10.3343/alm.2015.35.2.205]. Epub 2015 Feb 12. PMID: 25729722; PMCID: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4330170/ PMC4330170].</ref>)
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** ''S. mitis'' group is 60%
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** ''S. sanguinis'' group is 40%
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** ''S. anginosus'' group is 6%
   
 
== Further Reading ==
 
== Further Reading ==

Latest revision as of 17:16, 19 September 2022

Background

Microbiology

  • Gram-positive cocci
  • Commensal oral flora

Species

Management

  • Penicillin non-susceptibility varies by species
    • S. salivarius group is 80% non-susceptible (in Korea[1])
    • S. mitis group is 60%
    • S. sanguinis group is 40%
    • S. anginosus group is 6%

Further Reading

  • It’s Not Easy Being Green: the Viridans Group Streptococci, with a Focus on Pediatric Clinical Manifestations. J Clin Microbiol. 2010;48(11):3829-3835. DOI: 10.1128/JCM.01563-10
  1. Chun S, Huh HJ, Lee NY. Species-specific difference in antimicrobial susceptibility among viridans group streptococci. Ann Lab Med. 2015 Mar;35(2):205-11. doi: 10.3343/alm.2015.35.2.205. Epub 2015 Feb 12. PMID: 25729722; PMCID: PMC4330170.