Streptococcus anginosus group

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Streptococcus milleri
Streptococcus anginosus.tif
Cultures of Streptococcus anginosus on blood agar
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The Streptococcus anginosus group (SAG), also known as the anginosus group streptococci (AGS) or the milleri group streptococci (MGS), are a group of several species of streptococci with clinical similarities. The group is named after a principal member species, Streptococcus anginosus . The older name Streptococcus milleri (as well as Streptococcus milleri group, SMG) is now pseudotaxonomic, as the idea that these streptococci constituted a single species was incorrect. The anginosus group streptococci are members of the viridans streptococci group. [1] They have been implicated as etiologic agents in a variety of serious purulent infections, but because of their heterogeneous characteristics, these organisms may be unrecognized or misidentified by clinical laboratorians. [2] The unique characteristic of them from other pathogenic streptococci, such as S. pyogenes and S. agalactiae, is their ability to cause abscesses. [3] [4]

Contents

Species

Members include: [2]

Nomenclature

These nonhemolytic viridans streptococci were first described by Guthof in 1956 after he isolated them from dental abscesses. He named these organisms Streptococcus milleri in honor of the microbiologist W. D. Miller. [5] [6]

Occurrence

The organisms were subsequently recognized as normal flora of the human oral cavity and gastrointestinal tract with the ability to cause abscesses and systemic infections. [7]

Related Research Articles

Brain abscess

Brain abscess is an abscess caused by inflammation and collection of infected material, coming from local or remote infectious sources, within the brain tissue. The infection may also be introduced through a skull fracture following a head trauma or surgical procedures. Brain abscess is usually associated with congenital heart disease in young children. It may occur at any age but is most frequent in the third decade of life.

<i>Streptococcus</i>

Streptococcus is a genus of gram-positive coccus or spherical bacteria that belongs to the family Streptococcaceae, within the order Lactobacillales, in the phylum Firmicutes. Cell division in streptococci occurs along a single axis, so as they grow, they tend to form pairs or chains that may appear bent or twisted.

Infective endocarditis

Infective endocarditis is an infection of the inner surface of the heart, usually the valves. Symptoms may include fever, small areas of bleeding into the skin, heart murmur, feeling tired, and low red blood cell count. Complications may include backward blood flow in the heart, the heart struggling to pump a sufficient amount of blood to meet the body's needs, abnormal electrical conduction in the heart, stroke, and kidney failure.

Viridans streptococci

The viridans streptococci are a large group of commensal streptococcal Gram-positive bacteria species that are α-hemolytic, producing a green coloration on blood agar plates. The pseudo-taxonomic term "Streptococcus viridans" is often used to refer to this group of species, but writers who do not like to use the pseudotaxonomic term prefer the terms viridans streptococci, viridans group streptococci (VGS), or viridans streptococcal species.

<i>Streptococcus mutans</i>

Streptococcus mutans is a facultatively anaerobic, gram-positive coccus commonly found in the human oral cavity and is a significant contributor to tooth decay. It is part of the "streptococci", an informal general name for all species in the genus Streptococcus.The microbe was first described by James Kilian Clarke in 1924.

Hemolysis (microbiology)

Hemolysis is the breakdown of red blood cells. The ability of bacterial colonies to induce hemolysis when grown on blood agar is used to classify certain microorganisms. This is particularly useful in classifying streptococcal species. A substance that causes hemolysis is a hemolysin.

Subacute bacterial endocarditis

Subacute bacterial endocarditis is a type of endocarditis. Subacute bacterial endocarditis can be considered a form of type III hypersensitivity.

<i>Peptostreptococcus</i>

Peptostreptococcus is a genus of anaerobic, Gram-positive, non-spore forming bacteria. The cells are small, spherical, and can occur in short chains, in pairs or individually. They typically move using cilia. Peptostreptococcus are slow-growing bacteria with increasing resistance to antimicrobial drugs. Peptostreptococcus is a normal inhabitant of the healthy lower reproductive tract of women.

Streptococcus bovis, is a species of Gram-positive bacteria that in humans is associated with urinary tract infections, endocarditis, sepsis, and colorectal cancer. S. gallolyticus is commonly found in the alimentary tract of cattle, sheep, and other ruminants, and may cause ruminal acidosis or feedlot bloat. It is also associated with spontaneous bacterial peritonitis, a frequent complication occurring in patients affected by cirrhosis. Equivalence with Streptococcus equinus has been contested.

Streptococcus intermedius is an aerotolerant anaerobic commensal bacterium and a member of the Streptococcus anginosus group. The S. anginosus group, occasionally termed “Streptococcus milleri group” (SMG) display hemolytic and serologic diversity, yet share core physiological traits. Despite being commensal organisms, members of the S. anginosus group display wide pathogenic potential. S. intermedius has been isolated from patients with periodontitis and fatal purulent infections, especially brain and liver abscesses.

Streptococcus constellatus is a species of Streptococcus part of the normal flora in the oral cavity, urogenital region, and intestinal tract. However, it can frequently cause purulent infections in other parts of the body. DNA homology studies and 16S rRNA sequence analysis demonstrate S. constellatus belongs to the Streptococcus anginosus group along with Streptococcus intermedius and Streptococcus anginosus.

<i>Streptococcus anginosus</i>

Streptococcus anginosus is a species of Streptococcus. This species, Streptococcus intermedius, and Streptococcus constellatus constitute the anginosus group, which is sometimes also referred to as the milleri group after the previously assumed but later refuted idea of a single species Streptococcus milleri. Phylogenetic relatedness of S. anginosus, S. constellatus, and S. intermedius has been confirmed by rRNA sequence analysis.

Streptococcus equinus is a Gram-positive, nonhemolytic, nonpathogenic, lactic acid bacterium of the genus Streptococcus. It is the principal Streptococcus found in the alimentary canal of a horse, and makes up the majority of the bacterial flora in horse feces. S. equinus is seldom found in humans. Equivalence with Streptococcus bovis has been contested.

Streptococcus dysgalactiae

Streptococcus dysgalactiae is a gram positive, beta-haemolytic, coccal bacterium belonging to the family Streptococcaceae. It is capable of infecting both humans and animals, but is most frequently encountered as a commensal of the alimentary tract, genital tract, or less commonly, as a part of the skin flora. The clinical manifestations in human disease range from superficial skin-infections and tonsillitis, to severe necrotising fasciitis and bacteraemia. The incidence of invasive disease has been reported to be rising. Several different animal species are susceptible to infection by S. dysgalactiae, but bovine mastitis and infectious arthritis in lambs have been most frequently reported.

<i>Streptococcus iniae</i>

Streptococcus iniae is a species of Gram-positive, sphere-shaped bacterium belonging to the genus Streptococcus. Since its isolation from an Amazon freshwater dolphin in the 1970s, S. iniae has emerged as a leading fish pathogen in aquaculture operations worldwide, resulting in over US$100M in annual losses. Since its discovery, S. iniae infections have been reported in at least 27 species of cultured or wild fish from around the world. Freshwater and saltwater fish including tilapia, red drum, hybrid striped bass, and rainbow trout are among those susceptible to infection by S. iniae. Infections in fish manifest as meningoencephalitis, skin lesions, and septicemia.

<i>Staphylococcus</i> Genus of Gram-positive bacteria

Staphylococcus is a genus of Gram-positive bacteria in the family Staphylococcaceae from the order Bacillales. Under the microscope, they appear spherical (cocci), and form in grape-like clusters. Staphylococcus species are facultative anaerobic organisms.

Lancefield grouping

Lancefield grouping is a system of classification that classifies catalase-negative Gram-positive cocci based on the carbohydrate composition of bacterial antigens found on their cell walls. The system, created by Rebecca Lancefield, was historically used to organize the various members of the family Streptococcaceae, which includes the genera Lactococcus and Streptococcus, but now is largely superfluous due to explosive growth in the number of streptococcal species identified since the 1970s. However, it has retained some clinical usefulness even after the taxonomic changes, and as of 2018, Lancefield designations are still often used to communicate medical microbiological test results in the United States.

Jessica A. Scoffield is an American microbiologist and an Assistant Professor in the Department of Microbiology at the University of Alabama at Birmingham School of Medicine. Scoffield studies the mechanisms by which oral commensal bacteria interfere with pathogenic bacterial growth in order to inform the development of active therapeutic tools to prevent drug resistant pathogen infection. In 2019, Scoffield became the Inaugural Recipient of the American Association for Dental Research Procter and Gamble Underrepresented Faculty Research Fellowship.

Granulicatella adiacens is a fastidious Gram-positive cocci and is part of the nutritionally variant streptococci (NVS). Like other constituents of the NVS, it can cause bacteremia and infective endocarditis (IE), with significant morbidity and mortality. NVS has less often been implicated in a vareity of other infections, including those of the orbit, nasolacrimal duct and breast implants. It is a commensal of the human mouth, genital, and intestinal tracts, although it is rarely implicated in infections, in part due to it being a fastidious organism and rarely being identified in the laboratory environment. It is considered as one of the causes of culture negative IE. However, its identification has become more frequent with use of commercial mediums and automated identification systems. Identifying G. adiacens can allow more appropriate selection of antibiotics, especially when susceptibility testing is not available.

References

  1. Streptococcus+milleri+group at the US National Library of Medicine Medical Subject Headings (MeSH)
  2. 1 2 Ruoff, K L (Jan 1988). "Streptococcus anginosus ("Streptococcus milleri"): the unrecognized pathogen". Clinical Microbiology Reviews. 1 (1): 102–108. doi:10.1128/CMR.1.1.102. PMC   358032 . PMID   3060239.
  3. Gossling, J (Mar–Apr 1988). "Occurrence and pathogenicity of the Streptococcus milleri group". Reviews of Infectious Diseases. 10 (2): 257–85. doi:10.1093/clinids/10.2.257. PMID   3287560.
  4. Rashid, R. M.; Salah, W.; Parada, J. P. (1 February 2007). "'Streptococcus milleri' aortic valve endocarditis and hepatic abscess". Journal of Medical Microbiology. 56 (2): 280–282. doi: 10.1099/jmm.0.46781-0 . PMID   17244814.
  5. Whiley, RA; Beighton, D (January 1991). "Emended descriptions and recognition of Streptococcus constellatus, Streptococcus intermedius, and Streptococcus anginosus as distinct species". International Journal of Systematic Bacteriology. 41 (1): 1–5. doi: 10.1099/00207713-41-1-1 . PMID   1995029.
  6. Verrall, R (November 1986). "The Streptococcus milleri group". Infection Control and Hospital Epidemiology. 7 (11): 558–60. doi:10.1017/S0195941700065334. JSTOR   30146431. PMID   3640746.
  7. Mejàre, B; Edwardsson, S (November 1975). "Streptococcus milleri (Guthof); an indigenous organism of the human oral cavity". Archives of Oral Biology. 20 (11): 757–62. doi:10.1016/0003-9969(75)90048-5. PMID   1061530.
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