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Streptococcus anginosus  group ( Streptococcus milleri )
[object Object],[object Object],Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
[object Object],[object Object],[object Object],Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
[object Object],[object Object],[object Object],Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
Streptococcus anginosus  Group ,[object Object],[object Object],[object Object],[object Object],[object Object],CATHY A. PETTI,CHARLES W. STRATTON IV. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed.
Streptococcus anginosus  Group ,[object Object],[object Object],[object Object],[object Object],CATHY A. PETTI,CHARLES W. STRATTON IV. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed.
Streptococcus anginosus  Group ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CATHY A. PETTI,CHARLES W. STRATTON IV. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed.
gram positive group - C,  β  haemolytic microaerophyllic www.jortho . org
Pediatr Infect Dis J, 2002;21:715–26
CATHY A. PETTI,CHARLES W. STRATTON IV. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed.
Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
Voges - Proskauer reaction  is positive in the presence of acetoin, Which is produced by  S. anginosus group bacteria and not by other beta-hemolytic streptococcal species
Rapid Anginosus Kit
Identification of  S.anginosus  group ,[object Object],[object Object],[object Object],Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
Clinically significant infections with organism of the  Streptococcus milleri  group JOHN BELKO, MD, DONALD A. GOLDMANN, MD, ANN MACONE, BS AND  ANITA K. M. ZAIDI, MBBS, MS Division of Infectious Diseases, Department of Medicine(JB, AKMZ, DAG),  and the Department of Laboratory Medicine (AM), Children’s Hospital, Boston, MA. JB is a fellow in pediatric infectious diseases; DAG is a professor of pediatrics;  AM is a microbiology lab manager; AKMZ is an instructor in pediatric infectious diseases. Pediatr Infect Dis J, 2002;21:715–26
[object Object],[object Object],[object Object],Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
S. constellatus is associated with pleuropulmonary and soft tissue abscesses, more likely to cause odontogenic and intra-abdominal abscesses. Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia uncommon uncommon
S. intermedius is associated with pleuropulmonary infections, CNS abscesses, and deep soft tissue abscesse. Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia uncommon uncommon
S. anginosus is more commonly isolated from blood, urine, and soft tissue infections , less often cause abscess Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia uncommon uncommon
Pathophysiology of Infection ,[object Object],[object Object],1. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed. 2.Clinical Microbiology Newsletter 2005.
Pathophysiology of Infection ,[object Object],[object Object],[object Object],1. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed. 2.Clinical Microbiology Newsletter 2005.
Pathophysiology of Infection ,[object Object],[object Object],[object Object],1. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed. 2.Clinical Microbiology Newsletter 2005.
CID  2001:32 ;1511-1515
CID  2001:32 ;1511-1515
CID  2001:32 ;1511-1515
CID  2001:32 ;1511-1515
Indian J Med Res 2004 :  119 (Suppl)  ;  164-167 species identity confirmed by Rapid ID32 Strep test  (BioMerieux, Marcy L’Etoile, France), Lancefield grouped by latex agglutination test
1989-2000 Indian J Med Res 2004 :  119 (Suppl)  ;  164-167
Indian J Med Res 2004 :  119 (Suppl)  ;  164-167
Indian J Med Res 2004 :  119 (Suppl)  ;  164-167 E   test
Clinically significant infections with organisms of the  Streptococcus milleri  group JOHN BELKO, MD, DONALD A. GOLDMANN, MD, ANN MACONE, BS AND  ANITA K. M. ZAIDI, MBBS, MS Pediatr Infect Dis J, 2002;21:715–26 Children’s Hospital, Boston, from April 1, 1992, to December 31, 1998
Treatment ,[object Object],[object Object],[object Object],[object Object],Streptococcus anginosus Group: Clinical Significance of an  Important  Group of Pathogens.   Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology,  Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
thank you.
Streptococcus constellatus

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S. anginosus Group Pathogens

  • 1. Streptococcus anginosus group ( Streptococcus milleri )
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. gram positive group - C, β haemolytic microaerophyllic www.jortho . org
  • 9. Pediatr Infect Dis J, 2002;21:715–26
  • 10. CATHY A. PETTI,CHARLES W. STRATTON IV. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases,7th ed.
  • 11. Streptococcus anginosus Group: Clinical Significance of an Important Group of Pathogens. Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology, Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia
  • 12. Voges - Proskauer reaction is positive in the presence of acetoin, Which is produced by S. anginosus group bacteria and not by other beta-hemolytic streptococcal species
  • 14.
  • 15. Clinically significant infections with organism of the Streptococcus milleri group JOHN BELKO, MD, DONALD A. GOLDMANN, MD, ANN MACONE, BS AND ANITA K. M. ZAIDI, MBBS, MS Division of Infectious Diseases, Department of Medicine(JB, AKMZ, DAG), and the Department of Laboratory Medicine (AM), Children’s Hospital, Boston, MA. JB is a fellow in pediatric infectious diseases; DAG is a professor of pediatrics; AM is a microbiology lab manager; AKMZ is an instructor in pediatric infectious diseases. Pediatr Infect Dis J, 2002;21:715–26
  • 16.
  • 17. S. constellatus is associated with pleuropulmonary and soft tissue abscesses, more likely to cause odontogenic and intra-abdominal abscesses. Streptococcus anginosus Group: Clinical Significance of an Important Group of Pathogens. Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology, Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia uncommon uncommon
  • 18. S. intermedius is associated with pleuropulmonary infections, CNS abscesses, and deep soft tissue abscesse. Streptococcus anginosus Group: Clinical Significance of an Important Group of Pathogens. Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology, Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia uncommon uncommon
  • 19. S. anginosus is more commonly isolated from blood, urine, and soft tissue infections , less often cause abscess Streptococcus anginosus Group: Clinical Significance of an Important Group of Pathogens. Clinical Microbiology Newsletter 2005. Toby Gray, M.D., Department of Pathology, Virginia Commonwealth University, Medical College of Virginia Campus,Richmond, Virginia uncommon uncommon
  • 20.
  • 21.
  • 22.
  • 23. CID 2001:32 ;1511-1515
  • 24. CID 2001:32 ;1511-1515
  • 25. CID 2001:32 ;1511-1515
  • 26. CID 2001:32 ;1511-1515
  • 27. Indian J Med Res 2004 : 119 (Suppl) ; 164-167 species identity confirmed by Rapid ID32 Strep test (BioMerieux, Marcy L’Etoile, France), Lancefield grouped by latex agglutination test
  • 28. 1989-2000 Indian J Med Res 2004 : 119 (Suppl) ; 164-167
  • 29. Indian J Med Res 2004 : 119 (Suppl) ; 164-167
  • 30. Indian J Med Res 2004 : 119 (Suppl) ; 164-167 E test
  • 31. Clinically significant infections with organisms of the Streptococcus milleri group JOHN BELKO, MD, DONALD A. GOLDMANN, MD, ANN MACONE, BS AND ANITA K. M. ZAIDI, MBBS, MS Pediatr Infect Dis J, 2002;21:715–26 Children’s Hospital, Boston, from April 1, 1992, to December 31, 1998
  • 32.