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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 (hence the name "viridans", from Latin "vĭrĭdis", green), although some species in this group are actually γ-hemolytic, meaning they produce no change on blood agar. [1]
Hemolyses of Streptococcus spp. (left) α-hemolysis (S. mitis); (middle) β-hemolysis (S. pyogenes); (right) γ-hemolysis (non-hemolytic, S. salivarius) 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.
Streptolysin S is an oxygen-stable cytotoxin also produced by most GAS strains which results in clearing on the surface of blood agar. SLS affects immune cells, including polymorphonuclear leukocytes and lymphocytes, and is thought to prevent the host immune system from clearing infection. Streptococcus pyogenes, or GAS, displays beta hemolysis.
Main Streptococcus groups are included as "Strep." at bottom left. Diagnosis is by a swab of the affected area for laboratory testing. A Gram stain is performed to show Gram-positive cocci in chains. Then, the organism is cultured on blood agar. The rapid pyrrolidonyl arylamidase (PYR) test is commonly used, wherein a positive reaction confers ...
This group is referred to as alpha-hemolysis because the cell membrane of red blood cells is left intact. [2] When cultured, alpha-hemolysis can be deemed present when the agar gel appears greenish. [2] Identifying and diagnosing alpha-hemolytic Streptococcus is done with a sputum gram stain and culture test. [5]
Streptococcus sanguinis White and Niven 1946 S. sanguinis is a normal inhabitant of the healthy human mouth where it is particularly found in dental plaque , where it modifies the environment to make it less hospitable for other strains of Streptococcus that cause cavities , such as Streptococcus mutans .
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. [2]
CNA agar is commonly used in clinical microbiology laboratories to isolate pathogenic Gram-positive bacteria such as Staphylococcus, Enterococcus, Streptococcus, diphtheroids, and Listeria from clinical specimens. [1] A common use for CNA agar is commonly used for the detection of Streptococcus agalactiae carriage in pregnant women. [2]