Hemolysis: Beta
Small, gray, large zone of hemolysis
streptococcus pyogenes (GAS)
Hemolysis: Beta
Medium, gray, narrow zone of hemolysis
Streptococcus agalactiae (GBS)
Hemolysis: Alpha
May be raised, gray, umbilicate or mucoid,
Streptococcus pneumoniae
Hemolysis: alpha
raised, gray
Streptococcus Viridans
Hemolysis: NH
small, gray, convex, opaque
streptococcus bovis (GDS)
Enterococcus
E. faecalis
E. faecium
Hemolysis: NH
gray, small, translucent
Vancomycin Resistant Enterococcus (VRE)
Hemolysis: Beta
gray, small
Streptococcus epuisimilis (GCS)
Smells distinctly like butterscotch
streptococcus anginosus
GPDC lancet
Streptococcus pneumoniae
elongated cocci
Enterococcus
E. faecalis
E. faecium
not moral flora
Vancomycin Resistant Enterococcus (VRE)
streptococcus pyogenes (GAS)
Some females carry this as part of their genital tract normal flora
Streptococcus agalactiae
GI tract
Genital tract in females
Streptococcus equisimilis
Not routinely NF but can be NF in nose and nasopharynx of some people
Streptococcus pneumoniae
Mouth
oropharynx
Viridians strepstococcus
strepstococcus anginosus
genital tract
occasionally mouth
intestinal tract
Enterococcus
E. faecalis
E. faecium
Intestinal tract
Streptococcus bovis (GDS)
Clinical implications:
bacterial pharyngitis (strep throat)
pyodermal skin infections
Streptococcus pyogenes
Clinical implications:
meningitis in newborns
septicemia in newborns
pneumonia in newborns
diabetic foot infections
Streptococcus agalactiae
Clinical implications:
pharyngitis
skin infections
meningitis
bacteremia
sinusitis
Streptococcus equisimilis (GCS)
Clinical implications:
pneumonia (elderly)
meningitis (elderly)
bacteremia
Eye infections (bacterial keratitis)
middle ear infection in children (<3 yrs)
streptococcus pneumoniae
Clinical implications: Opportunistic organism
Endocarditis ( in people with previous heart valve)
oral infections
infections at cathetres, shunts, prosthetic valves
Viridans Streptococcus
Clinical implications:
abscesses from brain live and other organs
peritoneal cavity infections and bacteremia
Streptococcus anginosus
Clinical implications:
UTI (catheterized hospitalized patients)
wounds
bacteremia
endocarditis
Enterococcus