Johns Hopkins Antibiotic (ABX) Guide

Streptococcus species

Michael Melia, M.D.

MICROBIOLOGY

  • Clinical labs classify streptococci by hemolytic characteristics on 5% sheep blood agar (eg beta-hemolysis), Lancefield Group antigens and other biochemical tests.
  • Nomenclature and taxonomy of streptococci confusing because of many historical efforts at describing the class; taxonomic revisions continue as new phylogenetic information becomes available.
  • Often described by blood agar hemolysis (1902) or Lancefield carbohydrate group antigens (1933). Organization into 4 groups by hemolysis, Lancefield and phenotype testing (1937):
    1. Pyogenic (beta-hemolytic) including Groups A, B, C, E, F & G
    2. Viridans group
    3. Lactococci (generally not human pathogens)
    4. Enterococci
  • 16S rRNA gene sequencing (1990’s) yield true phylogenetic relationships. Facklam classification presented here (see references).
  • Viridans streptococci produce alpha (green-hence viridans) hemolysis on blood agar.

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