- •STREPTOCOCCUS
- •REVIEW
- •Common Cell Membrane
- •Gram-Positive Cell Wall
- •Peptidoglycan
- •Gram-Positive Cell Wall
- •Gram-Negative Cell Wall
- •Gram-Negative Cell Wall
- •Genus Streptococcus
- •Gram-Positive
- •Genus Streptococcus
- •Genus Streptococcus
- •Antigenic Structure
- •Antigenic Structure
- •Antigenic Structure (cont.)
- •Lancefield Serogroup Classification of
- •Streptococcus
- •Lancefield Serogroup Classification of
- •Streptococcus
- •Lancefield Classification of Beta- Hemolytic Streptococci (cont.)
- •Major Human Diseases of
- •Erysipelas
- •Major Human Diseases of
- •Suppurative Streptococcal Diseases
- •Group A Streptococcal Diseases (cont.)
- •Epidemiology of Acute Streptococcal Infection
- •Nonsuppurative Sequelae of Acute Group A Streptococcal Infection
- •Nonsuppurative Sequelae of Acute Group A Streptococcal Infection (cont.)
- •Determinants of Pathogenicity
- •Extracellular Virulence Factors
- •Extracellellular Virulence Factors (cont.)
- •Extracellular Virulence Factors (cont.)
- •Extracellular Virulence Factors (cont.)
- •Lab Identification of
- •Lab Identification of
- •Group B Streptococcus
- •Group B Streptococcal Infections
- •Grp B Streptococcal Infections (cont.)
- •Age-Specific Attack Rates of Group B
- •Epidemiology of Neonatal Group B
- •Group B Streptococcus
- •CAMP Factor Test
- •Hippurase NEG
- •Grp B Streptococci
- •Streptococcus pneumoniae
- •Streptococcus pneumoniae Infections
- •Pneumococcal Infections (cont.)
- •S.pneumoniae
- •S. pneumoniae: lancet-shaped diplococcus
- •S. pneumoniae Virulence Factors
- •S. pneumoniae Seasonal Incidence
- •Comparison
- •Genetic Variation (Mutation)
- •Beginning of Molecular Genetics
- •Transformation (In vivo) (Griffith)
- •Streptococcus pneumoniae
- •Optochin Sensitivity
- •Enterococcus faecalis Enterococcus faecium
- •Enterococcal Infections
- •Enterococcal Infections (cont.)
- •Important nosocomial pathogen
- •Enterococcus
- •Enterococcus
- •Esculin
- •REVIEW
- •Lancefield Serogroup Classification of
- •Nonsuppurative Sequelae of Acute Group A Streptococcal Infection
- •Nonsuppurative Sequelae of Acute Group A Streptococcal Infection (cont.)
- •Determinants of Pathogenicity
- •Extracellular Virulence Factors
- •Extracellellular Virulence Factors (cont.)
- •Extracellular Virulence Factors (cont.)
- •Extracellular Virulence Factors (cont.)
- •Epidemiology of Neonatal Group B
- •REVIEW
- •Streptococcus pneumoniae Infections
- •S.pneumoniae Virulence Factors
- •Comparison
- •Genetic Variation (Mutation)
- •Beginning of Molecular Genetics
- •Transformation (In vivo) (Griffith)
- •Enterococcal Infections
Genus Streptococcus
Commensals or Parasites of man & animals
or Saprophytes of decaying matter
Morphology
Gram-Positive Cocci in Pairs or Chains
Gram-Positive
Streptococcus
Genus Streptococcus
Physiology & Metabolism
Facultative Anaerobes Fastidious Growth Requirements
Fermentative Metabolism of Carbohydrates:
Lactic acid, ethanol, acetate endproducts produced; No gas
Catalase Negative (2H2O2 ---> O2 + 2H2O) Separation of streptococci from staphylococci
Oxidase Negative (oxidoreductase oxidizes substrate w/ O2)
Beta, Alpha, or Gamma Hemolysis on blood agar
Genus Streptococcus
Rebecca Lancefield
Developed useful serogrouping system
Classification of beta-hemolytic streptococci by group-specific cell wall carbohydrate (CHO) antigen
As of 1992, Serogroups A to H and K to V
Groups A, B, C, D, and G are most comonly associated with human disease
Viridans streptococci and
Streptococcus pneumoniae have no group-specific antigen
Antigenic Structure
Streptococcus pyogenes (Group A)
Lancefield Group-specific antigen (C polysaccharide)
Complex polysaccharide in cell wall
Proteins: Two major classes, M & T antigens
Two minor classes, R & F M-Protein: Type-specific antigen
Fimbriae-like, hairy extensions Resistant to heat and acid Trypsin Sensitive
Specific adherence by lipoteichoic acid and M-protein
• (LTA-M) complexes
Antigenic Structure
Streptococcus pyogenes (Group A)
Lancefield Group-specific antigen (C polysaccharide)
Complex polysaccharide in cell wall
Proteins: Two major classes, M & T antigens
Two minor classes, R & F M-Protein: Type-specific antigen
Fimbriae-like, hairy extensions Resistant to heat and acid Trypsin Sensitive
Specific adherence by lipoteichoic acid and M-protein (LTA-M) complexes
T Antigens (not virulence factor) Resistant to trypsin, heat and acid; Adjunct to M-typing; Routine surveillance
Others
