streptococcus

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streptococcus

streptococcus (strĕpˌtəkŏkˈəs), any of a group of gram-positive bacteria, genus Streptococcus, some of which cause disease. Streptococci are spherical and divide by fission, but they remain attached and so grow in beadlike chains. The incidence and severity of streptococcal diseases decreased dramatically after the introduction of antibiotics (penicillin, erythromycin, and selected cephalosporins are all effective against the organisms), but the medical community was shaken by the arrival in the late 1980s of several severe forms of streptococcal infection and by the emergence of several drug-resistant strains (see drug resistance).

Types of Streptococci

Streptococci are classified into the alpha, beta, or gamma groups, according to their action on blood cells. Streptococci of the alpha group (e.g., the viridans and S. pneumoniae) cause some destruction (hemolysis) of red blood cells. The beta group are more destructive of red blood cells; they also produce toxic substances that affect white blood cells and the clotting properties of blood. Members of these two groups are sometimes called hemolytic (red blood cell–destroying) streptococci. The beta-hemolytic streptococci are often further classified into several lettered groups, called Lancefield groups for R. C. Lancefield, the scientist who originated the scheme in the 1930s. Group A hemolytic streptococci are responsible for most human streptococcal disease; group B hemolytic streptococci can cause serious problems, such as septicemia and meningitis, especially in newborns. The gamma group, or nonhemolytic group, does not affect red blood cells. Enterococci (usually harmless bacteria that inhabit the intestines) and lactococci (bacteria used in starter cultures in the production of fermented dairy products) used to be considered a part of the Streptococcus genus but are now placed in their own genera.

S. pneumoniae and Viridans Infections

The viridans are normal inhabitants of the body and are usually harmless; however, they can contribute to tooth decay. Streptococcus pneumoniae is the most common cause of otitis media in children. It can also cause meningitis and pneumonia. The S. pneumoniae diseases are sometimes referred to as pneumococcal diseases. The development of drug-resistant strains of pneumococci has caused concern in the medical community. Vaccination against pneumococcal pneumonia is recommended for very young children and older persons; the vaccine inoculates against the most prevalent strains of S. pneumoniae.

Group A Streptococcal Infections

Group A hemolytic streptococci cause over a dozen diseases, including some pneumonias, erysipelas (a generalized body infection), upper respiratory infections, wound infections, and puerperal fever. Scarlet fever is also a streptococcal, or strep, infection; the rash is a response to a toxin produced by the bacteria that cause strep throat. Rheumatic fever follows an initial Group A streptococcal infection: proteins of the streptococcal cells stimulate antibody formation by the body (see immunity), and these antistreptococcal antibodies are believed to react with and damage many tissues of the body, especially heart muscle. Kidney disease (acute glomerulonephritis) is another complication of streptococcal infections. Some extremely serious Group A streptococcal infections began to emerge or reemerge in the late 1980s. Streptococcal toxic shock syndrome is a rapidly progressing infection, similar to septicemia or toxic shock syndrome, that usually infects people in their 20s or 30s. It causes blood pressure to fall rapidly and organs to fail. Necrotizing fasciitis is a quickly spreading infection of the flesh and muscle caused by toxins released by S. pyrogenes. Such bacteria are popularly called “flesh-eating bacteria.”

Group B Streptococcal Infections

Group B streptococci are a common cause of infection in babies, pregnant women, the elderly, and immunologically compromised adults. They are especially serious in newborns, in whom they can cause sepsis, meningitis, or pneumonia. Group B streptococci are often present in people who show no symptoms of disease; these people are said to be “colonized.” Many infants are colonized before or during birth by mothers who unknowingly carry the bacteria. A small percentage of these develop disease, which can be life-threatening or can lead to lifelong neurological problems.

Bibliography

See M. P. Starr et al., ed., The Prokaryotes: A Handbook on Habitats, Isolation and Identification of Bacteria (1981).

The Columbia Electronic Encyclopedia™ Copyright © 2022, Columbia University Press. Licensed from Columbia University Press. All rights reserved.

Streptococcus

A large genus of spherical or ovoid bacteria that are characteristically arranged in pairs or in chains resembling strings of beads. Many of the streptococci that constitute part of the normal flora of the mouth, throat, intestine, and skin are harmless commensal forms; other streptococci are highly pathogenic. The cells are gram-positive and can grow either anaerobically or aerobically, although they cannot utilize oxygen for metabolic reactions. Glucose and other carbohydrates serve as sources of carbon and energy for growth. All members of the genus lack the enzyme catalase. Streptococci can be isolated from humans and other animals.

Streptococcus pyogenes is well known for its participation in many serious infections. It is a common cause of throat infection, which may be followed by more serious complications such as rheumatic fever, glomerulonephritis, and scarlet fever. Other beta-hemolytic streptococci participate in similar types of infection, but they are usually not associated with rheumatic fever and glomerulonephritis. Group B streptococci, which are usually beta-hemolytic, cause serious infections in newborns (such as meningitis) as well as in adults. Among the alpha-hemolytic and nonhemolytic streptococci, S. pneumoniae is an important cause of pneumonia and other respiratory infections. Vaccines that protect against infection by the most prevalent capsular serotypes are available. The viridans streptococci comprise a number of species commonly isolated from the mouth and throat. Although normally of low virulence, these streptococci are capable of causing serious infections (endocarditis, abcesses).

McGraw-Hill Concise Encyclopedia of Bioscience. © 2002 by The McGraw-Hill Companies, Inc.
The following article is from The Great Soviet Encyclopedia (1979). It might be outdated or ideologically biased.

Streptococcus

 

a spherical bacterium (0.6–1 microns in diameter) that reproduces by cell division in one plane, resulting in a chain of cells of different lengths. Streptococci are nonsporeforming, nonmotile, and gram-positive and grow well on agarculture mediums. They ferment sugars and alcohols. Some streptococcal species are of practical importance; for example, Streptococcus lactis, which ferments lactose to form lactic acid, is used to obtain clabber and other sour-milk products. Some species form the polysaccharide dextran, which is used to produce a blood substitute. Pathogenic streptococci may cause tonsillitis, erysipelas, suppuration, and blood infections. Some are capable of dissolving erythrocytes (hemolysis).

The Great Soviet Encyclopedia, 3rd Edition (1970-1979). © 2010 The Gale Group, Inc. All rights reserved.
References in periodicals archive ?
Organism Nasal swab Nasal swab p value Subset A Subset B (N = 100) (N = 100) Staphylococcus aureus 25 45 0.003 * Methicillin-resistant Staphylococcus aureus (MRSA) 10 29 0.001 * Pharyngeal Pharyngeal swab Subset A swab Subset B (N = 100) (N = 100) Staphylococcus aureus 5 6 0.756 Methicillin-resistant 2 3 0.651 Staphylococcus aureus (MRSA) Haemophilus influenzae 6 19 0.005 * Haemophilus parainfluenzae 3 4 0.700 Streptococcus pneumoniae 2 6 0.149 Beta-hemolytic streptococci 8 3 0.121 * Significant association.
GABHS = group A beta-hemolytic streptococci. GBBHS = group B beta-hemolytic streptococci.
The treatment of the carrier state of group A beta-hemolytic streptococci with clindamycin.
Treatment of patients with a history of recurrent tonsillitis due to group A beta-hemolytic streptococci: a prospective randomized study comparing penicillin, erythromycin and clindamycin.
Beta-hemolytic streptococci were isolated from 10 (15.38%) of the controls, S aureus from 7 (10.77%), and M catarrhalis from 1 (1.54%) (table 3).
(12) Group A beta-hemolytic streptococci have been classically associated with PTA, and they are universally penicillin-sensitive.
The ranges in numbers of clinical isolates of select bacteria (Table 2) recovered from these hospitals were as follows: Staphylococcus aureus, 1,889 to 7,516 isolates; beta-hemolytic streptococci, 335 to 1,102; S.
Among the 572 aerobic bacteria, the most prevalent organisms were Streptococcus viridans (158 strains [27.6%]), Streptococcus pneumoniae (67 [11.7%1), Corynebacterium species (66 [11.5%]), Staphylococcus aureus (54 [9.4%]), Moraxella catarrhalis (38 [6.6%]), Hemophilus parainfluenzae (33 [5.8%]), and group C beta-hemolytic streptococci (26 [4.5%]).
Throat cultures were positive in three patients; two adults grew group A beta-hemolytic streptococci, and one grew Hemophilus parainfluenzae.
[2] Various organisms have been cultured from thyroid abscess cavities, the most common being group A beta-hemolytic streptococci, staphylococci, and pneumococci.

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