Pathogenesis > Infectious Disease > Bacteria > Streptococcus

Streptococcus

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•can think of as secondary invaders of traumatic skin lesions (vs. staph, which invades intact skin?)

 

STAPH or STREP:

cellulitis

erysipelas

impetigo contagiosum

toxic shock syndrome

 

STREP:

Direct

•blistering distal dactylitis
•ecthyma
•pharyngitis
•Scarlet fever  (see EXANTHEMS)
•perianal cellulitis
•streptococcal necrotizing fasciitis

 

Indirect

•post-streptococcal glomerulonephritis
•rheumatic fever

 

hmtoggle_plus1Conditions sometimes preceded by a strep pharyngitis (i.e. group A ß-hemolytic strep infection):
•LCV/HSP
•Sweet’s syndrome
•erythema nodosum
•acute guttate psoriasis
•scleredema

(all with neutrophils except scleredema)

 

Lancefield groups (c-carbohydrate):

•group A ß-hemolytic strep (= strep pyogenes)
•group B (=strep agalactiae) (mnemonic:  B for Baby)
•no Lancefield antigen classification:   strep viridans, strep pneumoniae
•group D (=enterocci and non-enterococci)