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Streptococcus pneumoniae
(pneumococcus)

streptococcus pneumoniae on agar plate

Streptococcus pneumoniae in clinical material occurs in two distinctive forms. Encapsulated, virulent strains isolated e.g., from sputum in patients with acute pneumonia, often forming highly mucoid, glistening colonies (production of capsular polysaccharide) surrounded by a zone of alfa-hemolysis. After prolonged cultivation (48 hours in an aerobic atmosphere enriched with 5-10% carbon dioxide) they are often able to form colonies about 5 mm in diameter.
In throat swabs Streptococcus pneumoniae can occur in its avirulent form (oropharyngeal carriage of pneumococci is common and they are considered to be part of normal flora). The colonies are only 0.5-2 mm in diameter, surrounded by zone of alfa-hemolysis and due to autolysis, often develop a dimpled rather a craterlike appearance (see here). These colonies are someties morphologically indistinguishable from those of viridans streptococci but unlike viridas streptococci are sensitive to optochin and soluble in sodium desoxycholate (bile salts).

Streptococcus pneumoniae is a significant human pathogenic bacterium. S.pneumoniae was recognized as a major cause of pneumonia in the late 19th century and is the subject of many humoral immunity studies. Despite the name, the organism causes many types of pneumococcal infection other than pneumonia, including acute sinusitis, otitis media, meningitis, bacteremia, sepsis, osteomyelitis, septic arthritis, endocarditis, peritonitis, pericarditis, cellulitis, and brain abscess. S.pneumoniae is the most common cause of bacterial meningitis in adults and children, and is one of the top two isolates found in ear infection, otitis media. Pneumococcal pneumonia is more common in the very young and the very old. S.pneumoniae can be differentiated from viridans streptococci , some of which are also alpha hemolytic, using an optochin test, as S.pneumoniae is optochin sensitive. S.pneumoniae can also be distinguished based on its sensitivity to lysis by bile. The encapsulated, gram-positive coccoid bacteria have a distinctive morphology on gram stain, the so-called, "lancet shape". It has a polysaccharide capsule that acts as a virulence factor for the organism; more than 90 different serotypes are known, and these types differ in virulence.

Abbreviated from Wikipedia.

description image
GRAM-POSITIVE COCCI
NONMOTILE
NONSPOREFORMING
CATALASE: NEGATIVE
OXIDASE: NEGATIVE
FACULTATIVELY ANAEROBIC

BASIC TESTS
FOR IDENTIFICATION

optochin test: sensitive
bile solubility test: positive
capsular swelling reaction

ANTIBIOTIC
TREATMENT

Should be always guided by
in vitro susceptibility
tests!!

Selection of appropriate antibiotics depends on diagnosis!!

IF SUSCEPTIBLE:
penicillin

ALTERNATIVES:
ampicillin
amoxicillin
macrolides
cephalosporins I, II

PENICILLIN RESISTANT:
cephalosporins III (e.g., cefotaxime, ceftriaxone)

ALTERNATIVES:
vancomycin
chloramphenicol
list of anntibiotics Gram positive diplococci drawing

COLONY MORPHOLOGY

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streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae
streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae
streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae
streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae
streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae streptococcus pneumoniae
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Streptococcus pneumoniae

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