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ody Liposome + Streptococcal antigen Postinfectious diagnosis (serology) ?antibodies to streptolysin O ? important if delayed clinical sequelae occur Traditional serotyping of proteins: M T R Typing Modern: Sequencing of M protein gene Group B streptococcus ? neonatal meningitis ? septicemia ? transmission ? vaginal flora Group B streptococcus identification ?? hemolysis ? hippurate hydrolysis ? CAMP reaction ?increases ? hemolysis of S. aureus Group D streptococcus ? Growth on bile esculin agar ? black precipitate ? % saline ? grow ? enterococci ? no growth ? nonenterococci Enterococci ? distantly related to other streptococci ? genus Enterococcus ? gut flora ? urinary tract infection ?fecal contamination ? opportunistic infections ?particularly endocarditis ? most mon E. (S.) faecalis Enterococci ? resistant to many antibiotics ? including vanycin ? terminal Dala replaced by Dlactate Minute colony streptococci Various groups/hemolysis (. group A) – geically distinct * from large colony (. S. pyogenes) – no rheumatic fever Large colony Minute colony Viridans streptococci ? diverse species ? oral ? dental caries ? ? hemolytic and negative for other tests ? nongroupable. ? includes S. mutans ? endocarditis ? tooth extraction 謝謝觀看 /歡迎下載 BY FAITH I MEAN A VISION OF GOOD ONE CHERISHES AND THE ENTHUSIASM THAT PUSHES ONE TO SEEK ITS FULFILLMENT REGARDLESS OF OBSTACLES. BY FAITH I BY FAITH