Streptococcus anginosus group
Gram positive cocci in chains, facultatively anaerobic, variable hemolysis.
Smells like butterscotch.
Streptococcus anginosis group includes S. anginosis, constellatus, and intermedius
Normal oral/GI flora.
Consists of S. anginosus, intermedius, and constellatus.
Used to be called S. milleri group.
Women's Health: Has been associated with intra-abdominal/ abscess and tubo-ovarian abscess formation. Has been isolated from blood cultures of women with fever in labour/chorioamnionitis
Abscesses - intra-abdominal, hepatic, cerebral, empyema
When these organisms grow in blood culture, look for the abscess.
Generally abscesses need surgical drainage depending on size/location.