Standard Precautions
Gram positive cocci in chains, facultatively anaerobic, variable hemolysis
Smells like butterscotch
S. anginosus group (used to be called S. milleri group) consists of three distinct species of viridans streptococci (S. anginosus, S. intermedius, S. constellatus)
Normal oral/GI flora
Abscesses - Propensity for invasion including:
Rarely a contaminant when present in blood cultures, rarely endocarditis