Gram-Positive Bacteria |
COCCI |
Staphylococcus |
Bacteria | Disease | Treatment |
Staphylococcus aureus | Abscesses and mastitisEndocarditisGastroenteritisOsteomyelitisPneumoniaScalded skin syndromeSkin infectionsToxic shock syndrome | Penicillinase-resistant penicillinsVancomycinLinezolid |
Staphylococcus epidermidis | Normal skin and genital tract floraAssociated with use of catheters and prosthetic devices and biofilm development | Vancomycin |
Staphylococcus saprophyticus | Normal genital tract floraUrinary tract infection | Trimethoprim-sulfamethoxazole |
Streptococcus |
Streptococcus pneumoniae | “MOPS” Meningitis Otitis media Pneumonia Sinusitis | Penicillins3rd generation cephalosporins |
Streptococcus pyogenes (Group A) | Pyogenic infectionspharyngitiscellulitisimpetigoerysipelasToxigenic infectionsscarlet fevernecrotizing fasciitisImmunologic infectionsglomerulonephritisrheumatic fever | Penicillins |
Streptococcus agalactiae (Group B) | Normal vaginal floraNeonatal septicemiaNeonatal meningitis | Ampicillin |
Streptococcus viridans | Normal throat floraDental cariesEndocarditis | Penicillin G |
Streptococcus bovis (Group D) | Normal gut floraBacteremiaEndocarditis (subacute)Associated with colon cancer | Penicillin or ceftriaxone |
Enterococci |
Enterococci faecalis (Group D) | Normal gut floraEndocarditis (subacute)Urinary tract infectionBiliary tract infections | Some strains are vancomycin-resistant (VRE)Linezolid and streptograminsPenicillins, vancomycin, or daptomycinOften resistant to penicillin G |
BACILLI |
Spore-Forming |
Bacillus anthracis | Cutaneous anthraxPulmonary anthrax | CiprofloxacinDoxycycline |
Bacillus cereus | Food poisoning (rice) | Self-limitingClindamycinAminoglycosides |
Clostridium tetani | Tetanus | Antitoxin with or without vaccine boosterBenzodiazepines for muscle spasmsSurgical debridement |
Clostridium botulinum | Botulism | Human botulinum immunoglobulin |
Clostridium perfringens | Gas gangreneFood poisoning | ClindamycinPenicillin |
Clostridium difficile | Antibiotic-associated diarrheaColitisPseudomembranous colitis | MetronidazoleVancomycin (oral)FidaxomicinFecal microbiota transplant |
Non-Spore Forming |
Corynebacterium diphtheriae | Diphtheria | ErythromycinPenicillin GDiphtheria antitoxin |
Listeria monocytogenes | MeningitisneonatalimmunocompromisedAmnionitisSpontaneous abortionGranulomatosis infantisepticaGastroenteritis | AmpicillinTrimethoprim-sulfamethoxazole |
BRANCHING FILAMENTS |
Nocardia spp. | Pulmonary infection (immunocompromised)Cutaneous nocardiosis (associated with trauma) | Trimethoprim-sulfamethoxazoleCarbapenems |
Actinomyces spp. | Oral and facial abscessesassociated with poor dental hygiene or maxillofacial traumaYellow “sulfur granules”Pelvic inflammatory diseaseassociated with intrauterine devices | PenicillinTetracycline |