Classification of Streptococci

Lancfield Group

Representative

Hemolytic

Typical Infections

A

S. pyogenes  

β

Pharyngitis, impetigo, cellulitis, scarlet fever

B

S. agalactiae  

β

Neonatal sepsis and meningitis, puerperal infection, urinary tract infection, diabetic ulcer infection, endocarditis

C, G

S. dysgalactiae subsp. equisimilis 

β

Cellulitis, bacteremia, endocarditis

D

Enterococci: E. faecalis; E. faecium 

Usually nonhemolytic

Urinary tract infection, nosocomial bacteremia, endocarditis

Nonenterococci: S. bovis 

Usually nonhemolytic

Bacteremia, endocarditis

Variable or non goupable

Viridans streptococci: S. sanguis; S. mitis 

α

Endocarditis, dental abscess, brain abscess

Intermedius or milleri group: S. intermedius, S. anginosus, S. constellatus

Variable

Brain abscess, visceral abscess

Anaerobic streptococci: Peptostreptococcus magnus

Usually nonhemolytic

Sinusitis, pneumonia, empyema, brain abscess, liver abscess