title: Hyaluronidase production in Streptococcus milleri in relation to infection.
abstract: One hundred and seven (41%) of 262 isolates of Streptococcus milleri, from human sources, produced hyaluronidase. Hyaluronidase production was commoner in beta haemolytic isolates 32 of 39 (82%), many of which were of Lancefield group F. But hyaluronidase was also found in alpha and non-haemolytic isolates, and in groups A, C, G, and non-groupable isolates. There was a strong association between hyaluronidase production and isolation from known internal abscesses (48/58, 83%) compared with isolates from the normal flora of uninfected sites (24/97, 25%). Isolates from 15 patients with endocarditis were uniformly negative, although 13 of 25 (52%) isolates from dental plaque produced the enzyme. Production of hyaluronidase may therefore be an important determinant in the pathogenicity of infection by S milleri and could be helpful in predicting the likelihood of deep purulent lesions in isolates from blood culture.
authors.affiliation: Department of Microbiology, Tameside General Hospital, Ashton-under-Lyne.
authors.forename: P F
authors.initials: PF
authors.lastname: Unsworth
mesh_terms: D000942:Antigens, Bacterial / Q000276:immunology; D004697:Endocarditis, Bacterial / Q000276:immunology; D006461:Hemolysis; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000096:biosynthesis*; D013290:Streptococcal Infections / Q000201:enzymology* / Q000276:immunology; D013291:Streptococcus / Q000201:enzymology* / Q000276:immunology / Q000472:pathogenicity
chemical_list: D000942:Antigens, Bacterial; D006821:Hyaluronoglucosaminidase