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Guidelines
Pathogens
Antimicrobials
Gram-positive cocci in chains.
Normal oral/GI flora.
Consists of S. anginosus, S. intermedius, and S. constellatus.
Formerly called S. milleri group.
Abscesses - intra-abdominal, hepatic, cerebral, empyema
Bacteremia
Rarely endocarditis
When these organisms grow in blood culture, look for the abscess.
Generally abscesses need surgical drainage depending on size/location.