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Streptococcus pneumoniae has the ability to cause a wide variety of human diseases, and these range from mild (i.e., otitis, sinusitis, and nonspecific pharyngitis) to life-threatening syndromes (e.g., bacteremia and meningitis). Streptococcus pneumoniae strains have four major groups: serotypes 1, 2, 3, and 4. This classification system has, however, undergone revision in recent years. Streptococcus pneumoniae strains that operate on the surface of eukaryotic cells with the help of elaborate surface structures are those that are termed pathogens. Infections caused by this organism may occur either attached to mucosal surfaces (e.g., middle ear or sinus infections) or in the bloodstream (e.g., meningitis or endocarditis). Pneumococcal disease can be prevented by active immunization. Pneumococcal vaccines are composed of purified polysaccharide antigens of the different groups of serotypes and conjugated vaccines based on pneumococcal surface proteins (e.g., Streptococcal pneumoniae surface antigen).
Streptococcus pneumoniae is an important Gram-positive human respiratory tract commensal. In immunocompetent hosts, Streptococcus pneumoniae is typically a commensal of the nasopharynx, and Streptococcal pneumoniae infection in these hosts is usually self-resolving. However, in resource-poor settings, S. pneumoniae is an important cause of pneumonia and meningitis. Streptococcus pneumoniae is also a significant cause of otitis media. Streptococcal pneumoniae capsular serotypes 16 and 23F are the most important in the adult respiratory tract. Streptococcus pneumoniae carries more than 90 different serotypes, and each of these serotypes can cause a variety of disease syndromes (e.g., otitis media, pneumonia, meningitis, community-acquired infections in infants, and invasive infections (e.g., bacteraemia, endocarditis)). Streptococcal pneumoniae is an encapsulated organism, which makes it the ideal candidate for the production of recombinant proteins and vaccines.
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