Granulicatella adiacens

Granulicatella adiacens
Scientific classification
Domain:	Bacteria
Phylum:	Bacillota
Class:	Bacilli
Order:	Lactobacillales
Family:	Carnobacteriaceae
Genus:	Granulicatella
Species:	G. adiacens
Binomial name
Granulicatella adiacens Collins & Lawson, 2000[1]

Granulicatella adiacens is a fastidious Gram-positive cocci (pairs, chains) and is part of the nutritionally variant streptococci (NVS).^[2][3][4] Like other constituents of the NVS, it can cause bacteremia and infective endocarditis (IE), with significant morbidity and mortality.^[4][2] NVS has less often been implicated in a variety of other infections, including those of the orbit, nasolacrimal duct and breast implants.^[5] It is a commensal of the human mouth, genital, and intestinal tracts, although it is rarely implicated in infections,^[5][2] in part due to it being a fastidious organism and rarely being identified in the laboratory environment.^[5] However, its identification has become more frequent with use of commercial mediums and automated identification systems.^[5] Because it has been difficult to identify, it has been considered one of the causes of culture negative IE.^[2] Identifying G. adiacens can allow more appropriate selection of antibiotics, especially when susceptibility testing is not available.^[4]