HACEK

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The page below is a sample from the LabCE course Case Studies in Clinical Microbiology. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Case Studies in Clinical Microbiology (online CE course)
HACEK

Eikenella corrodens (E) belongs to the HACEK group of miscellaneous gram-negative bacilli, which includes:
  • Haemophilus (H)
  • Aggregatibacter (A)
  • Cardiobacterium (C)
  • Eikenella (E), and
  • Kingella kingae (K).
Cytochrome oxidase and catalase are two rapid tests that help separate the several members of this group.
  • E. corrodens shows cytochrome oxidase activity but not catalase activity.
  • The positive oxidase reaction separates E. corrodens from A. aphrophilus and A. actinomycetemcomitans, both negative.
  • A. actinomycetemcomitans is also catalase-positive, an additional characteristic separating it from E. corrodens, which is negative.
  • As Kingella kingae is also oxidase-positive and catalase-negative, other tests are needed for differentiation. K. kingae produces acid from glucose and maltose (E. corrodens is asaccharolytic).