Streptococcus oralis, an oral commensal, belongs to the mitis group of streptococci and occasionally causes opportunistic infections, such as bacterial endocarditis and bacteremia. Recently, we found that the hydrogen peroxide (H2O2) produced byS. oralisis sufficient to kill human monocytes and epithelial cells, implying that streptococcal H2O2is a cytotoxin. In the present study, we investigated whether streptococcal H2O2impacts lysosomes, organelles of the intracellular digestive system, in relation to cell death.S. oralisinfection induced the death of RAW 264 macrophages in an H2O2-dependent manner, which was exemplified by the fact that exogenous H2O2also induced cell death. Infection with either a mutant lackingspxB, which encodes pyruvate oxidase responsible for H2O2production, orStreptococcus mutans, which does not produce H2O2, showed less cytotoxicity. Visualization of lysosomes with LysoTracker revealed lysosome deacidification after infection withS. oralisor exposure to H2O2, which was corroborated by acridine orange staining. Similarly, fluorescent labeling of lysosome-associated membrane protein-1 gradually disappeared during infection withS. oralisor exposure to H2O2. The deacidification and the following induction of cell death were inhibited by chelating iron in lysosomes. Moreover, fluorescent staining of cathepsin B indicated lysosomal destruction. However, treatment of infected cells with a specific inhibitor of cathepsin B had negligible effects on cell death; instead, it suppressed the detachment of dead cells from the culture plates. These results suggest that streptococcal H2O2induces cell death with lysosomal destruction and then the released lysosomal cathepsins contribute to the detachment of the dead cells.