Gram-Positive Bacteria: Characteristics, Examples & Diseases (original) (raw)

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Gram-positive bacteria

These bacteria have very distinct features that characterize it and differentiates it from other types of bacteria. These include:

  1. They lack an outer membrane
  2. They have a thin layer of the cytoplasmic lipid layer.
  3. They have a thick peptidoglycan layer
  4. The peptidoglycan layer has a large quantity of teichoic acid and a thin lipid layer, made up of lipoteichoic acid which plays a major role in bacterial adherence.
  5. The peptidoglycan layer plays a key role in maintaining the rigidity of the cell wall by crosslinking by the assistance of the DD-transpeptidase.
  6. They also have a thin layer of periplasm, as compared to that in the Gram-negative bacteria.
  7. Some have a locomotive apparatus, a flagellum that has two basal bodies for support unlike gram-negative which has four basal bodies.
  8. Some have a strong capsule made up of polysaccharides.

Gram-positive bacteria shape

Despite most bacteria being differentiated by the Gram staining dyes, the observation under the Microscope reveals more features that can be used to define and characterize these bacteria.

Gram-positive by definition in shape can be classified into two:

Other special shapes formed by Gram-positive bacteria include:

Tetrad- a type of cocci shape occurring in square-clusters of fours, for example, Micrococcus spp

Sarcina (Octae) – thick-walled cocci shapes, occurring in clusters of four, or cubes of eight, for example, Sarcina app

Gram-positive bacteria cell wall

The thick Gram-positive bacterial cell is made up of a large quantity of peptidoglycan, teichoic acid, a thin lipid layer below the peptidoglycan layer and glycerol polymers.

Peptidoglycan

Teichoic Acid

Lipid

Gram-positive bacteria examples and diseases

The table below describes various Gram-positive bacteria, their basic morphological features the diseases they cause in Humans.

Gram-Positive Bacteria Bacterial infection: Clinical Features
Staphylococcus aureus They cause localized and deep localized skin infections such as Furuncles, carbuncles, Wound infection, Cellulitis, ImpetigoRespiratory infections such as pneumoniaCardiovascular infections such as Endocarditis and SepticemiaMusculoskeletal Infections such as Osteomyelitis and arthritis
Streptococcus pyogenes Acute pharyngitis or pharyngotonsillitisImpetigoErysipelasPuerperal sepsisInvasive group A streptococcal disease (Necrotizing fasciitis/myositis)Streptococcal toxic shock syndromeAcute rheumatic feverAcute glomerulonephritis
Streptococcus pneumoniae Community-acquired Acute bacterial pneumoniaAdult bacterial meningitisOtitis media in childrenBacteremia/sepsisMeningitis
Bacillus anthracis It causes Anthrax disease of the pulmonary system (woolsorter’s disease) associated with hemorrhagic necrosis and edema of the Mediastinum, with coughing, sepsis which spreads to the gastrointestinal tract causing bowel ulceration and hemorrhagic meningitis.The anthrax disease of the cutaneous layer with pruritic papule lesions and edema, lymphadenopathy, Lymphangitis, systemic symptoms of fever, malaise and headache.
Corneybacterium diphtheriae Diphtheria, a localized infection of the upper respiratory tract;Cardiac conduction defects and myocarditis may lead to congestive heart failure and permanent heart damage if the disease extends to the lower tract;Neuritis of cranial nerves and paralysis of eye and leg muscles.Cutaneous diphtheria in wounded or cut skin causing chronic ulcerated nonhealing wounds
Clostridium botulinum Causes botulism poisoning associated with visual disturbances (incoordination of eye muscles, double vision), inability to swallow, and speech difficulty; bulbar paralysis, respiratory paralysis, and cardiac arrest may lead to death.
Clostridium tetani Tetanus characterized by tonic contraction of voluntary muscles. Muscle spasm on the area of injury; infection of the jaw muscles which makes it difficult to open the mouth.Tonic spasm of other body muscles and tetanic generalized muscle spasm.
Clostridium difficile Pseudomembranous Colitis associated with watery, bloody diarrhea, microabscess in the bowel.
Enterococcus faecium and Enterococcus faecalis They rarely caused disease in healthy persons. They cause disease in immune-compromised individuals with wounds and attached instruments like respirators, catheters causing urinary tract infections, bacteremia/ sepsis, endocarditis, biliary tract infection, or intra-abdominal abscesses.
Listeria monocytogenes Listeriosis associated with septicemia and meningitis.Focal and granulomatous skin lesionsAn asymptomatic vaginal disease spreads to newborns causing flu-like illness and meningitis in the newborn.

Gram-positive bacteria antibiotics

As noted from the above table, Gram-positive bacteria are known to cause several infections which may be disastrous to humans if not treated and managed on time and properly. For this reason, scientists manufactured chemotherapeutic agents, known as antibiotics which act against the bacterial agent causing the disease, eliminating it from the system by killing it. The mechanisms of elimination of the antibiotics vary.

Gram-Positive antimicrobial agents include:

Antimicrobial agent Mechanism of action Examples of Bacteria
ß-lactamases: Amoxicillin, methicillin, Oxacillin, Ampicillin, Penicillin G Disruption of bacterial cell wall Staphylococcus aureus Streptococcus pneumonieStreptococcus pyogenesCorynebacteriun diphtheriaBcillus anthracisClostridium botulinum
Vancomycin, Erythromycin, Azithromycin Inhibits cell wall synthesis by preventing the crosslinking of the peptidoglycan peptidases. Staphylococcus spp Streptococcus spp Bacillus spp Clostridium difficile
Bacitracin Inhibits cell wall synthesis by preventing movement of the cytoplasmic membrane and peptidoglycan precursors. Corneybacterium spp Bacillus anthracis
Macrolides: Azithromycin, Clarithromycin Inhibit bacterial protein synthesis by preventing polypeptide elongation of 50s ribosomes Streptococcus pyogenes
Cephalosporin Inhibition of cell wall synthesis (Disruption of peptidoglycan synthesis) Streptococcus pneumoniae Bacillus anthracis
Aminoglycosides: Gentamicin Inhibition of bacterial protein synthesis by the production of aberrant peptide chains at the 30s ribosomes Staphylococcus aureus Streptococcus pneumoniaeStreptococcus pyogenesEnterococcus spp
Oxazolidinone Inhibition of protein synthesis at the 50s ribosomes Enterococcus spp
Rifampicin It inhibits the synthesis of nucleic acids by preventing the transcription of binding DNA-dependent RNA polymerase. Bacillus anthracis
Sulfonamides: sulfamethoxazole An antimetabolite that inhibits dihydropteroate synthase and disrupts the folic acid synthesis Listeria monocytogenes
Trimethoprim An antimetabolite that inhibits dihydrofolate reductase and disrupts the folic acid synthesis Listeria monocytogenes

References and Sources

  1. Jawertz M., Alderbergs., Medical Microbiology 28th Edition.
  2. Prescott M. L., Microbiology. 5th Edition
  3. Lippincott Microbiology in review: 3rd edition
  4. https://en.wikipedia.org/wiki/Teichoic\_acid
  5. https://en.wikipedia.org/wiki/Gram-positive\_bacteria
  6. https://en.wikipedia.org/wiki/Lipoteichoic\_acid
  7. https://en.wikipedia.org/wiki/DD-transpeptidase
  8. https://www.britannica.com/science/flagellum
  9. https://byjus.com/biology/gram-positive-bacteria/
  10. https://www.medicinenet.com/gentamicin-injection/article.htm
  11. https://www.drugs.com/drug-class/cephalosporins.html

About Author

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Dr. Faith Mokobi

Dr. Faith Mokobi is a passionate scientist and completed her Ph.D. in Nanoengineering (Synthetic Biology specialization) from Joint School of Nanoscience and Nanoengineering, North Carolina A and T State University, North Carolina, USA in 2025. She has a background in Immunology and Microbiology (MSc./BSc.). With extensive higher education teaching and research experience in Biomedical studies, metagenomic studies, and drug resistance, Faith is currently integrating her Biomedical experience in nanotechnology and cancer theranostics.