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| { | |
| "schema_version": "1.0", | |
| "level": "genus", | |
| "genus": "Alcaligenes", | |
| "overview": { | |
| "short": "Alcaligenes species are Gram-negative, aerobic, non-fermentative rods commonly found in environmental sources and occasionally associated with opportunistic infections.", | |
| "clinical_context": "Rarely pathogenic but may be isolated from respiratory specimens, blood, or hospital environments." | |
| }, | |
| "expected_fields": { | |
| "Gram Stain": "Negative", | |
| "Shape": "Rods", | |
| "Motility": "Positive", | |
| "Capsule": "Negative", | |
| "Spore Formation": "Negative", | |
| "Haemolysis": "Negative", | |
| "Haemolysis Type": "None", | |
| "Media Grown On": [ | |
| "Blood Agar", | |
| "Nutrient Agar" | |
| ], | |
| "Colony Morphology": [ | |
| "Small", | |
| "Smooth", | |
| "Grey-White" | |
| ], | |
| "Oxygen Requirement": "Aerobe", | |
| "Growth Temperature": "20//42", | |
| "Catalase": "Positive", | |
| "Oxidase": "Positive", | |
| "Indole": "Negative", | |
| "Urease": "Variable", | |
| "Citrate": "Negative", | |
| "Methyl Red": "Negative", | |
| "VP": "Negative", | |
| "H2S": "Negative", | |
| "DNase": "Negative", | |
| "ONPG": "Negative", | |
| "Coagulase": "Negative", | |
| "Gelatin Hydrolysis": "Variable", | |
| "Esculin Hydrolysis": "Negative", | |
| "Nitrate Reduction": "Variable", | |
| "NaCl Tolerant (>=6%)": "Negative", | |
| "Lipase Test": "Negative", | |
| "Lysine Decarboxylase": "Negative", | |
| "Ornithine Decarboxylase": "Variable", | |
| "Ornitihine Decarboxylase": "Variable", | |
| "Arginine dihydrolase": "Negative", | |
| "Glucose Fermentation": "Negative", | |
| "Lactose Fermentation": "Negative", | |
| "Sucrose Fermentation": "Negative", | |
| "Maltose Fermentation": "Negative", | |
| "Mannitol Fermentation": "Negative", | |
| "Sorbitol Fermentation": "Negative", | |
| "Xylose Fermentation": "Negative", | |
| "Rhamnose Fermentation": "Negative", | |
| "Arabinose Fermentation": "Negative", | |
| "Raffinose Fermentation": "Negative", | |
| "Trehalose Fermentation": "Negative", | |
| "Inositol Fermentation": "Negative", | |
| "Gas Production": "Negative", | |
| "TSI Pattern": "K/K", | |
| "Colony Pattern": "Unknown", | |
| "Pigment": "None", | |
| "Motility Type": "Peritrichous" | |
| }, | |
| "field_notes": { | |
| "Oxidase": "Strong oxidase positivity is characteristic.", | |
| "Glucose Fermentation": "Alcaligenes species are non-fermentative." | |
| }, | |
| "key_differentiators": [ | |
| { | |
| "field": "Oxidase", | |
| "expected": "Positive", | |
| "distinguishes_from": ["Enterobacter", "Escherichia"], | |
| "notes": "Separates Alcaligenes from oxidase-negative Enterobacterales." | |
| }, | |
| { | |
| "field": "Glucose Fermentation", | |
| "expected": "Negative", | |
| "distinguishes_from": ["Aeromonas"], | |
| "notes": "Non-fermentative metabolism is genus-defining." | |
| } | |
| ], | |
| "common_confusions": [ | |
| { | |
| "genus": "Achromobacter", | |
| "reason": "Both are oxidase-positive, non-fermentative Gram-negative rods." | |
| }, | |
| { | |
| "genus": "Pseudomonas", | |
| "reason": "Shared aerobic growth and non-fermentative metabolism." | |
| } | |
| ], | |
| "when_to_question_identification": [ | |
| "Oxidase negativity suggests another genus.", | |
| "Glucose fermentation argues against Alcaligenes.", | |
| "Pigment production suggests Pseudomonas." | |
| ], | |
| "recommended_next_tests": [ | |
| { | |
| "test": "Oxidase test", | |
| "reason": "Key screening test for non-fermentative Gram-negative rods." | |
| }, | |
| { | |
| "test": "MALDI-TOF MS", | |
| "reason": "Recommended due to limited biochemical resolution." | |
| } | |
| ], | |
| "supported_species": [ | |
| "faecalis", | |
| "denitrificans" | |
| ] | |
| } |