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- data/alias_maps.json +33 -0
- data/bacteria_db.xlsx +3 -0
- data/extended_proposals.jsonl +138 -0
- data/extended_schema.json +201 -0
- data/feature_schema.json +86 -0
- data/field_weights.json +939 -0
- data/gold_tests.json +3 -0
- data/llm_gold_examples.json +0 -0
- data/rag/index/doc_meta_genus.json +0 -0
- data/rag/index/doc_meta_species.json +0 -0
- data/rag/index/embedding_genus.npy +3 -0
- data/rag/index/embeddings_species.npy +3 -0
- data/rag/index/kb_index.json +3 -0
- data/rag/knowledge_base/Abiotrophia/defectiva.json +122 -0
- data/rag/knowledge_base/Abiotrophia/genus.json +131 -0
- data/rag/knowledge_base/Achromobacter/denitrificans.json +99 -0
- data/rag/knowledge_base/Achromobacter/genus.json +137 -0
- data/rag/knowledge_base/Achromobacter/insolitus.json +95 -0
- data/rag/knowledge_base/Achromobacter/xylosoxidans.json +112 -0
- data/rag/knowledge_base/Acidaminococcus/fermentans.json +101 -0
- data/rag/knowledge_base/Acidaminococcus/genus.json +131 -0
- data/rag/knowledge_base/Acidaminococcus/intestini.json +101 -0
- data/rag/knowledge_base/Acidovorax/avenae.json +107 -0
- data/rag/knowledge_base/Acidovorax/citrulli.json +101 -0
- data/rag/knowledge_base/Acidovorax/delafieldii.json +111 -0
- data/rag/knowledge_base/Acidovorax/genus.json +133 -0
- data/rag/knowledge_base/Acinetobacter/baumannii.json +115 -0
- data/rag/knowledge_base/Acinetobacter/calcoaceticus.json +103 -0
- data/rag/knowledge_base/Acinetobacter/genus.json +135 -0
- data/rag/knowledge_base/Acinetobacter/johnsonii.json +97 -0
- data/rag/knowledge_base/Acinetobacter/lwoffii.json +103 -0
- data/rag/knowledge_base/Acinetobacter/pittii.json +111 -0
- data/rag/knowledge_base/Actinobacillus/actinomycetemcomitans.json +112 -0
- data/rag/knowledge_base/Actinobacillus/genus.json +134 -0
- data/rag/knowledge_base/Actinobacillus/pleuropneumoniae.json +103 -0
- data/rag/knowledge_base/Actinobacillus/suis.json +103 -0
- data/rag/knowledge_base/Actinomyces/genus.json +135 -0
- data/rag/knowledge_base/Actinomyces/israelii.json +108 -0
- data/rag/knowledge_base/Actinomyces/naeslundii.json +106 -0
- data/rag/knowledge_base/Actinomyces/odontolyticus.json +106 -0
- data/rag/knowledge_base/Aerococcus/genus.json +137 -0
- data/rag/knowledge_base/Aerococcus/sanguinicola.json +96 -0
- data/rag/knowledge_base/Aerococcus/urinae.json +111 -0
- data/rag/knowledge_base/Aerococcus/viridans.json +96 -0
- data/rag/knowledge_base/Aeromonas/caviae.json +122 -0
- data/rag/knowledge_base/Aeromonas/genus.json +138 -0
- data/rag/knowledge_base/Aeromonas/hydrophila.json +122 -0
- data/rag/knowledge_base/Aeromonas/veronii.json +122 -0
- data/rag/knowledge_base/Aggregatibacter/actinomycetemcomitans.json +108 -0
- data/rag/knowledge_base/Aggregatibacter/aphrophilus.json +102 -0
data/alias_maps.json
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{
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"field_aliases": {
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"Dnase": "DNase",
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"CAMP Test": "CAMP",
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"Optochin Sensitivity": "Optochin",
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"Bile Solubility Test": "Bile Solubility",
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"Hippurate": "Hippurate Hydrolysis",
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"PYR Test": "PYR"
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},
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"media_aliases": {
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"mac": "MacConkey Agar",
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"macconkey": "MacConkey Agar",
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"msa": "Mannitol Salt Agar",
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"bap": "Blood Agar",
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"choc": "Chocolate Agar",
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"chocolate": "Chocolate Agar",
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"cled": "CLED Agar"
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},
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"value_aliases_pnv": {
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"+": "Positive",
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"pos": "Positive",
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"positive": "Positive",
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"-": "Negative",
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"neg": "Negative",
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"negative": "Negative",
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"variable": "Variable",
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"var": "Variable"
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},
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"Motility": {
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"positive": "positive"
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}
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}
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#current ver
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data/bacteria_db.xlsx
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version https://git-lfs.github.com/spec/v1
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oid sha256:f0a353ee5d5f1488f3d39ed969aa8a112506dc9c59e51e76545fdbb24d9fc881
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size 2686741
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data/extended_proposals.jsonl
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{"timestamp": "2025-11-16T03:03:53.571998Z", "field_name": "DNase", "freq": 5, "values_seen": {"Positive": 4, "Negative": 1}}
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{"timestamp": "2025-11-16T03:03:53.573593Z", "field_name": "Lipase", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573653Z", "field_name": "Fermentation Products", "freq": 1, "values_seen": {"Acetic; Butyric": 1}}
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{"timestamp": "2025-11-16T03:03:53.573685Z", "field_name": "Arginine", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573713Z", "field_name": "NaCl Tolerant (>=15%)", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573739Z", "field_name": "Temperature Dependence", "freq": 1, "values_seen": {"Room Temperature Pigment": 1}}
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{"timestamp": "2025-11-16T03:03:53.573765Z", "field_name": "NaCl Tolerant (>=10%)", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573791Z", "field_name": "Fermentation Product", "freq": 1, "values_seen": {"Lactic Acid": 1}}
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{"timestamp": "2025-11-16T03:03:53.573816Z", "field_name": "Arginine Hydrolysis", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573841Z", "field_name": "CAMP Test", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573865Z", "field_name": "Optochin Sensitivity", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-16T03:03:53.573889Z", "field_name": "Other Products", "freq": 1, "values_seen": {"Propionic Acid": 1}}
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{"timestamp": "2025-11-16T03:03:53.573913Z", "field_name": "Metabolic Product", "freq": 1, "values_seen": {"Dextran": 1}}
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{"timestamp": "2025-11-24T20:31:45.153091Z", "field_name": "DNase", "freq": 142, "values_seen": {"Positive": 52, "Negative": 81, "Variable": 9}}
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{"timestamp": "2025-11-24T20:31:45.162359Z", "field_name": "Lipase", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-24T20:31:45.162468Z", "field_name": "Fermentation Products", "freq": 1, "values_seen": {"Acetic; Butyric": 1}}
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{"timestamp": "2025-11-24T20:31:45.162504Z", "field_name": "Arginine", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-24T20:31:45.162536Z", "field_name": "NaCl Tolerant (>=15%)", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-24T20:31:45.162565Z", "field_name": "Temperature Dependence", "freq": 1, "values_seen": {"Room Temperature Pigment": 1}}
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{"timestamp": "2025-11-24T20:31:45.162609Z", "field_name": "NaCl Tolerant (>=10%)", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-24T20:31:45.162649Z", "field_name": "Fermentation Product", "freq": 1, "values_seen": {"Lactic Acid": 1}}
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| 22 |
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{"timestamp": "2025-11-24T20:31:45.162728Z", "field_name": "Arginine Hydrolysis", "freq": 1, "values_seen": {"Positive": 1}}
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{"timestamp": "2025-11-24T20:31:45.162778Z", "field_name": "Optochin Sensitivity", "freq": 9, "values_seen": {"Positive": 3, "Negative": 5, "Variable": 1}}
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{"timestamp": "2025-11-24T20:31:45.162809Z", "field_name": "Other Products", "freq": 1, "values_seen": {"Propionic Acid": 1}}
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{"timestamp": "2025-11-24T20:31:45.162838Z", "field_name": "Metabolic Product", "freq": 1, "values_seen": {"Dextran": 1}}
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{"timestamp": "2025-11-24T20:31:45.162867Z", "field_name": "Bacitracin Sensitivity", "freq": 3, "values_seen": {"Positive": 2, "Negative": 1}}
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{"timestamp": "2025-11-24T20:31:45.162921Z", "field_name": "Pigment Production", "freq": 160, "values_seen": {"Pyocyanin;Pyoverdine": 1, "Yellow": 75, "Red": 12, "Fluorescent": 2, "Variable": 4, "Brown": 9, "Greenish-yellow": 1, "Yellow;Tan": 2, "Pink": 6, "Black": 5, "Pink;Red": 5, "Fluorescent Green": 1, "Yellow;Yellow-Orange": 1, "Yellow-Green": 5, "Blue-Green": 2, "Negative": 10, "Non-pigmented": 1, "Photochromogenic Yellow": 1, "Orange": 2, "Brown on Bird Seed Agar": 1, "Violet": 1, "Fluorescent Yellow-Green": 1, "Greenish": 1, "Cream": 1, "Yellowish": 1, "Yellow;Orange": 1, "Dark Red": 1, "Pink-Red": 1, "Yellow-Brown": 1, "Pale Pink": 1, "Yellow-White": 2, "Yellow;Cream": 1, "Pale Yellow": 1}}
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{"timestamp": "2025-11-24T20:31:45.163012Z", "field_name": "Indoxyl Acetate", "freq": 8, "values_seen": {"Positive": 4, "Negative": 4}}
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{"timestamp": "2025-11-24T20:31:45.163073Z", "field_name": "Growth Requirements", "freq": 11, "values_seen": {"X Factor;V Factor": 2, "L-cysteine;Iron": 2, "V Factor": 1, "L-cysteine": 1, "Hemin": 1, "X Factor": 1, "Haemin;Vitamin K": 1, "Complex Nutrients": 1, "Hemin;Vitamin K": 1}}
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{"timestamp": "2025-11-24T20:31:45.163126Z", "field_name": "Aerolysin Production", "freq": 1, "values_seen": {"Positive": 1}}
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| 31 |
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{"timestamp": "2025-11-24T20:31:45.163175Z", "field_name": "Bile Esculin", "freq": 42, "values_seen": {"Positive": 42}}
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{"timestamp": "2025-11-24T20:31:45.163209Z", "field_name": "Arrangement", "freq": 11, "values_seen": {"Cocci": 5, "Tetrads": 2, "Chains": 1, "Diplococci": 3}}
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| 33 |
+
{"timestamp": "2025-11-24T20:31:45.163239Z", "field_name": "Toxin A", "freq": 1, "values_seen": {"Positive": 1}}
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| 34 |
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{"timestamp": "2025-11-24T20:31:45.163265Z", "field_name": "Toxin B", "freq": 1, "values_seen": {"Positive": 1}}
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| 35 |
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{"timestamp": "2025-11-24T20:31:45.163296Z", "field_name": "Carbohydrate Utilisation", "freq": 19, "values_seen": {"Negative": 18, "Oxidative": 1}}
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| 36 |
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{"timestamp": "2025-11-24T20:31:45.163327Z", "field_name": "Novobiocin Sensitivity", "freq": 25, "values_seen": {"Negative": 8, "Positive": 17}}
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| 37 |
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{"timestamp": "2025-11-24T20:31:45.163355Z", "field_name": "Acid-fast Stain", "freq": 3, "values_seen": {"Positive": 3}}
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| 38 |
+
{"timestamp": "2025-11-24T20:31:45.163387Z", "field_name": "Nitrogen Fixation", "freq": 2, "values_seen": {"Positive": 2}}
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| 39 |
+
{"timestamp": "2025-11-24T20:31:45.163414Z", "field_name": "Pseudohyphae", "freq": 2, "values_seen": {"Positive": 2}}
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| 40 |
+
{"timestamp": "2025-11-24T20:31:45.163443Z", "field_name": "Germ Tube", "freq": 31, "values_seen": {"Positive": 8, "Negative": 23}}
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| 41 |
+
{"timestamp": "2025-11-24T20:31:45.163469Z", "field_name": "Budding", "freq": 1, "values_seen": {"Positive": 1}}
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| 42 |
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{"timestamp": "2025-11-24T20:31:45.163494Z", "field_name": "Hyphae", "freq": 2, "values_seen": {"Negative": 1, "Septate": 1}}
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| 43 |
+
{"timestamp": "2025-11-24T20:31:45.163520Z", "field_name": "Ethanol Production", "freq": 3, "values_seen": {"Positive": 3}}
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| 44 |
+
{"timestamp": "2025-11-24T20:31:45.163545Z", "field_name": "Intracellular Lifestyle", "freq": 4, "values_seen": {"Obligate Intracellular": 3, "Facultative Intracellular": 1}}
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| 45 |
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{"timestamp": "2025-11-24T20:31:45.163570Z", "field_name": "Fermentation Substrate", "freq": 1, "values_seen": {"Amino Acids": 1}}
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| 46 |
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{"timestamp": "2025-11-24T20:31:45.163595Z", "field_name": "Morphology Detail", "freq": 3, "values_seen": {"Branching": 2, "Tapered Ends": 1}}
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| 47 |
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{"timestamp": "2025-11-24T20:31:45.163624Z", "field_name": "Toxin Production", "freq": 13, "values_seen": {"Shiga-like Toxin": 1, "Shiga Toxin": 3, "Tetanospasmin": 1, "Pertussis Toxin": 1, "Cytolysin": 1, "Negative": 1, "Lethal;Hemorrhagic": 1, "Toxin A;Toxin B": 1, "Alpha Toxin": 1, "Botulinum Neurotoxin G": 1, "Toxin A; Toxin B": 1}}
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| 48 |
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{"timestamp": "2025-11-24T20:31:45.163660Z", "field_name": "Organic Acids Production", "freq": 67, "values_seen": {"Acetate;Succinate": 2, "Butyrate": 14, "Butyrate;Acetate": 8, "Acetate;Butyrate": 16, "Short-chain Fatty Acids": 1, "Succinate;Acetate": 1, "Propionate": 6, "Lactate": 2, "Acetate": 5, "Valerate;Butyrate": 1, "Acetate;Butyrate;Lactate": 1, "Propionate;Acetate": 5, "Acetate;Lactate": 2, "Acetate;Ethanol": 1, "Acetate;Formate": 1, "Butyrate;Isopropanol": 1}}
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| 49 |
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{"timestamp": "2025-11-24T20:31:45.163694Z", "field_name": "Butyrate Esterase", "freq": 2, "values_seen": {"Positive": 2}}
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| 50 |
+
{"timestamp": "2025-11-24T20:31:45.163722Z", "field_name": "Dextran Production", "freq": 3, "values_seen": {"Positive": 3}}
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| 51 |
+
{"timestamp": "2025-11-24T20:31:45.163766Z", "field_name": "Denitrification", "freq": 5, "values_seen": {"Positive": 5}}
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| 52 |
+
{"timestamp": "2025-11-24T20:31:45.163819Z", "field_name": "Special Metabolism", "freq": 6, "values_seen": {"Arsenite Oxidation": 1, "Reuterin Production": 1, "1,3-Propanediol Production": 1, "Vitamin B12 Production": 1, "Hydrogen Peroxide Production": 1, "p-Cresol Production": 1}}
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| 53 |
+
{"timestamp": "2025-11-24T20:31:45.163853Z", "field_name": "Galactose Fermentation", "freq": 4, "values_seen": {"Positive": 4}}
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| 54 |
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{"timestamp": "2025-11-24T20:31:45.163890Z", "field_name": "UV Resistance", "freq": 1, "values_seen": {"Positive": 1}}
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| 55 |
+
{"timestamp": "2025-11-24T20:31:45.163918Z", "field_name": "Nalidixic Acid Resistance", "freq": 1, "values_seen": {"Positive": 1}}
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| 56 |
+
{"timestamp": "2025-11-24T20:31:45.163963Z", "field_name": "Protease Production", "freq": 1, "values_seen": {"Positive": 1}}
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| 57 |
+
{"timestamp": "2025-11-24T20:31:45.163992Z", "field_name": "Aerotolerance", "freq": 4, "values_seen": {"Positive": 4}}
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| 58 |
+
{"timestamp": "2025-11-24T20:31:45.164021Z", "field_name": "Swarming Motility", "freq": 2, "values_seen": {"Positive": 2}}
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| 59 |
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{"timestamp": "2025-11-24T20:31:45.164060Z", "field_name": "Phenylalanine Deaminase", "freq": 4, "values_seen": {"Positive": 4}}
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| 60 |
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{"timestamp": "2025-11-24T20:31:45.164104Z", "field_name": "Motility at 25C", "freq": 2, "values_seen": {"Positive": 2}}
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| 61 |
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{"timestamp": "2025-11-24T20:31:45.164134Z", "field_name": "Motility at 37C", "freq": 2, "values_seen": {"Negative": 2}}
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| 62 |
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{"timestamp": "2025-11-24T20:31:45.164161Z", "field_name": "Bipolar Staining", "freq": 2, "values_seen": {"Positive": 2}}
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| 63 |
+
{"timestamp": "2025-11-24T20:31:45.164186Z", "field_name": "X Factor Requirement", "freq": 2, "values_seen": {"Positive": 1, "Negative": 1}}
|
| 64 |
+
{"timestamp": "2025-11-24T20:31:45.164221Z", "field_name": "V Factor Requirement", "freq": 2, "values_seen": {"Positive": 2}}
|
| 65 |
+
{"timestamp": "2025-11-24T20:31:45.164266Z", "field_name": "Satellite Phenomenon", "freq": 1, "values_seen": {"Positive": 1}}
|
| 66 |
+
{"timestamp": "2025-11-24T20:31:45.164303Z", "field_name": "Cysteine Requirement", "freq": 2, "values_seen": {"Positive": 2}}
|
| 67 |
+
{"timestamp": "2025-11-24T20:31:45.164331Z", "field_name": "Iron Requirement", "freq": 2, "values_seen": {"Positive": 2}}
|
| 68 |
+
{"timestamp": "2025-11-24T20:31:45.164357Z", "field_name": "Niacin", "freq": 1, "values_seen": {"Positive": 1}}
|
| 69 |
+
{"timestamp": "2025-11-24T20:31:45.164382Z", "field_name": "Catalase at 68C", "freq": 1, "values_seen": {"Negative": 1}}
|
| 70 |
+
{"timestamp": "2025-11-24T20:31:45.164424Z", "field_name": "Growth Rate", "freq": 9, "values_seen": {"Slow": 9}}
|
| 71 |
+
{"timestamp": "2025-11-24T20:31:45.164459Z", "field_name": "Cell Wall Lipids", "freq": 1, "values_seen": {"High Mycolic Acids": 1}}
|
| 72 |
+
{"timestamp": "2025-11-24T20:31:45.164487Z", "field_name": "Chlamydospore Formation", "freq": 1, "values_seen": {"Positive": 1}}
|
| 73 |
+
{"timestamp": "2025-11-24T20:31:45.164517Z", "field_name": "Metachromatic Granules", "freq": 1, "values_seen": {"Negative": 1}}
|
| 74 |
+
{"timestamp": "2025-11-24T20:31:45.164544Z", "field_name": "Starch Hydrolysis", "freq": 1, "values_seen": {"Positive": 1}}
|
| 75 |
+
{"timestamp": "2025-11-24T20:31:45.164574Z", "field_name": "Sugar Fermentation", "freq": 1, "values_seen": {"Negative": 1}}
|
| 76 |
+
{"timestamp": "2025-11-24T20:31:45.164600Z", "field_name": "Special Features", "freq": 1, "values_seen": {"Sulfur Granules": 1}}
|
| 77 |
+
{"timestamp": "2025-11-24T20:31:45.164626Z", "field_name": "Lactate Fermentation", "freq": 1, "values_seen": {"Positive": 1}}
|
| 78 |
+
{"timestamp": "2025-11-24T20:31:45.164653Z", "field_name": "Pyruvate Metabolism", "freq": 1, "values_seen": {"Positive": 1}}
|
| 79 |
+
{"timestamp": "2025-11-24T20:31:45.164679Z", "field_name": "Lactate Utilisation", "freq": 1, "values_seen": {"Positive": 1}}
|
| 80 |
+
{"timestamp": "2025-11-24T20:31:45.164708Z", "field_name": "Culture Requirement", "freq": 9, "values_seen": {"Not Grown on Routine Media": 1, "BSK Medium": 1, "Not Cultivable on Routine Media": 1, "Cell Culture;Embryonated Eggs": 1, "Cell Culture": 1, "Iron/Sulfur Mineral Media": 1, "Inorganic Ammonium Media": 1, "Inorganic Nitrite Media": 1, "Methanol-containing Media": 1}}
|
| 81 |
+
{"timestamp": "2025-11-24T20:31:45.164750Z", "field_name": "Detection Method", "freq": 2, "values_seen": {"Dark-field Microscopy": 1, "PCR;Immunostain": 1}}
|
| 82 |
+
{"timestamp": "2025-11-24T20:31:45.164793Z", "field_name": "Budding Type", "freq": 1, "values_seen": {"Narrow-based": 1}}
|
| 83 |
+
{"timestamp": "2025-11-24T20:31:45.164835Z", "field_name": "Inositol Assimilation", "freq": 1, "values_seen": {"Positive": 1}}
|
| 84 |
+
{"timestamp": "2025-11-24T20:31:45.164880Z", "field_name": "Kingdom", "freq": 1, "values_seen": {"Fungi": 1}}
|
| 85 |
+
{"timestamp": "2025-11-24T20:31:45.164926Z", "field_name": "Branching Angle", "freq": 1, "values_seen": {"45": 1}}
|
| 86 |
+
{"timestamp": "2025-11-24T20:31:45.164959Z", "field_name": "Conidial Head", "freq": 1, "values_seen": {"Columnar": 1}}
|
| 87 |
+
{"timestamp": "2025-11-24T20:31:45.164986Z", "field_name": "Organism Type", "freq": 2, "values_seen": {"Spirochete": 2}}
|
| 88 |
+
{"timestamp": "2025-11-24T20:31:45.165012Z", "field_name": "Stain Preference", "freq": 2, "values_seen": {"Silver;Dark-field": 1, "Dark-field;Silver": 1}}
|
| 89 |
+
{"timestamp": "2025-11-24T20:31:45.165038Z", "field_name": "Flagella Type", "freq": 2, "values_seen": {"Axial Filaments": 1, "Polar": 1}}
|
| 90 |
+
{"timestamp": "2025-11-24T20:31:45.165066Z", "field_name": "Intracellular", "freq": 2, "values_seen": {"Obligate": 2}}
|
| 91 |
+
{"timestamp": "2025-11-24T20:31:45.165094Z", "field_name": "Developmental Cycle", "freq": 1, "values_seen": {"Elementary Body;Reticulate Body": 1}}
|
| 92 |
+
{"timestamp": "2025-11-24T20:31:45.165143Z", "field_name": "Metabolism", "freq": 5, "values_seen": {"Chemolithoautotroph": 3, "Methylotroph": 1, "Proteolytic": 1}}
|
| 93 |
+
{"timestamp": "2025-11-24T20:31:45.165186Z", "field_name": "Substrate Utilisation", "freq": 4, "values_seen": {"Ferrous Iron;Reduced Sulfur": 1, "Ammonia": 1, "Nitrite": 1, "Methanol;C1 Compounds": 1}}
|
| 94 |
+
{"timestamp": "2025-11-24T20:31:45.165217Z", "field_name": "pH Preference", "freq": 1, "values_seen": {"Acidophilic": 1}}
|
| 95 |
+
{"timestamp": "2025-11-24T20:31:45.165242Z", "field_name": "Optimal pH", "freq": 1, "values_seen": {"2–3": 1}}
|
| 96 |
+
{"timestamp": "2025-11-24T20:31:45.165270Z", "field_name": "Product", "freq": 2, "values_seen": {"Nitrite": 1, "Nitrate": 1}}
|
| 97 |
+
{"timestamp": "2025-11-24T20:31:45.165296Z", "field_name": "Radiation Resistance", "freq": 2, "values_seen": {"High": 2}}
|
| 98 |
+
{"timestamp": "2025-11-24T20:31:45.165324Z", "field_name": "Environmental Survival", "freq": 1, "values_seen": {"High": 1}}
|
| 99 |
+
{"timestamp": "2025-11-24T20:31:45.165364Z", "field_name": "Thermophilic", "freq": 2, "values_seen": {"Positive": 2}}
|
| 100 |
+
{"timestamp": "2025-11-24T20:31:45.165408Z", "field_name": "Cephalothin Sensitivity", "freq": 1, "values_seen": {"Positive": 1}}
|
| 101 |
+
{"timestamp": "2025-11-24T20:31:45.165443Z", "field_name": "Metabolic Products", "freq": 10, "values_seen": {"Butyrate;Acetone;Butanol": 1, "Lactic Acid;Hydrogen Peroxide": 1, "Secondary Bile Acids": 1, "Lactic Acid;Ethanol": 3, "Lactic Acid": 3, "Kefiran": 1}}
|
| 102 |
+
{"timestamp": "2025-11-24T20:31:45.165474Z", "field_name": "UV Tolerance", "freq": 1, "values_seen": {"High": 1}}
|
| 103 |
+
{"timestamp": "2025-11-24T20:31:45.165502Z", "field_name": "Heat Resistance", "freq": 2, "values_seen": {"High": 2}}
|
| 104 |
+
{"timestamp": "2025-11-24T20:31:45.165528Z", "field_name": "pH Tolerance", "freq": 4, "values_seen": {"Alkaliphile": 3, "Acidophilic": 1}}
|
| 105 |
+
{"timestamp": "2025-11-24T20:31:45.165554Z", "field_name": "Vitamin B12 Production", "freq": 1, "values_seen": {"Positive": 1}}
|
| 106 |
+
{"timestamp": "2025-11-24T20:31:45.165582Z", "field_name": "Enzyme Production", "freq": 1, "values_seen": {"Amylase": 1}}
|
| 107 |
+
{"timestamp": "2025-11-24T20:31:45.165607Z", "field_name": "Attachment Mechanism", "freq": 1, "values_seen": {"AE Lesions": 1}}
|
| 108 |
+
{"timestamp": "2025-11-24T20:31:45.165637Z", "field_name": "Secondary Metabolites", "freq": 6, "values_seen": {"Siderophores": 1, "Lipopeptides": 2, "Surfactants": 1, "Antimicrobial Peptides": 2}}
|
| 109 |
+
{"timestamp": "2025-11-24T20:31:45.165664Z", "field_name": "Ammonia Production", "freq": 1, "values_seen": {"Positive": 1}}
|
| 110 |
+
{"timestamp": "2025-11-24T20:31:45.165689Z", "field_name": "Bioluminescence", "freq": 2, "values_seen": {"Variable": 1, "Positive": 1}}
|
| 111 |
+
{"timestamp": "2025-11-24T20:31:45.165938Z", "field_name": "Metabolism Type", "freq": 11, "values_seen": {"Homofermentative": 2, "Asaccharolytic": 9}}
|
| 112 |
+
{"timestamp": "2025-11-24T20:31:45.165997Z", "field_name": "Chromium Reduction", "freq": 2, "values_seen": {"Positive": 2}}
|
| 113 |
+
{"timestamp": "2025-11-24T20:31:45.166027Z", "field_name": "Metabolic Capability", "freq": 2, "values_seen": {"Hydrocarbon Degradation": 1, "Agar Degradation": 1}}
|
| 114 |
+
{"timestamp": "2025-11-24T20:31:45.166079Z", "field_name": "Melibiose Fermentation", "freq": 3, "values_seen": {"Positive": 3}}
|
| 115 |
+
{"timestamp": "2025-11-24T20:31:45.166112Z", "field_name": "Growth Requirement", "freq": 16, "values_seen": {"Cysteine;Iron": 8, "X Factor": 2, "V Factor": 5, "X Factor;V Factor": 1}}
|
| 116 |
+
{"timestamp": "2025-11-24T20:31:45.166145Z", "field_name": "MacConkey Growth", "freq": 8, "values_seen": {"Negative": 8}}
|
| 117 |
+
{"timestamp": "2025-11-24T20:31:45.166173Z", "field_name": "Phenylalanine Deamination", "freq": 2, "values_seen": {"Positive": 2}}
|
| 118 |
+
{"timestamp": "2025-11-24T20:31:45.166198Z", "field_name": "Nitrite Reduction", "freq": 3, "values_seen": {"Positive": 3}}
|
| 119 |
+
{"timestamp": "2025-11-24T20:31:45.166241Z", "field_name": "Electron Acceptors", "freq": 7, "values_seen": {"Iron;Manganese": 1, "TMAO": 1, "Iron;TMAO": 1, "Iron": 1, "TMAO;Iron": 2, "Iron;Manganese;TMAO": 1}}
|
| 120 |
+
{"timestamp": "2025-11-24T20:31:45.166278Z", "field_name": "Glycyrrhizin Hydrolysis", "freq": 1, "values_seen": {"Positive": 1}}
|
| 121 |
+
{"timestamp": "2025-11-24T20:31:45.166305Z", "field_name": "Pyrazinamidase", "freq": 1, "values_seen": {"Positive": 1}}
|
| 122 |
+
{"timestamp": "2025-11-24T20:31:45.166332Z", "field_name": "Aromatic Compound Degradation", "freq": 1, "values_seen": {"Positive": 1}}
|
| 123 |
+
{"timestamp": "2025-11-24T20:31:45.166359Z", "field_name": "Xylose Oxidation", "freq": 2, "values_seen": {"Positive": 2}}
|
| 124 |
+
{"timestamp": "2025-11-24T20:31:45.166383Z", "field_name": "Blood Agar Growth", "freq": 1, "values_seen": {"Negative": 1}}
|
| 125 |
+
{"timestamp": "2025-11-24T20:31:45.166408Z", "field_name": "Beta-lactamase", "freq": 1, "values_seen": {"Negative": 1}}
|
| 126 |
+
{"timestamp": "2025-11-24T20:31:45.166433Z", "field_name": "Mannitol Oxidation", "freq": 1, "values_seen": {"Positive": 1}}
|
| 127 |
+
{"timestamp": "2025-11-24T20:31:45.166478Z", "field_name": "Colony Odour", "freq": 4, "values_seen": {"Horse Stable": 1, "Citrus": 1, "Grape-like": 1, "Horse-stable": 1}}
|
| 128 |
+
{"timestamp": "2025-11-24T20:31:45.166512Z", "field_name": "Parasporal Crystal", "freq": 1, "values_seen": {"Present": 1}}
|
| 129 |
+
{"timestamp": "2025-11-24T20:31:45.166542Z", "field_name": "Lancefield Group", "freq": 3, "values_seen": {"D": 1, "C or G": 1, "E": 1}}
|
| 130 |
+
{"timestamp": "2025-11-24T20:31:45.166568Z", "field_name": "NaCl Requirement", "freq": 1, "values_seen": {"Positive": 1}}
|
| 131 |
+
{"timestamp": "2025-11-24T20:31:45.166593Z", "field_name": "Fermentation Type", "freq": 1, "values_seen": {"Heterofermentative": 1}}
|
| 132 |
+
{"timestamp": "2025-11-24T20:31:45.166620Z", "field_name": "Ribose Fermentation", "freq": 4, "values_seen": {"Positive": 4}}
|
| 133 |
+
{"timestamp": "2025-11-24T20:31:45.166654Z", "field_name": "Chlamydospore Production", "freq": 21, "values_seen": {"Positive": 6, "Negative": 15}}
|
| 134 |
+
{"timestamp": "2025-11-24T20:31:45.166686Z", "field_name": "Phenol Oxidase", "freq": 7, "values_seen": {"Positive": 7}}
|
| 135 |
+
{"timestamp": "2025-11-24T20:31:45.166714Z", "field_name": "Acid-Fast", "freq": 20, "values_seen": {"Positive": 20}}
|
| 136 |
+
{"timestamp": "2025-11-24T20:31:45.166740Z", "field_name": "Raffinase Fermentation", "freq": 1, "values_seen": {"Negative": 1}}
|
| 137 |
+
{"timestamp": "2025-11-24T20:31:45.166765Z", "field_name": "Inositot Fermentation", "freq": 1, "values_seen": {"Negative": 1}}
|
| 138 |
+
{"timestamp": "2025-11-24T20:31:45.166790Z", "field_name": "Inditol", "freq": 1, "values_seen": {"Negative": 1}}
|
data/extended_schema.json
ADDED
|
@@ -0,0 +1,201 @@
|
|
|
|
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|
|
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|
|
|
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|
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|
|
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|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"CAMP": {
|
| 3 |
+
"value_type": "enum_PNV",
|
| 4 |
+
"aliases": ["camp test", "camp reaction"]
|
| 5 |
+
},
|
| 6 |
+
|
| 7 |
+
"PYR": {
|
| 8 |
+
"value_type": "enum_PNV",
|
| 9 |
+
"aliases": ["pyr test", "pyr activity"]
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"Bile Solubility": {
|
| 13 |
+
"value_type": "enum_PNV",
|
| 14 |
+
"aliases": ["bile soluble"]
|
| 15 |
+
},
|
| 16 |
+
|
| 17 |
+
"Hippurate Hydrolysis": {
|
| 18 |
+
"value_type": "enum_PNV",
|
| 19 |
+
"aliases": ["hippurate", "hippurate test"]
|
| 20 |
+
},
|
| 21 |
+
|
| 22 |
+
"Gas Production": {
|
| 23 |
+
"value_type": "enum_PNV",
|
| 24 |
+
"aliases": [
|
| 25 |
+
"gas production",
|
| 26 |
+
"gas-producing",
|
| 27 |
+
"gas producing",
|
| 28 |
+
"gas producer",
|
| 29 |
+
"produces gas",
|
| 30 |
+
"with gas",
|
| 31 |
+
"gas is produced"
|
| 32 |
+
]
|
| 33 |
+
},
|
| 34 |
+
|
| 35 |
+
"Glucose Oxidation": {
|
| 36 |
+
"value_type": "enum_PNV",
|
| 37 |
+
"aliases": [
|
| 38 |
+
"oxidises glucose",
|
| 39 |
+
"oxidizes glucose",
|
| 40 |
+
"oxidation of glucose",
|
| 41 |
+
"glucose oxidation",
|
| 42 |
+
"glucose oxidiser",
|
| 43 |
+
"glucose oxidizer"
|
| 44 |
+
]
|
| 45 |
+
},
|
| 46 |
+
|
| 47 |
+
"Antibiotic Resistance": {
|
| 48 |
+
"value_type": "enum_PNV",
|
| 49 |
+
"aliases": [
|
| 50 |
+
"resistant to",
|
| 51 |
+
"antibiotic resistance",
|
| 52 |
+
"antibiotic-resistant"
|
| 53 |
+
]
|
| 54 |
+
},
|
| 55 |
+
|
| 56 |
+
"Pigment": {
|
| 57 |
+
"value_type": "enum_custom",
|
| 58 |
+
"allowed": [
|
| 59 |
+
"Blue-Green",
|
| 60 |
+
"Green",
|
| 61 |
+
"Yellow",
|
| 62 |
+
"Red",
|
| 63 |
+
"Brown",
|
| 64 |
+
"Pink",
|
| 65 |
+
"Orange",
|
| 66 |
+
"Black",
|
| 67 |
+
"Violet"
|
| 68 |
+
],
|
| 69 |
+
"aliases": [
|
| 70 |
+
"blue-green pigment",
|
| 71 |
+
"green pigment",
|
| 72 |
+
"yellow pigment",
|
| 73 |
+
"red pigment",
|
| 74 |
+
"brown pigment",
|
| 75 |
+
"pink pigment",
|
| 76 |
+
"orange pigment",
|
| 77 |
+
"black pigment",
|
| 78 |
+
"violet pigment",
|
| 79 |
+
"pyocyanin",
|
| 80 |
+
"pyoverdine",
|
| 81 |
+
"pigment production"
|
| 82 |
+
]
|
| 83 |
+
},
|
| 84 |
+
|
| 85 |
+
"Odor": {
|
| 86 |
+
"value_type": "enum_custom",
|
| 87 |
+
"allowed": [
|
| 88 |
+
"Grape",
|
| 89 |
+
"Fruity",
|
| 90 |
+
"Musty",
|
| 91 |
+
"Pungent",
|
| 92 |
+
"Putrid",
|
| 93 |
+
"Buttery",
|
| 94 |
+
"Earthy",
|
| 95 |
+
"Mousy",
|
| 96 |
+
"Fishy",
|
| 97 |
+
"Almond",
|
| 98 |
+
"Cheese"
|
| 99 |
+
],
|
| 100 |
+
"aliases": [
|
| 101 |
+
"grape-like odor",
|
| 102 |
+
"fruity odor",
|
| 103 |
+
"musty odor",
|
| 104 |
+
"pungent odor",
|
| 105 |
+
"putrid odor",
|
| 106 |
+
"buttery odor",
|
| 107 |
+
"earthy odor",
|
| 108 |
+
"mousy odor",
|
| 109 |
+
"fishy odor",
|
| 110 |
+
"almond odor",
|
| 111 |
+
"cheese odor",
|
| 112 |
+
"distinct odor",
|
| 113 |
+
"characteristic smell"
|
| 114 |
+
]
|
| 115 |
+
},
|
| 116 |
+
|
| 117 |
+
"Colony Pattern": {
|
| 118 |
+
"value_type": "enum_custom",
|
| 119 |
+
"allowed": [
|
| 120 |
+
"CIN Bullseye",
|
| 121 |
+
"XLD Black Center",
|
| 122 |
+
"Mucoid",
|
| 123 |
+
"Swarming",
|
| 124 |
+
"Metallic",
|
| 125 |
+
"Smooth",
|
| 126 |
+
"Rough",
|
| 127 |
+
"Chalky",
|
| 128 |
+
"Filamentous",
|
| 129 |
+
"Irregular",
|
| 130 |
+
"Corroding",
|
| 131 |
+
"Sticky",
|
| 132 |
+
"Molar-tooth"
|
| 133 |
+
],
|
| 134 |
+
"aliases": [
|
| 135 |
+
"cin bullseye colonies",
|
| 136 |
+
"bullseye colonies",
|
| 137 |
+
"xld black-centered colonies",
|
| 138 |
+
"black-centered colonies",
|
| 139 |
+
"mucoid colonies",
|
| 140 |
+
"swarming colonies",
|
| 141 |
+
"metallic sheen colonies",
|
| 142 |
+
"smooth colonies",
|
| 143 |
+
"rough colonies",
|
| 144 |
+
"chalky colonies",
|
| 145 |
+
"filamentous colonies",
|
| 146 |
+
"irregular colonies",
|
| 147 |
+
"corroding colonies",
|
| 148 |
+
"sticky colonies",
|
| 149 |
+
"molar-tooth colonies"
|
| 150 |
+
]
|
| 151 |
+
},
|
| 152 |
+
|
| 153 |
+
"Motility Type": {
|
| 154 |
+
"value_type": "enum_custom",
|
| 155 |
+
"allowed": [
|
| 156 |
+
"Tumbling",
|
| 157 |
+
"Darting",
|
| 158 |
+
"Swarming",
|
| 159 |
+
"Umbrella",
|
| 160 |
+
"Gliding",
|
| 161 |
+
"Axial",
|
| 162 |
+
"Peritrichous",
|
| 163 |
+
"Polar",
|
| 164 |
+
"Monotrichous",
|
| 165 |
+
"Lophotrichous"
|
| 166 |
+
],
|
| 167 |
+
"aliases": [
|
| 168 |
+
"tumbling motility",
|
| 169 |
+
"darting motility",
|
| 170 |
+
"swarming motility",
|
| 171 |
+
"umbrella motility",
|
| 172 |
+
"gliding motility",
|
| 173 |
+
"axial filament",
|
| 174 |
+
"peritrichous flagella",
|
| 175 |
+
"polar flagella",
|
| 176 |
+
"monotrichous flagella",
|
| 177 |
+
"lophotrichous flagella"
|
| 178 |
+
]
|
| 179 |
+
},
|
| 180 |
+
|
| 181 |
+
"TSI Pattern": {
|
| 182 |
+
"value_type": "enum_custom",
|
| 183 |
+
"allowed": [
|
| 184 |
+
"A/A",
|
| 185 |
+
"K/A",
|
| 186 |
+
"K/K",
|
| 187 |
+
"A/A + Gas",
|
| 188 |
+
"K/A + H2S"
|
| 189 |
+
],
|
| 190 |
+
"aliases": [
|
| 191 |
+
"tsi",
|
| 192 |
+
"tsi reaction",
|
| 193 |
+
"triple sugar iron",
|
| 194 |
+
"a slash a",
|
| 195 |
+
"k slash a",
|
| 196 |
+
"k slash k",
|
| 197 |
+
"h2s production on tsi",
|
| 198 |
+
"gas production on tsi"
|
| 199 |
+
]
|
| 200 |
+
}
|
| 201 |
+
}
|
data/feature_schema.json
ADDED
|
@@ -0,0 +1,86 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"version": 2,
|
| 3 |
+
"description": "Optimized ML feature schema for genus-level identification.",
|
| 4 |
+
"features": [
|
| 5 |
+
{"name": "Gram Stain", "kind": "pnv"},
|
| 6 |
+
{"name": "Shape", "kind": "shape"},
|
| 7 |
+
{"name": "Haemolysis", "kind": "pnv"},
|
| 8 |
+
{"name": "Haemolysis Type", "kind": "pnv"},
|
| 9 |
+
{"name": "Catalase", "kind": "pnv"},
|
| 10 |
+
{"name": "Oxidase", "kind": "pnv"},
|
| 11 |
+
{"name": "Indole", "kind": "pnv"},
|
| 12 |
+
{"name": "Urease", "kind": "pnv"},
|
| 13 |
+
{"name": "Citrate", "kind": "pnv"},
|
| 14 |
+
{"name": "H2S", "kind": "pnv"},
|
| 15 |
+
{"name": "DNase", "kind": "pnv"},
|
| 16 |
+
{"name": "Lysine Decarboxylase", "kind": "pnv"},
|
| 17 |
+
{"name": "Ornithine Decarboxylase", "kind": "pnv"},
|
| 18 |
+
{"name": "Arginine dihydrolase", "kind": "pnv"},
|
| 19 |
+
{"name": "ONPG", "kind": "pnv"},
|
| 20 |
+
{"name": "Nitrate Reduction", "kind": "pnv"},
|
| 21 |
+
{"name": "Methyl Red", "kind": "pnv"},
|
| 22 |
+
{"name": "VP", "kind": "pnv"},
|
| 23 |
+
{"name": "Coagulase", "kind": "pnv"},
|
| 24 |
+
{"name": "Lipase Test", "kind": "pnv"},
|
| 25 |
+
|
| 26 |
+
{"name": "Motility", "kind": "pnv"},
|
| 27 |
+
{"name": "Motility Type", "kind": "category"},
|
| 28 |
+
|
| 29 |
+
{"name": "Capsule", "kind": "pnv"},
|
| 30 |
+
{"name": "Spore Formation", "kind": "pnv"},
|
| 31 |
+
{"name": "Pigment", "kind": "category"},
|
| 32 |
+
{"name": "Odor", "kind": "category"},
|
| 33 |
+
{"name": "Colony Pattern", "kind": "category"},
|
| 34 |
+
|
| 35 |
+
{"name": "TSI Pattern", "kind": "category"},
|
| 36 |
+
|
| 37 |
+
{"name": "Temperature_4C", "kind": "binary"},
|
| 38 |
+
{"name": "Temperature_25C", "kind": "binary"},
|
| 39 |
+
{"name": "Temperature_30C", "kind": "binary"},
|
| 40 |
+
{"name": "Temperature_37C", "kind": "binary"},
|
| 41 |
+
{"name": "Temperature_42C", "kind": "binary"},
|
| 42 |
+
|
| 43 |
+
{"name": "Lactose Fermentation", "kind": "pnv"},
|
| 44 |
+
{"name": "Glucose Fermentation", "kind": "pnv"},
|
| 45 |
+
{"name": "Sucrose Fermentation", "kind": "pnv"},
|
| 46 |
+
{"name": "Mannitol Fermentation", "kind": "pnv"},
|
| 47 |
+
{"name": "Maltose Fermentation", "kind": "pnv"},
|
| 48 |
+
{"name": "Sorbitol Fermentation", "kind": "pnv"},
|
| 49 |
+
{"name": "Xylose Fermentation", "kind": "pnv"},
|
| 50 |
+
{"name": "Rhamnose Fermentation", "kind": "pnv"},
|
| 51 |
+
{"name": "Arabinose Fermentation", "kind": "pnv"},
|
| 52 |
+
{"name": "Raffinose Fermentation", "kind": "pnv"},
|
| 53 |
+
{"name": "Trehalose Fermentation", "kind": "pnv"},
|
| 54 |
+
{"name": "Inositol Fermentation", "kind": "pnv"},
|
| 55 |
+
|
| 56 |
+
{"name": "Oxygen Requirement", "kind": "oxygen"},
|
| 57 |
+
{"name": "Gas Production", "kind": "pnv"},
|
| 58 |
+
|
| 59 |
+
{"name": "MacConkey Growth", "kind": "media_flag"},
|
| 60 |
+
{"name": "Blood Growth", "kind": "media_flag"},
|
| 61 |
+
{"name": "XLD Growth", "kind": "media_flag"},
|
| 62 |
+
{"name": "Nutrient Growth", "kind": "media_flag"},
|
| 63 |
+
{"name": "Cetrimide Growth", "kind": "media_flag"},
|
| 64 |
+
{"name": "BCYE Growth", "kind": "media_flag"},
|
| 65 |
+
{"name": "Hektoen Enteric Growth", "kind": "media_flag"},
|
| 66 |
+
{"name": "Mannitol Salt Growth", "kind": "media_flag"},
|
| 67 |
+
{"name": "Bordet-Gengou Growth", "kind": "media_flag"},
|
| 68 |
+
{"name": "Thayer Martin Growth", "kind": "media_flag"},
|
| 69 |
+
{"name": "Cycloserine Cefoxitin Fructose Growth", "kind": "media_flag"},
|
| 70 |
+
{"name": "Sabouraud Growth", "kind": "media_flag"},
|
| 71 |
+
{"name": "Lowenstein-Jensen Growth", "kind": "media_flag"},
|
| 72 |
+
{"name": "Yeast Extract Mannitol Growth", "kind": "media_flag"},
|
| 73 |
+
{"name": "BSK Growth", "kind": "media_flag"},
|
| 74 |
+
{"name": "Brucella Growth", "kind": "media_flag"},
|
| 75 |
+
{"name": "Charcoal Growth", "kind": "media_flag"},
|
| 76 |
+
{"name": "BHI Growth", "kind": "media_flag"},
|
| 77 |
+
{"name": "Ashby Growth", "kind": "media_flag"},
|
| 78 |
+
{"name": "MRS Growth", "kind": "media_flag"},
|
| 79 |
+
{"name": "Anaerobic Blood Growth", "kind": "media_flag"},
|
| 80 |
+
{"name": "BP Growth", "kind": "media_flag"},
|
| 81 |
+
{"name": "ALOA Growth", "kind": "media_flag"},
|
| 82 |
+
{"name": "Anaerobic Growth", "kind": "media_flag"},
|
| 83 |
+
{"name": "Chocolate Growth", "kind": "media_flag"},
|
| 84 |
+
{"name": "TCBS Growth", "kind": "media_flag"}
|
| 85 |
+
]
|
| 86 |
+
}
|
data/field_weights.json
ADDED
|
@@ -0,0 +1,939 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
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|
|
|
|
|
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|
|
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|
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|
|
|
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|
|
|
|
|
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|
|
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|
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|
|
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|
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|
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|
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|
|
|
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|
|
|
|
|
|
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|
|
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|
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|
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|
|
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|
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|
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|
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|
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|
| 1 |
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{
|
| 2 |
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"global": {
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| 3 |
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| 4 |
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"extended": 0.17361661950428
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| 5 |
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| 6 |
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"fields": {
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| 7 |
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| 8 |
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| 9 |
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"extended": 0.04112040443168139,
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| 10 |
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"support": 16706
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| 11 |
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| 12 |
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"Shape": {
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| 13 |
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| 14 |
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"extended": 0.018974010230955286,
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| 15 |
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| 16 |
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| 17 |
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"Catalase": {
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| 18 |
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| 19 |
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| 20 |
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| 21 |
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| 22 |
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"Coagulase": {
|
| 23 |
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| 24 |
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"extended": 0.0010509369597369478,
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| 25 |
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"support": 10162
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| 26 |
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| 27 |
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"Haemolysis Type": {
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| 28 |
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| 29 |
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"extended": 0.6441940259796399,
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| 30 |
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"support": 11680
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| 31 |
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| 32 |
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"Haemolysis": {
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| 33 |
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| 34 |
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"extended": 0.0010568606826667317,
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| 35 |
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| 36 |
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| 37 |
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"Oxidase": {
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| 38 |
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| 39 |
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| 40 |
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| 41 |
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| 42 |
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"Indole": {
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| 43 |
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| 44 |
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| 45 |
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| 46 |
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| 47 |
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| 48 |
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| 49 |
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| 50 |
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| 51 |
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| 52 |
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"DNase": {
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| 53 |
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| 54 |
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| 55 |
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| 57 |
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| 58 |
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| 60 |
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| 61 |
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| 62 |
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"Methyl Red": {
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| 63 |
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| 64 |
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"extended": 0.0010221529580173073,
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| 65 |
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| 66 |
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|
| 67 |
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"Citrate": {
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| 68 |
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| 69 |
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"extended": 0.0010164520293760358,
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| 70 |
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| 71 |
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| 72 |
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| 73 |
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| 74 |
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| 75 |
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| 77 |
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| 78 |
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| 79 |
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| 82 |
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| 83 |
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| 84 |
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| 85 |
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| 86 |
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| 87 |
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| 88 |
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| 89 |
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"extended": 0.0010244913465100188,
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| 90 |
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| 92 |
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"NaCl Tolerant (>=6%)": {
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| 93 |
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|
| 94 |
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"extended": 0.7324223339859193,
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| 95 |
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| 96 |
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| 97 |
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| 98 |
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| 102 |
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| 103 |
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| 104 |
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| 108 |
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| 113 |
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| 118 |
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+
"total_samples": 8360,
|
| 935 |
+
"missing_penalty": 0.5,
|
| 936 |
+
"smoothing": 0.001,
|
| 937 |
+
"include_llm": false
|
| 938 |
+
}
|
| 939 |
+
}
|
data/gold_tests.json
ADDED
|
@@ -0,0 +1,3 @@
|
|
|
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|
|
|
|
|
|
|
|
|
| 1 |
+
version https://git-lfs.github.com/spec/v1
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| 2 |
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oid sha256:eb94485222e9733a0d530d4df8ac0f35c8f95770cc9ef44bcb1289807e0b108e
|
| 3 |
+
size 18563634
|
data/llm_gold_examples.json
ADDED
|
The diff for this file is too large to render.
See raw diff
|
|
|
data/rag/index/doc_meta_genus.json
ADDED
|
File without changes
|
data/rag/index/doc_meta_species.json
ADDED
|
File without changes
|
data/rag/index/embedding_genus.npy
ADDED
|
@@ -0,0 +1,3 @@
|
|
|
|
|
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|
|
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|
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version https://git-lfs.github.com/spec/v1
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|
| 3 |
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size 0
|
data/rag/index/embeddings_species.npy
ADDED
|
@@ -0,0 +1,3 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
version https://git-lfs.github.com/spec/v1
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oid sha256:e3b0c44298fc1c149afbf4c8996fb92427ae41e4649b934ca495991b7852b855
|
| 3 |
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size 0
|
data/rag/index/kb_index.json
ADDED
|
@@ -0,0 +1,3 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
version https://git-lfs.github.com/spec/v1
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oid sha256:fec662dd49196192962ead4182cd82f1927d2e896b3296e30d4334c8afc7cf81
|
| 3 |
+
size 91024369
|
data/rag/knowledge_base/Abiotrophia/defectiva.json
ADDED
|
@@ -0,0 +1,122 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Abiotrophia",
|
| 5 |
+
"species": "defectiva",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Abiotrophia defectiva is a fastidious Gram-positive coccus and a member of the nutritionally variant streptococci, requiring enriched media or growth factors for reliable cultivation.",
|
| 9 |
+
"clinical_context": "Strongly associated with infective endocarditis and other invasive bloodstream infections."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Cocci",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Variable",
|
| 19 |
+
"Haemolysis Type": "Variable",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Chocolate Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Very Small",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Translucent"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "35//37",
|
| 31 |
+
"Catalase": "Negative",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Unknown",
|
| 37 |
+
"VP": "Unknown",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Unknown",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 49 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Variable",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "Unknown",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Media Grown On",
|
| 73 |
+
"value": "Fastidious growth",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Poor or absent growth on routine Blood Agar without pyridoxal or satellite growth is characteristic."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 79 |
+
"value": "Negative",
|
| 80 |
+
"importance": "high",
|
| 81 |
+
"notes": "Helps distinguish from Enterococcus species."
|
| 82 |
+
},
|
| 83 |
+
{
|
| 84 |
+
"field": "Catalase",
|
| 85 |
+
"value": "Negative",
|
| 86 |
+
"importance": "medium",
|
| 87 |
+
"notes": "Supports differentiation from staphylococci."
|
| 88 |
+
}
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"common_confusions": [
|
| 92 |
+
{
|
| 93 |
+
"genus": "Granulicatella",
|
| 94 |
+
"reason": "Closely related nutritionally variant streptococci with overlapping phenotypic profiles."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"genus": "Streptococcus",
|
| 98 |
+
"reason": "Similar Gram-positive cocci morphology and catalase-negative reactions."
|
| 99 |
+
}
|
| 100 |
+
],
|
| 101 |
+
|
| 102 |
+
"when_to_question_identification": [
|
| 103 |
+
"Failure to grow without enriched media or pyridoxal supplementation.",
|
| 104 |
+
"Blood culture isolate with streptococcus-like morphology but inconsistent biochemical results.",
|
| 105 |
+
"Suspected endocarditis isolate not fitting standard Streptococcus species."
|
| 106 |
+
],
|
| 107 |
+
|
| 108 |
+
"recommended_next_tests": [
|
| 109 |
+
{
|
| 110 |
+
"test": "Pyridoxal supplementation or satellite growth testing",
|
| 111 |
+
"reason": "Confirms nutritionally variant streptococcal growth requirement."
|
| 112 |
+
},
|
| 113 |
+
{
|
| 114 |
+
"test": "MALDI-TOF MS",
|
| 115 |
+
"reason": "Most reliable method for definitive species-level identification."
|
| 116 |
+
},
|
| 117 |
+
{
|
| 118 |
+
"test": "16S rRNA sequencing",
|
| 119 |
+
"reason": "Recommended when phenotypic methods are inconclusive."
|
| 120 |
+
}
|
| 121 |
+
]
|
| 122 |
+
}
|
data/rag/knowledge_base/Abiotrophia/genus.json
ADDED
|
@@ -0,0 +1,131 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Abiotrophia",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Abiotrophia species are fastidious Gram-positive cocci, historically classified as nutritionally variant streptococci, requiring enriched media or growth factors for optimal growth.",
|
| 8 |
+
"clinical_context": "Primarily associated with infective endocarditis and other invasive infections, particularly in blood culture isolates."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Positive",
|
| 13 |
+
"Shape": "Cocci",
|
| 14 |
+
"Motility": "Negative",
|
| 15 |
+
"Capsule": "Unknown",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Variable",
|
| 18 |
+
"Haemolysis Type": "Variable",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar",
|
| 21 |
+
"Chocolate Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Translucent"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "35//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Variable",
|
| 53 |
+
"Maltose Fermentation": "Variable",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Variable",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"field_notes": {
|
| 70 |
+
"Media Grown On": "Growth is often poor on standard Blood Agar unless pyridoxal or satellite growth around helper organisms is present.",
|
| 71 |
+
"Haemolysis": "Haemolytic reactions are inconsistent and not reliable for identification.",
|
| 72 |
+
"ONPG": "Typically not reported due to fastidious growth requirements."
|
| 73 |
+
},
|
| 74 |
+
|
| 75 |
+
"key_differentiators": [
|
| 76 |
+
{
|
| 77 |
+
"field": "Catalase",
|
| 78 |
+
"expected": "Negative",
|
| 79 |
+
"distinguishes_from": ["Staphylococcus"],
|
| 80 |
+
"notes": "Catalase negativity separates Abiotrophia from staphylococci."
|
| 81 |
+
},
|
| 82 |
+
{
|
| 83 |
+
"field": "Media Grown On",
|
| 84 |
+
"expected": "Fastidious growth",
|
| 85 |
+
"distinguishes_from": ["Streptococcus", "Enterococcus"],
|
| 86 |
+
"notes": "Requirement for enriched media or growth factors distinguishes Abiotrophia from most streptococci."
|
| 87 |
+
},
|
| 88 |
+
{
|
| 89 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 90 |
+
"expected": "Negative",
|
| 91 |
+
"distinguishes_from": ["Enterococcus"],
|
| 92 |
+
"notes": "Lack of salt tolerance helps separate from enterococci."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"common_confusions": [
|
| 97 |
+
{
|
| 98 |
+
"genus": "Streptococcus",
|
| 99 |
+
"reason": "Similar Gram-positive cocci morphology and catalase-negative profile."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"genus": "Granulicatella",
|
| 103 |
+
"reason": "Closely related nutritionally variant streptococci with overlapping phenotypes."
|
| 104 |
+
}
|
| 105 |
+
],
|
| 106 |
+
|
| 107 |
+
"when_to_question_identification": [
|
| 108 |
+
"Failure to grow on routine media without supplementation.",
|
| 109 |
+
"Blood culture isolate with streptococcus-like morphology but inconsistent biochemical results.",
|
| 110 |
+
"Endocarditis isolate that does not fully match Streptococcus profiles."
|
| 111 |
+
],
|
| 112 |
+
|
| 113 |
+
"recommended_next_tests": [
|
| 114 |
+
{
|
| 115 |
+
"test": "Pyridoxal supplementation or satellite test",
|
| 116 |
+
"reason": "Confirms nutritionally variant growth requirements."
|
| 117 |
+
},
|
| 118 |
+
{
|
| 119 |
+
"test": "MALDI-TOF MS",
|
| 120 |
+
"reason": "Preferred for reliable genus and species-level identification."
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"test": "16S rRNA sequencing",
|
| 124 |
+
"reason": "Recommended when phenotypic identification is inconclusive."
|
| 125 |
+
}
|
| 126 |
+
],
|
| 127 |
+
|
| 128 |
+
"supported_species": [
|
| 129 |
+
"defectiva"
|
| 130 |
+
]
|
| 131 |
+
}
|
data/rag/knowledge_base/Achromobacter/denitrificans.json
ADDED
|
@@ -0,0 +1,99 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Achromobacter",
|
| 5 |
+
"species": "denitrificans",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Achromobacter denitrificans is a Gram-negative, aerobic, non-fermenting rod characterized by strong nitrate reduction and denitrification capability.",
|
| 9 |
+
"clinical_context": "Rarely associated with human infection and more commonly encountered in environmental samples."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Smooth",
|
| 25 |
+
"Grey"
|
| 26 |
+
],
|
| 27 |
+
"Oxygen Requirement": "Aerobic",
|
| 28 |
+
"Growth Temperature": "20//37",
|
| 29 |
+
"Catalase": "Positive",
|
| 30 |
+
"Oxidase": "Positive",
|
| 31 |
+
"Indole": "Negative",
|
| 32 |
+
"Urease": "Negative",
|
| 33 |
+
"Citrate": "Variable",
|
| 34 |
+
"Methyl Red": "Negative",
|
| 35 |
+
"VP": "Negative",
|
| 36 |
+
"H2S": "Negative",
|
| 37 |
+
"DNase": "Negative",
|
| 38 |
+
"ONPG": "Negative",
|
| 39 |
+
"Coagulase": "Negative",
|
| 40 |
+
"Gelatin Hydrolysis": "Negative",
|
| 41 |
+
"Esculin Hydrolysis": "Negative",
|
| 42 |
+
"Nitrate Reduction": "Positive",
|
| 43 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 44 |
+
"Lipase Test": "Negative",
|
| 45 |
+
"Lysine Decarboxylase": "Negative",
|
| 46 |
+
"Ornithine Decarboxylase": "Negative",
|
| 47 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 48 |
+
"Arginine dihydrolase": "Positive",
|
| 49 |
+
"Glucose Fermentation": "Negative",
|
| 50 |
+
"Lactose Fermentation": "Negative",
|
| 51 |
+
"Sucrose Fermentation": "Negative",
|
| 52 |
+
"Maltose Fermentation": "Negative",
|
| 53 |
+
"Mannitol Fermentation": "Negative",
|
| 54 |
+
"Sorbitol Fermentation": "Negative",
|
| 55 |
+
"Xylose Fermentation": "Negative",
|
| 56 |
+
"Rhamnose Fermentation": "Negative",
|
| 57 |
+
"Arabinose Fermentation": "Negative",
|
| 58 |
+
"Raffinose Fermentation": "Negative",
|
| 59 |
+
"Trehalose Fermentation": "Negative",
|
| 60 |
+
"Inositol Fermentation": "Negative",
|
| 61 |
+
"Gas Production": "Negative",
|
| 62 |
+
"TSI Pattern": "K/K",
|
| 63 |
+
"Colony Pattern": "Unknown",
|
| 64 |
+
"Pigment": "None",
|
| 65 |
+
"Motility Type": "Polar"
|
| 66 |
+
},
|
| 67 |
+
|
| 68 |
+
"species_markers": [
|
| 69 |
+
{
|
| 70 |
+
"field": "Nitrate Reduction",
|
| 71 |
+
"value": "Positive",
|
| 72 |
+
"importance": "high",
|
| 73 |
+
"notes": "Denitrification capability is characteristic of A. denitrificans."
|
| 74 |
+
}
|
| 75 |
+
],
|
| 76 |
+
|
| 77 |
+
"common_confusions": [
|
| 78 |
+
{
|
| 79 |
+
"species": "Achromobacter xylosoxidans",
|
| 80 |
+
"reason": "Shared oxidase positivity and non-fermentative metabolism."
|
| 81 |
+
}
|
| 82 |
+
],
|
| 83 |
+
|
| 84 |
+
"when_to_question_identification": [
|
| 85 |
+
"Absence of nitrate reduction argues against A. denitrificans.",
|
| 86 |
+
"Clinical isolation should prompt confirmation due to rarity."
|
| 87 |
+
],
|
| 88 |
+
|
| 89 |
+
"recommended_next_tests": [
|
| 90 |
+
{
|
| 91 |
+
"test": "Nitrate reduction and denitrification testing",
|
| 92 |
+
"reason": "Defining feature of this species."
|
| 93 |
+
},
|
| 94 |
+
{
|
| 95 |
+
"test": "MALDI-TOF MS",
|
| 96 |
+
"reason": "Required for reliable species-level identification."
|
| 97 |
+
}
|
| 98 |
+
]
|
| 99 |
+
}
|
data/rag/knowledge_base/Achromobacter/genus.json
ADDED
|
@@ -0,0 +1,137 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Achromobacter",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Achromobacter species are Gram-negative, non-fermenting rods commonly found in aqueous environments and occasionally isolated from clinical specimens.",
|
| 8 |
+
"clinical_context": "Most frequently associated with respiratory infections, particularly in patients with cystic fibrosis, as well as opportunistic bloodstream and device-associated infections."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Negative",
|
| 13 |
+
"Shape": "Rods",
|
| 14 |
+
"Motility": "Positive",
|
| 15 |
+
"Capsule": "Unknown",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Negative",
|
| 18 |
+
"Haemolysis Type": "None",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar",
|
| 21 |
+
"MacConkey Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Smooth",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Non-lactose fermenting"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Aerobic",
|
| 29 |
+
"Growth Temperature": "20//37",
|
| 30 |
+
"Catalase": "Positive",
|
| 31 |
+
"Oxidase": "Positive",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Variable",
|
| 34 |
+
"Citrate": "Variable",
|
| 35 |
+
"Methyl Red": "Negative",
|
| 36 |
+
"VP": "Negative",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Negative",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Variable",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Variable",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Negative",
|
| 47 |
+
"Ornithine Decarboxylase": "Negative",
|
| 48 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 49 |
+
"Arginine dihydrolase": "Positive",
|
| 50 |
+
"Glucose Fermentation": "Negative",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Negative",
|
| 53 |
+
"Maltose Fermentation": "Negative",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Negative",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "K/K",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "Polar"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"field_notes": {
|
| 70 |
+
"Glucose Fermentation": "Achromobacter species are non-fermenters and do not acidify carbohydrates.",
|
| 71 |
+
"Arginine dihydrolase": "Typically positive and a useful discriminator among non-fermenting Gram-negative rods.",
|
| 72 |
+
"Oxidase": "Oxidase positivity helps distinguish Achromobacter from Stenotrophomonas."
|
| 73 |
+
},
|
| 74 |
+
|
| 75 |
+
"key_differentiators": [
|
| 76 |
+
{
|
| 77 |
+
"field": "Oxidase",
|
| 78 |
+
"expected": "Positive",
|
| 79 |
+
"distinguishes_from": ["Stenotrophomonas"],
|
| 80 |
+
"notes": "Oxidase positivity separates Achromobacter from oxidase-negative non-fermenters."
|
| 81 |
+
},
|
| 82 |
+
{
|
| 83 |
+
"field": "Arginine dihydrolase",
|
| 84 |
+
"expected": "Positive",
|
| 85 |
+
"distinguishes_from": ["Pseudomonas"],
|
| 86 |
+
"notes": "Arginine positivity helps differentiate from many Pseudomonas species."
|
| 87 |
+
},
|
| 88 |
+
{
|
| 89 |
+
"field": "Glucose Fermentation",
|
| 90 |
+
"expected": "Negative",
|
| 91 |
+
"distinguishes_from": ["Enterobacter", "Burkholderia"],
|
| 92 |
+
"notes": "Non-fermentative metabolism excludes Enterobacterales."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"common_confusions": [
|
| 97 |
+
{
|
| 98 |
+
"genus": "Pseudomonas",
|
| 99 |
+
"reason": "Shared oxidase positivity and non-fermentative metabolism."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"genus": "Burkholderia",
|
| 103 |
+
"reason": "Overlap in non-fermenting biochemical profiles and environmental origin."
|
| 104 |
+
},
|
| 105 |
+
{
|
| 106 |
+
"genus": "Stenotrophomonas",
|
| 107 |
+
"reason": "Similar colony morphology on non-selective media."
|
| 108 |
+
}
|
| 109 |
+
],
|
| 110 |
+
|
| 111 |
+
"when_to_question_identification": [
|
| 112 |
+
"Oxidase-negative isolate suggests Stenotrophomonas.",
|
| 113 |
+
"Strong pigment production suggests Pseudomonas.",
|
| 114 |
+
"Fermentative carbohydrate reactions argue against Achromobacter."
|
| 115 |
+
],
|
| 116 |
+
|
| 117 |
+
"recommended_next_tests": [
|
| 118 |
+
{
|
| 119 |
+
"test": "Arginine dihydrolase",
|
| 120 |
+
"reason": "Key biochemical marker for Achromobacter identification."
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"test": "Oxidative-fermentative (OF) glucose test",
|
| 124 |
+
"reason": "Confirms non-fermentative metabolism."
|
| 125 |
+
},
|
| 126 |
+
{
|
| 127 |
+
"test": "MALDI-TOF MS",
|
| 128 |
+
"reason": "Recommended due to overlap with other non-fermenting Gram-negative rods."
|
| 129 |
+
}
|
| 130 |
+
],
|
| 131 |
+
|
| 132 |
+
"supported_species": [
|
| 133 |
+
"xylosoxidans",
|
| 134 |
+
"ruhlandii",
|
| 135 |
+
"insolitus"
|
| 136 |
+
]
|
| 137 |
+
}
|
data/rag/knowledge_base/Achromobacter/insolitus.json
ADDED
|
@@ -0,0 +1,95 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Achromobacter",
|
| 5 |
+
"species": "insolitus",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Achromobacter insolitus is a rarely isolated non-fermenting Gram-negative rod primarily recovered from environmental and occasional clinical sources.",
|
| 9 |
+
"clinical_context": "Uncommonly associated with human infection and usually identified through molecular or mass spectrometry methods."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Smooth",
|
| 25 |
+
"Grey"
|
| 26 |
+
],
|
| 27 |
+
"Oxygen Requirement": "Aerobic",
|
| 28 |
+
"Growth Temperature": "20//37",
|
| 29 |
+
"Catalase": "Positive",
|
| 30 |
+
"Oxidase": "Positive",
|
| 31 |
+
"Indole": "Negative",
|
| 32 |
+
"Urease": "Variable",
|
| 33 |
+
"Citrate": "Variable",
|
| 34 |
+
"Methyl Red": "Negative",
|
| 35 |
+
"VP": "Negative",
|
| 36 |
+
"H2S": "Negative",
|
| 37 |
+
"DNase": "Negative",
|
| 38 |
+
"ONPG": "Negative",
|
| 39 |
+
"Coagulase": "Negative",
|
| 40 |
+
"Gelatin Hydrolysis": "Variable",
|
| 41 |
+
"Esculin Hydrolysis": "Negative",
|
| 42 |
+
"Nitrate Reduction": "Negative",
|
| 43 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 44 |
+
"Lipase Test": "Negative",
|
| 45 |
+
"Lysine Decarboxylase": "Negative",
|
| 46 |
+
"Ornithine Decarboxylase": "Negative",
|
| 47 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 48 |
+
"Arginine dihydrolase": "Positive",
|
| 49 |
+
"Glucose Fermentation": "Negative",
|
| 50 |
+
"Lactose Fermentation": "Negative",
|
| 51 |
+
"Sucrose Fermentation": "Negative",
|
| 52 |
+
"Maltose Fermentation": "Negative",
|
| 53 |
+
"Mannitol Fermentation": "Negative",
|
| 54 |
+
"Sorbitol Fermentation": "Negative",
|
| 55 |
+
"Xylose Fermentation": "Negative",
|
| 56 |
+
"Rhamnose Fermentation": "Negative",
|
| 57 |
+
"Arabinose Fermentation": "Negative",
|
| 58 |
+
"Raffinose Fermentation": "Negative",
|
| 59 |
+
"Trehalose Fermentation": "Negative",
|
| 60 |
+
"Inositol Fermentation": "Negative",
|
| 61 |
+
"Gas Production": "Negative",
|
| 62 |
+
"TSI Pattern": "K/K",
|
| 63 |
+
"Colony Pattern": "Unknown",
|
| 64 |
+
"Pigment": "None",
|
| 65 |
+
"Motility Type": "Polar"
|
| 66 |
+
},
|
| 67 |
+
|
| 68 |
+
"species_markers": [
|
| 69 |
+
{
|
| 70 |
+
"field": "Nitrate Reduction",
|
| 71 |
+
"value": "Negative",
|
| 72 |
+
"importance": "medium",
|
| 73 |
+
"notes": "Helps separate A. insolitus from A. xylosoxidans."
|
| 74 |
+
}
|
| 75 |
+
],
|
| 76 |
+
|
| 77 |
+
"common_confusions": [
|
| 78 |
+
{
|
| 79 |
+
"species": "Achromobacter xylosoxidans",
|
| 80 |
+
"reason": "Highly similar biochemical profile."
|
| 81 |
+
}
|
| 82 |
+
],
|
| 83 |
+
|
| 84 |
+
"when_to_question_identification": [
|
| 85 |
+
"Nitrate positivity favors A. xylosoxidans.",
|
| 86 |
+
"Unusual growth patterns warrant molecular confirmation."
|
| 87 |
+
],
|
| 88 |
+
|
| 89 |
+
"recommended_next_tests": [
|
| 90 |
+
{
|
| 91 |
+
"test": "MALDI-TOF MS",
|
| 92 |
+
"reason": "Necessary for confident species-level identification."
|
| 93 |
+
}
|
| 94 |
+
]
|
| 95 |
+
}
|
data/rag/knowledge_base/Achromobacter/xylosoxidans.json
ADDED
|
@@ -0,0 +1,112 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Achromobacter",
|
| 5 |
+
"species": "xylosoxidans",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Achromobacter xylosoxidans is a Gram-negative, aerobic, non-fermenting rod and the most commonly isolated species of the genus in clinical microbiology.",
|
| 9 |
+
"clinical_context": "Frequently associated with respiratory infections in cystic fibrosis patients, as well as bloodstream and device-associated infections."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Non-lactose fermenting"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "20//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Positive",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Arginine dihydrolase",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Key defining feature of A. xylosoxidans among non-fermenting Gram-negative rods."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Nitrate Reduction",
|
| 79 |
+
"value": "Positive",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Supports differentiation from closely related Achromobacter species."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"genus": "Pseudomonas",
|
| 88 |
+
"reason": "Shared oxidase positivity and non-fermentative metabolism."
|
| 89 |
+
},
|
| 90 |
+
{
|
| 91 |
+
"genus": "Burkholderia",
|
| 92 |
+
"reason": "Overlap in biochemical profile and environmental association."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"when_to_question_identification": [
|
| 97 |
+
"Oxidase-negative result argues against Achromobacter.",
|
| 98 |
+
"Carbohydrate fermentation suggests Enterobacterales.",
|
| 99 |
+
"Pigment production suggests Pseudomonas."
|
| 100 |
+
],
|
| 101 |
+
|
| 102 |
+
"recommended_next_tests": [
|
| 103 |
+
{
|
| 104 |
+
"test": "Arginine dihydrolase",
|
| 105 |
+
"reason": "Confirms Achromobacter lineage."
|
| 106 |
+
},
|
| 107 |
+
{
|
| 108 |
+
"test": "MALDI-TOF MS",
|
| 109 |
+
"reason": "Gold standard for non-fermenter species differentiation."
|
| 110 |
+
}
|
| 111 |
+
]
|
| 112 |
+
}
|
data/rag/knowledge_base/Acidaminococcus/fermentans.json
ADDED
|
@@ -0,0 +1,101 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acidaminococcus",
|
| 5 |
+
"species": "fermentans",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acidaminococcus fermentans is a Gram-negative, obligately anaerobic coccus that derives energy primarily from amino acid fermentation.",
|
| 9 |
+
"clinical_context": "Commonly part of the normal gastrointestinal microbiota and occasionally recovered from polymicrobial anaerobic infections."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Cocci",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Convex"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Obligate Anaerobe",
|
| 29 |
+
"Growth Temperature": "35//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Negative",
|
| 36 |
+
"VP": "Negative",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Negative",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Negative",
|
| 47 |
+
"Ornithine Decarboxylase": "Negative",
|
| 48 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Negative",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Negative",
|
| 53 |
+
"Maltose Fermentation": "Negative",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Negative",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "K/K",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Amino Acid Fermentation",
|
| 72 |
+
"value": "Positive",
|
| 73 |
+
"importance": "high",
|
| 74 |
+
"notes": "Primary metabolic pathway distinguishing Acidaminococcus species."
|
| 75 |
+
}
|
| 76 |
+
],
|
| 77 |
+
|
| 78 |
+
"common_confusions": [
|
| 79 |
+
{
|
| 80 |
+
"genus": "Veillonella",
|
| 81 |
+
"reason": "Both are anaerobic Gram-negative cocci isolated from similar sites."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"when_to_question_identification": [
|
| 86 |
+
"Carbohydrate fermentation suggests Veillonella.",
|
| 87 |
+
"Aerobic growth is inconsistent with A. fermentans.",
|
| 88 |
+
"Rod-shaped morphology excludes this species."
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"recommended_next_tests": [
|
| 92 |
+
{
|
| 93 |
+
"test": "Anaerobic growth verification",
|
| 94 |
+
"reason": "Confirms obligate anaerobic metabolism."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"test": "MALDI-TOF MS",
|
| 98 |
+
"reason": "Reliable identification due to limited biochemical activity."
|
| 99 |
+
}
|
| 100 |
+
]
|
| 101 |
+
}
|
data/rag/knowledge_base/Acidaminococcus/genus.json
ADDED
|
@@ -0,0 +1,131 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Acidaminococcus",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Acidaminococcus species are Gram-negative, anaerobic cocci belonging to the class Negativicutes, characterized by amino acid fermentation rather than carbohydrate metabolism.",
|
| 8 |
+
"clinical_context": "Part of the normal gastrointestinal flora and occasionally isolated from polymicrobial anaerobic infections."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Negative",
|
| 13 |
+
"Shape": "Cocci",
|
| 14 |
+
"Motility": "Negative",
|
| 15 |
+
"Capsule": "Unknown",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Negative",
|
| 18 |
+
"Haemolysis Type": "None",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar"
|
| 21 |
+
],
|
| 22 |
+
"Colony Morphology": [
|
| 23 |
+
"Small",
|
| 24 |
+
"Grey",
|
| 25 |
+
"Convex"
|
| 26 |
+
],
|
| 27 |
+
"Oxygen Requirement": "Obligate Anaerobe",
|
| 28 |
+
"Growth Temperature": "35//37",
|
| 29 |
+
"Catalase": "Negative",
|
| 30 |
+
"Oxidase": "Negative",
|
| 31 |
+
"Indole": "Negative",
|
| 32 |
+
"Urease": "Negative",
|
| 33 |
+
"Citrate": "Negative",
|
| 34 |
+
"Methyl Red": "Negative",
|
| 35 |
+
"VP": "Negative",
|
| 36 |
+
"H2S": "Negative",
|
| 37 |
+
"DNase": "Negative",
|
| 38 |
+
"ONPG": "Negative",
|
| 39 |
+
"Coagulase": "Negative",
|
| 40 |
+
"Gelatin Hydrolysis": "Negative",
|
| 41 |
+
"Esculin Hydrolysis": "Negative",
|
| 42 |
+
"Nitrate Reduction": "Negative",
|
| 43 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 44 |
+
"Lipase Test": "Negative",
|
| 45 |
+
"Lysine Decarboxylase": "Negative",
|
| 46 |
+
"Ornithine Decarboxylase": "Negative",
|
| 47 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 48 |
+
"Arginine dihydrolase": "Negative",
|
| 49 |
+
"Glucose Fermentation": "Negative",
|
| 50 |
+
"Lactose Fermentation": "Negative",
|
| 51 |
+
"Sucrose Fermentation": "Negative",
|
| 52 |
+
"Maltose Fermentation": "Negative",
|
| 53 |
+
"Mannitol Fermentation": "Negative",
|
| 54 |
+
"Sorbitol Fermentation": "Negative",
|
| 55 |
+
"Xylose Fermentation": "Negative",
|
| 56 |
+
"Rhamnose Fermentation": "Negative",
|
| 57 |
+
"Arabinose Fermentation": "Negative",
|
| 58 |
+
"Raffinose Fermentation": "Negative",
|
| 59 |
+
"Trehalose Fermentation": "Negative",
|
| 60 |
+
"Inositol Fermentation": "Negative",
|
| 61 |
+
"Gas Production": "Negative",
|
| 62 |
+
"TSI Pattern": "K/K",
|
| 63 |
+
"Colony Pattern": "Unknown",
|
| 64 |
+
"Pigment": "None",
|
| 65 |
+
"Motility Type": "None"
|
| 66 |
+
},
|
| 67 |
+
|
| 68 |
+
"field_notes": {
|
| 69 |
+
"Gram Stain": "Despite being Gram-negative, Acidaminococcus belongs to a lineage phylogenetically related to Gram-positive bacteria.",
|
| 70 |
+
"Glucose Fermentation": "Species do not ferment carbohydrates and instead utilize amino acids for energy.",
|
| 71 |
+
"Oxygen Requirement": "Strict anaerobiosis is a defining characteristic."
|
| 72 |
+
},
|
| 73 |
+
|
| 74 |
+
"key_differentiators": [
|
| 75 |
+
{
|
| 76 |
+
"field": "Oxygen Requirement",
|
| 77 |
+
"expected": "Obligate Anaerobe",
|
| 78 |
+
"distinguishes_from": ["Neisseria", "Veillonella"],
|
| 79 |
+
"notes": "Strict anaerobic growth separates Acidaminococcus from aerobic Gram-negative cocci."
|
| 80 |
+
},
|
| 81 |
+
{
|
| 82 |
+
"field": "Shape",
|
| 83 |
+
"expected": "Cocci",
|
| 84 |
+
"distinguishes_from": ["Bacteroides", "Fusobacterium"],
|
| 85 |
+
"notes": "Coccoid morphology helps differentiate from anaerobic Gram-negative rods."
|
| 86 |
+
},
|
| 87 |
+
{
|
| 88 |
+
"field": "Glucose Fermentation",
|
| 89 |
+
"expected": "Negative",
|
| 90 |
+
"distinguishes_from": ["Veillonella"],
|
| 91 |
+
"notes": "Lack of carbohydrate fermentation supports Acidaminococcus."
|
| 92 |
+
}
|
| 93 |
+
],
|
| 94 |
+
|
| 95 |
+
"common_confusions": [
|
| 96 |
+
{
|
| 97 |
+
"genus": "Veillonella",
|
| 98 |
+
"reason": "Both are anaerobic Gram-negative cocci isolated from similar clinical contexts."
|
| 99 |
+
},
|
| 100 |
+
{
|
| 101 |
+
"genus": "Megasphaera",
|
| 102 |
+
"reason": "Phylogenetic relatedness within Negativicutes."
|
| 103 |
+
}
|
| 104 |
+
],
|
| 105 |
+
|
| 106 |
+
"when_to_question_identification": [
|
| 107 |
+
"Aerobic or facultative growth argues against Acidaminococcus.",
|
| 108 |
+
"Carbohydrate fermentation suggests Veillonella.",
|
| 109 |
+
"Rod-shaped morphology excludes this genus."
|
| 110 |
+
],
|
| 111 |
+
|
| 112 |
+
"recommended_next_tests": [
|
| 113 |
+
{
|
| 114 |
+
"test": "Anaerobic growth confirmation",
|
| 115 |
+
"reason": "Essential for correct genus assignment."
|
| 116 |
+
},
|
| 117 |
+
{
|
| 118 |
+
"test": "Amino acid fermentation profiling",
|
| 119 |
+
"reason": "Characteristic metabolic feature of Acidaminococcus."
|
| 120 |
+
},
|
| 121 |
+
{
|
| 122 |
+
"test": "MALDI-TOF MS",
|
| 123 |
+
"reason": "Recommended due to biochemical inertness and rarity."
|
| 124 |
+
}
|
| 125 |
+
],
|
| 126 |
+
|
| 127 |
+
"supported_species": [
|
| 128 |
+
"fermentans",
|
| 129 |
+
"intestini"
|
| 130 |
+
]
|
| 131 |
+
}
|
data/rag/knowledge_base/Acidaminococcus/intestini.json
ADDED
|
@@ -0,0 +1,101 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acidaminococcus",
|
| 5 |
+
"species": "intestini",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acidaminococcus intestini is a Gram-negative, obligately anaerobic coccus primarily associated with the human intestinal microbiota.",
|
| 9 |
+
"clinical_context": "Rarely isolated in clinical specimens and most often identified during microbiome or research studies."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Cocci",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Convex"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Obligate Anaerobe",
|
| 29 |
+
"Growth Temperature": "35//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Negative",
|
| 36 |
+
"VP": "Negative",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Negative",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Negative",
|
| 47 |
+
"Ornithine Decarboxylase": "Negative",
|
| 48 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Negative",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Negative",
|
| 53 |
+
"Maltose Fermentation": "Negative",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Negative",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "K/K",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Clinical Isolation Frequency",
|
| 72 |
+
"value": "Rare",
|
| 73 |
+
"importance": "medium",
|
| 74 |
+
"notes": "Less frequently encountered in diagnostic microbiology compared to A. fermentans."
|
| 75 |
+
}
|
| 76 |
+
],
|
| 77 |
+
|
| 78 |
+
"common_confusions": [
|
| 79 |
+
{
|
| 80 |
+
"genus": "Veillonella",
|
| 81 |
+
"reason": "Similar anaerobic Gram-negative cocci morphology."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"when_to_question_identification": [
|
| 86 |
+
"Isolation from normally sterile sites is unusual.",
|
| 87 |
+
"Carbohydrate fermentation suggests misidentification.",
|
| 88 |
+
"Growth in aerobic conditions excludes this species."
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"recommended_next_tests": [
|
| 92 |
+
{
|
| 93 |
+
"test": "MALDI-TOF MS",
|
| 94 |
+
"reason": "Primary method for distinguishing rare anaerobic cocci."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"test": "16S rRNA sequencing",
|
| 98 |
+
"reason": "Recommended for confirmation due to rarity."
|
| 99 |
+
}
|
| 100 |
+
]
|
| 101 |
+
}
|
data/rag/knowledge_base/Acidovorax/avenae.json
ADDED
|
@@ -0,0 +1,107 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acidovorax",
|
| 5 |
+
"species": "avenae",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acidovorax avenae is an aerobic, oxidase-positive, non-fermentative Gram-negative rod primarily associated with plants.",
|
| 9 |
+
"clinical_context": "Rarely isolated from human specimens; most recoveries represent environmental or contaminant organisms."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Nutrient Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Non-pigmented"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "20//30",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Variable",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Growth Temperature",
|
| 73 |
+
"value": "20//30",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Lower optimal growth temperature supports environmental origin."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Nitrate Reduction",
|
| 79 |
+
"value": "Negative",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Helps separate from denitrifying Acidovorax species."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Acidovorax citrulli",
|
| 88 |
+
"reason": "Shared non-fermentative and oxidase-positive profile."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Growth at 37°C suggests another species.",
|
| 94 |
+
"Clinical significance without environmental context is unusual."
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"recommended_next_tests": [
|
| 98 |
+
{
|
| 99 |
+
"test": "Growth temperature assessment",
|
| 100 |
+
"reason": "Helps distinguish environmental Acidovorax species."
|
| 101 |
+
},
|
| 102 |
+
{
|
| 103 |
+
"test": "MALDI-TOF MS",
|
| 104 |
+
"reason": "Reliable species-level identification."
|
| 105 |
+
}
|
| 106 |
+
]
|
| 107 |
+
}
|
data/rag/knowledge_base/Acidovorax/citrulli.json
ADDED
|
@@ -0,0 +1,101 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acidovorax",
|
| 5 |
+
"species": "citrulli",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acidovorax citrulli is an aerobic, oxidase-positive, non-fermentative Gram-negative rod best known as a plant pathogen.",
|
| 9 |
+
"clinical_context": "Human isolation is rare and typically reflects environmental exposure rather than infection."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Nutrient Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Non-pigmented"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "25//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Variable",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Growth Temperature",
|
| 73 |
+
"value": "25//37",
|
| 74 |
+
"importance": "medium",
|
| 75 |
+
"notes": "Broader growth range compared to A. avenae."
|
| 76 |
+
}
|
| 77 |
+
],
|
| 78 |
+
|
| 79 |
+
"common_confusions": [
|
| 80 |
+
{
|
| 81 |
+
"species": "Acidovorax avenae",
|
| 82 |
+
"reason": "Overlapping biochemical reactions."
|
| 83 |
+
}
|
| 84 |
+
],
|
| 85 |
+
|
| 86 |
+
"when_to_question_identification": [
|
| 87 |
+
"Isolation from sterile clinical sites without exposure history.",
|
| 88 |
+
"Anaerobic growth is incompatible."
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"recommended_next_tests": [
|
| 92 |
+
{
|
| 93 |
+
"test": "Growth temperature profiling",
|
| 94 |
+
"reason": "Supports species-level distinction."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"test": "MALDI-TOF MS",
|
| 98 |
+
"reason": "Preferred identification method."
|
| 99 |
+
}
|
| 100 |
+
]
|
| 101 |
+
}
|
data/rag/knowledge_base/Acidovorax/delafieldii.json
ADDED
|
@@ -0,0 +1,111 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acidovorax",
|
| 5 |
+
"species": "delafieldii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acidovorax delafieldii is an aerobic, oxidase-positive, non-fermentative Gram-negative rod commonly recovered from soil and water.",
|
| 9 |
+
"clinical_context": "Occasional opportunistic isolation in immunocompromised patients."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Unknown",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Nutrient Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Non-pigmented"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "20//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Positive",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Positive",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Citrate",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Distinguishes A. delafieldii from other Acidovorax species."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Nitrate Reduction",
|
| 79 |
+
"value": "Positive",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Supports identification when combined with citrate positivity."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Acidovorax avenae",
|
| 88 |
+
"reason": "Shared environmental origin and biochemical overlap."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Oxidase negativity suggests alternative genera.",
|
| 94 |
+
"Fermentative metabolism excludes Acidovorax."
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"recommended_next_tests": [
|
| 98 |
+
{
|
| 99 |
+
"test": "Citrate utilization",
|
| 100 |
+
"reason": "Key species discriminator."
|
| 101 |
+
},
|
| 102 |
+
{
|
| 103 |
+
"test": "Nitrate reduction",
|
| 104 |
+
"reason": "Supports identification."
|
| 105 |
+
},
|
| 106 |
+
{
|
| 107 |
+
"test": "MALDI-TOF MS",
|
| 108 |
+
"reason": "Preferred confirmatory method."
|
| 109 |
+
}
|
| 110 |
+
]
|
| 111 |
+
}
|
data/rag/knowledge_base/Acidovorax/genus.json
ADDED
|
@@ -0,0 +1,133 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Acidovorax",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Acidovorax species are Gram-negative, aerobic, non-fermentative rods belonging to the family Comamonadaceae.",
|
| 8 |
+
"clinical_context": "Primarily environmental organisms, occasionally isolated from respiratory specimens or opportunistic infections, especially in immunocompromised patients."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Negative",
|
| 13 |
+
"Shape": "Rods",
|
| 14 |
+
"Motility": "Positive",
|
| 15 |
+
"Capsule": "Unknown",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Negative",
|
| 18 |
+
"Haemolysis Type": "None",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar",
|
| 21 |
+
"Nutrient Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Smooth",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Non-pigmented"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Aerobic",
|
| 29 |
+
"Growth Temperature": "20//37",
|
| 30 |
+
"Catalase": "Positive",
|
| 31 |
+
"Oxidase": "Positive",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Variable",
|
| 35 |
+
"Methyl Red": "Negative",
|
| 36 |
+
"VP": "Negative",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Negative",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Variable",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Variable",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Negative",
|
| 47 |
+
"Ornithine Decarboxylase": "Negative",
|
| 48 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Negative",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Negative",
|
| 53 |
+
"Maltose Fermentation": "Negative",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Negative",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "K/K",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "Polar"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"field_notes": {
|
| 70 |
+
"Glucose Fermentation": "Acidovorax species are non-fermentative and rely on oxidative metabolism.",
|
| 71 |
+
"Oxidase": "Oxidase positivity is a key feature separating Acidovorax from many Enterobacterales.",
|
| 72 |
+
"Motility": "Typically motile with polar flagella."
|
| 73 |
+
},
|
| 74 |
+
|
| 75 |
+
"key_differentiators": [
|
| 76 |
+
{
|
| 77 |
+
"field": "Oxidase",
|
| 78 |
+
"expected": "Positive",
|
| 79 |
+
"distinguishes_from": ["Enterobacter", "Escherichia"],
|
| 80 |
+
"notes": "Oxidase positivity supports non-fermentative genera."
|
| 81 |
+
},
|
| 82 |
+
{
|
| 83 |
+
"field": "Glucose Fermentation",
|
| 84 |
+
"expected": "Negative",
|
| 85 |
+
"distinguishes_from": ["Enterobacter", "Klebsiella"],
|
| 86 |
+
"notes": "Non-fermentative metabolism differentiates from Enterobacterales."
|
| 87 |
+
},
|
| 88 |
+
{
|
| 89 |
+
"field": "Oxygen Requirement",
|
| 90 |
+
"expected": "Aerobic",
|
| 91 |
+
"distinguishes_from": ["Acidaminococcus"],
|
| 92 |
+
"notes": "Strict aerobic growth separates from anaerobic Gram-negative cocci."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"common_confusions": [
|
| 97 |
+
{
|
| 98 |
+
"genus": "Comamonas",
|
| 99 |
+
"reason": "Shared family membership and overlapping biochemical profiles."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"genus": "Burkholderia",
|
| 103 |
+
"reason": "Both are oxidase-positive, non-fermentative Gram-negative rods."
|
| 104 |
+
}
|
| 105 |
+
],
|
| 106 |
+
|
| 107 |
+
"when_to_question_identification": [
|
| 108 |
+
"Glucose fermentation suggests Enterobacterales.",
|
| 109 |
+
"Oxidase negativity argues against Acidovorax.",
|
| 110 |
+
"Anaerobic growth is incompatible with this genus."
|
| 111 |
+
],
|
| 112 |
+
|
| 113 |
+
"recommended_next_tests": [
|
| 114 |
+
{
|
| 115 |
+
"test": "Oxidase test",
|
| 116 |
+
"reason": "Confirms placement among non-fermentative Gram-negative rods."
|
| 117 |
+
},
|
| 118 |
+
{
|
| 119 |
+
"test": "MALDI-TOF MS",
|
| 120 |
+
"reason": "Reliable genus-level identification within Comamonadaceae."
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"test": "Molecular identification",
|
| 124 |
+
"reason": "Recommended for species-level resolution due to biochemical overlap."
|
| 125 |
+
}
|
| 126 |
+
],
|
| 127 |
+
|
| 128 |
+
"supported_species": [
|
| 129 |
+
"temperans",
|
| 130 |
+
"avenae",
|
| 131 |
+
"citrulli"
|
| 132 |
+
]
|
| 133 |
+
}
|
data/rag/knowledge_base/Acinetobacter/baumannii.json
ADDED
|
@@ -0,0 +1,115 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acinetobacter",
|
| 5 |
+
"species": "baumannii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acinetobacter baumannii is a Gram-negative, strictly aerobic, non-fermentative coccobacillus associated with severe healthcare-associated infections.",
|
| 9 |
+
"clinical_context": "A major cause of ventilator-associated pneumonia, bloodstream infections, wound infections, and outbreaks in intensive care units."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Coccobacilli",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Opaque",
|
| 27 |
+
"Grey-White"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "20//44",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Variable",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Variable",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Variable",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Positive",
|
| 46 |
+
"Lipase Test": "Variable",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Salt tolerance supports A. baumannii over many other Acinetobacter species."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Growth Temperature",
|
| 79 |
+
"value": "44//44",
|
| 80 |
+
"importance": "high",
|
| 81 |
+
"notes": "Growth at elevated temperatures is characteristic of A. baumannii."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Acinetobacter pittii",
|
| 88 |
+
"reason": "Part of the A. baumannii complex with overlapping biochemical profiles."
|
| 89 |
+
},
|
| 90 |
+
{
|
| 91 |
+
"species": "Acinetobacter calcoaceticus",
|
| 92 |
+
"reason": "Closely related environmental species within the complex."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"when_to_question_identification": [
|
| 97 |
+
"Failure to grow at elevated temperatures suggests a non-baumannii species.",
|
| 98 |
+
"Environmental isolation without clinical context may indicate another Acinetobacter species."
|
| 99 |
+
],
|
| 100 |
+
|
| 101 |
+
"recommended_next_tests": [
|
| 102 |
+
{
|
| 103 |
+
"test": "MALDI-TOF MS",
|
| 104 |
+
"reason": "Accurate differentiation within the Acinetobacter baumannii complex."
|
| 105 |
+
},
|
| 106 |
+
{
|
| 107 |
+
"test": "Antimicrobial susceptibility testing",
|
| 108 |
+
"reason": "Critical due to frequent multidrug resistance."
|
| 109 |
+
},
|
| 110 |
+
{
|
| 111 |
+
"test": "Molecular identification",
|
| 112 |
+
"reason": "Definitive species-level confirmation when clinically significant."
|
| 113 |
+
}
|
| 114 |
+
]
|
| 115 |
+
}
|
data/rag/knowledge_base/Acinetobacter/calcoaceticus.json
ADDED
|
@@ -0,0 +1,103 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acinetobacter",
|
| 5 |
+
"species": "calcoaceticus",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acinetobacter calcoaceticus is a Gram-negative, aerobic, non-fermentative coccobacillus primarily associated with environmental sources.",
|
| 9 |
+
"clinical_context": "Rarely implicated in human disease and most often recovered from soil, water, and hospital environments."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Coccobacilli",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Dry"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "15//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Growth Temperature",
|
| 73 |
+
"value": "37//37",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Inability to grow at higher temperatures helps exclude pathogenic Acinetobacter species."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 79 |
+
"value": "Negative",
|
| 80 |
+
"importance": "high",
|
| 81 |
+
"notes": "Lack of salt tolerance differentiates A. calcoaceticus from A. baumannii."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Acinetobacter pittii",
|
| 88 |
+
"reason": "Closely related within the A. baumannii complex, but more clinically relevant."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Isolation from severe clinical infections suggests another Acinetobacter species.",
|
| 94 |
+
"Growth at elevated temperatures argues against A. calcoaceticus."
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"recommended_next_tests": [
|
| 98 |
+
{
|
| 99 |
+
"test": "MALDI-TOF MS",
|
| 100 |
+
"reason": "Required to distinguish environmental Acinetobacter species."
|
| 101 |
+
}
|
| 102 |
+
]
|
| 103 |
+
}
|
data/rag/knowledge_base/Acinetobacter/genus.json
ADDED
|
@@ -0,0 +1,135 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Acinetobacter",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Acinetobacter species are Gram-negative, strictly aerobic, non-fermentative coccobacilli widely distributed in the environment.",
|
| 8 |
+
"clinical_context": "Clinically significant species, particularly Acinetobacter baumannii, are important causes of healthcare-associated infections."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Negative",
|
| 13 |
+
"Shape": "Coccobacilli",
|
| 14 |
+
"Motility": "Negative",
|
| 15 |
+
"Capsule": "Variable",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Negative",
|
| 18 |
+
"Haemolysis Type": "None",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar",
|
| 21 |
+
"MacConkey Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Smooth",
|
| 25 |
+
"Opaque",
|
| 26 |
+
"Grey-White"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Aerobic",
|
| 29 |
+
"Growth Temperature": "20//44",
|
| 30 |
+
"Catalase": "Positive",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Variable",
|
| 34 |
+
"Citrate": "Variable",
|
| 35 |
+
"Methyl Red": "Negative",
|
| 36 |
+
"VP": "Negative",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Variable",
|
| 39 |
+
"ONPG": "Negative",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Variable",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Variable",
|
| 45 |
+
"Lipase Test": "Variable",
|
| 46 |
+
"Lysine Decarboxylase": "Negative",
|
| 47 |
+
"Ornithine Decarboxylase": "Negative",
|
| 48 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Negative",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Negative",
|
| 53 |
+
"Maltose Fermentation": "Negative",
|
| 54 |
+
"Mannitol Fermentation": "Variable",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Negative",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "K/K",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"field_notes": {
|
| 70 |
+
"Motility": "Acinetobacter species are characteristically non-motile.",
|
| 71 |
+
"Oxidase": "Oxidase negativity is a key differentiator from many other non-fermenters.",
|
| 72 |
+
"Shape": "Often appear as plump coccobacilli on Gram stain."
|
| 73 |
+
},
|
| 74 |
+
|
| 75 |
+
"key_differentiators": [
|
| 76 |
+
{
|
| 77 |
+
"field": "Oxidase",
|
| 78 |
+
"expected": "Negative",
|
| 79 |
+
"distinguishes_from": ["Pseudomonas", "Burkholderia"],
|
| 80 |
+
"notes": "Oxidase negativity is critical in separating Acinetobacter from most non-fermenters."
|
| 81 |
+
},
|
| 82 |
+
{
|
| 83 |
+
"field": "Motility",
|
| 84 |
+
"expected": "Negative",
|
| 85 |
+
"distinguishes_from": ["Stenotrophomonas", "Alcaligenes"],
|
| 86 |
+
"notes": "Non-motility supports Acinetobacter."
|
| 87 |
+
},
|
| 88 |
+
{
|
| 89 |
+
"field": "Glucose Fermentation",
|
| 90 |
+
"expected": "Negative",
|
| 91 |
+
"distinguishes_from": ["Enterobacterales"],
|
| 92 |
+
"notes": "Non-fermentative metabolism excludes Enterobacterales."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"common_confusions": [
|
| 97 |
+
{
|
| 98 |
+
"genus": "Pseudomonas",
|
| 99 |
+
"reason": "Shared non-fermentative metabolism but differs by oxidase status."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"genus": "Stenotrophomonas",
|
| 103 |
+
"reason": "Overlapping non-fermentative profile with variable biochemical reactions."
|
| 104 |
+
}
|
| 105 |
+
],
|
| 106 |
+
|
| 107 |
+
"when_to_question_identification": [
|
| 108 |
+
"Oxidase positivity argues against Acinetobacter.",
|
| 109 |
+
"Motility suggests an alternative non-fermenter.",
|
| 110 |
+
"Anaerobic growth is inconsistent."
|
| 111 |
+
],
|
| 112 |
+
|
| 113 |
+
"recommended_next_tests": [
|
| 114 |
+
{
|
| 115 |
+
"test": "Oxidase test",
|
| 116 |
+
"reason": "Primary discriminator among non-fermenters."
|
| 117 |
+
},
|
| 118 |
+
{
|
| 119 |
+
"test": "MALDI-TOF MS",
|
| 120 |
+
"reason": "Reliable genus- and species-level identification."
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"test": "Antimicrobial susceptibility testing",
|
| 124 |
+
"reason": "Clinically important due to frequent multidrug resistance."
|
| 125 |
+
}
|
| 126 |
+
],
|
| 127 |
+
|
| 128 |
+
"supported_species": [
|
| 129 |
+
"baumannii",
|
| 130 |
+
"calcoaceticus",
|
| 131 |
+
"lwoffii",
|
| 132 |
+
"johnsonii",
|
| 133 |
+
"pittii"
|
| 134 |
+
]
|
| 135 |
+
}
|
data/rag/knowledge_base/Acinetobacter/johnsonii.json
ADDED
|
@@ -0,0 +1,97 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acinetobacter",
|
| 5 |
+
"species": "johnsonii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acinetobacter johnsonii is a Gram-negative, aerobic, non-fermentative coccobacillus commonly recovered from environmental sources.",
|
| 9 |
+
"clinical_context": "Rarely associated with human infection and typically considered of low pathogenic potential."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Coccobacilli",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Dry"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "15//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Growth Temperature",
|
| 73 |
+
"value": "37//37",
|
| 74 |
+
"importance": "medium",
|
| 75 |
+
"notes": "Does not tolerate higher temperatures typical of A. baumannii."
|
| 76 |
+
}
|
| 77 |
+
],
|
| 78 |
+
|
| 79 |
+
"common_confusions": [
|
| 80 |
+
{
|
| 81 |
+
"species": "Acinetobacter lwoffii",
|
| 82 |
+
"reason": "Similar low biochemical activity and environmental presence."
|
| 83 |
+
}
|
| 84 |
+
],
|
| 85 |
+
|
| 86 |
+
"when_to_question_identification": [
|
| 87 |
+
"Isolation from severe clinical infections may indicate another species.",
|
| 88 |
+
"Growth at elevated temperatures argues against A. johnsonii."
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"recommended_next_tests": [
|
| 92 |
+
{
|
| 93 |
+
"test": "MALDI-TOF MS",
|
| 94 |
+
"reason": "Definitive species-level identification."
|
| 95 |
+
}
|
| 96 |
+
]
|
| 97 |
+
}
|
data/rag/knowledge_base/Acinetobacter/lwoffii.json
ADDED
|
@@ -0,0 +1,103 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acinetobacter",
|
| 5 |
+
"species": "lwoffii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acinetobacter lwoffii is a Gram-negative, aerobic, non-fermentative coccobacillus commonly found as part of normal skin flora.",
|
| 9 |
+
"clinical_context": "Occasionally associated with opportunistic infections, particularly in immunocompromised patients."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Coccobacilli",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Dry"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "20//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 73 |
+
"value": "Negative",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Lack of salt tolerance helps distinguish A. lwoffii from A. baumannii."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Growth Temperature",
|
| 79 |
+
"value": "37//37",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Limited growth at higher temperatures compared to A. baumannii."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Acinetobacter johnsonii",
|
| 88 |
+
"reason": "Similar biochemical inactivity and environmental distribution."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Growth at high temperatures suggests A. baumannii.",
|
| 94 |
+
"Isolation from sterile sites may warrant further confirmation."
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"recommended_next_tests": [
|
| 98 |
+
{
|
| 99 |
+
"test": "MALDI-TOF MS",
|
| 100 |
+
"reason": "Reliable discrimination among Acinetobacter species."
|
| 101 |
+
}
|
| 102 |
+
]
|
| 103 |
+
}
|
data/rag/knowledge_base/Acinetobacter/pittii.json
ADDED
|
@@ -0,0 +1,111 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Acinetobacter",
|
| 5 |
+
"species": "pittii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Acinetobacter pittii is a Gram-negative, aerobic, non-fermentative coccobacillus belonging to the Acinetobacter baumannii complex.",
|
| 9 |
+
"clinical_context": "Associated with opportunistic infections including bloodstream, respiratory, and wound infections, generally less virulent than A. baumannii."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Coccobacilli",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Smooth",
|
| 26 |
+
"Opaque",
|
| 27 |
+
"Grey-White"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Aerobic",
|
| 30 |
+
"Growth Temperature": "20//40",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Variable",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Variable",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Variable",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Variable",
|
| 46 |
+
"Lipase Test": "Variable",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Negative",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "K/K",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Growth Temperature",
|
| 73 |
+
"value": "40//40",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Typically does not grow at the higher temperatures tolerated by A. baumannii."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 79 |
+
"value": "Variable",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Reduced salt tolerance compared to A. baumannii."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Acinetobacter baumannii",
|
| 88 |
+
"reason": "Part of the A. baumannii complex with overlapping biochemical characteristics."
|
| 89 |
+
},
|
| 90 |
+
{
|
| 91 |
+
"species": "Acinetobacter calcoaceticus",
|
| 92 |
+
"reason": "Genetically related environmental species within the complex."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"when_to_question_identification": [
|
| 97 |
+
"Growth at ≥44°C suggests A. baumannii.",
|
| 98 |
+
"Strong salt tolerance supports A. baumannii over A. pittii."
|
| 99 |
+
],
|
| 100 |
+
|
| 101 |
+
"recommended_next_tests": [
|
| 102 |
+
{
|
| 103 |
+
"test": "MALDI-TOF MS",
|
| 104 |
+
"reason": "Primary method for differentiating species within the A. baumannii complex."
|
| 105 |
+
},
|
| 106 |
+
{
|
| 107 |
+
"test": "Molecular identification",
|
| 108 |
+
"reason": "Definitive resolution when clinical significance is high."
|
| 109 |
+
}
|
| 110 |
+
]
|
| 111 |
+
}
|
data/rag/knowledge_base/Actinobacillus/actinomycetemcomitans.json
ADDED
|
@@ -0,0 +1,112 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Actinobacillus",
|
| 5 |
+
"species": "actinomycetemcomitans",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Actinobacillus actinomycetemcomitans is a Gram-negative coccobacillus associated with periodontal disease.",
|
| 9 |
+
"clinical_context": "Commonly isolated from oral infections, endocarditis, and periodontal lesions in humans."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Short Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Chocolate Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Small",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Smooth",
|
| 28 |
+
"Star-shaped internal structure"
|
| 29 |
+
],
|
| 30 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 31 |
+
"Growth Temperature": "35//37",
|
| 32 |
+
"Catalase": "Positive",
|
| 33 |
+
"Oxidase": "Negative",
|
| 34 |
+
"Indole": "Negative",
|
| 35 |
+
"Urease": "Negative",
|
| 36 |
+
"Citrate": "Negative",
|
| 37 |
+
"Methyl Red": "Negative",
|
| 38 |
+
"VP": "Negative",
|
| 39 |
+
"H2S": "Negative",
|
| 40 |
+
"DNase": "Negative",
|
| 41 |
+
"ONPG": "Negative",
|
| 42 |
+
"Coagulase": "Negative",
|
| 43 |
+
"Gelatin Hydrolysis": "Negative",
|
| 44 |
+
"Esculin Hydrolysis": "Negative",
|
| 45 |
+
"Nitrate Reduction": "Variable",
|
| 46 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 47 |
+
"Lipase Test": "Negative",
|
| 48 |
+
"Lysine Decarboxylase": "Negative",
|
| 49 |
+
"Ornithine Decarboxylase": "Negative",
|
| 50 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 51 |
+
"Arginine dihydrolase": "Negative",
|
| 52 |
+
"Glucose Fermentation": "Positive",
|
| 53 |
+
"Lactose Fermentation": "Negative",
|
| 54 |
+
"Sucrose Fermentation": "Variable",
|
| 55 |
+
"Maltose Fermentation": "Variable",
|
| 56 |
+
"Mannitol Fermentation": "Variable",
|
| 57 |
+
"Sorbitol Fermentation": "Negative",
|
| 58 |
+
"Xylose Fermentation": "Variable",
|
| 59 |
+
"Rhamnose Fermentation": "Negative",
|
| 60 |
+
"Arabinose Fermentation": "Variable",
|
| 61 |
+
"Raffinose Fermentation": "Negative",
|
| 62 |
+
"Trehalose Fermentation": "Variable",
|
| 63 |
+
"Inositol Fermentation": "Negative",
|
| 64 |
+
"Gas Production": "Negative",
|
| 65 |
+
"TSI Pattern": "A/A",
|
| 66 |
+
"Colony Pattern": "Unknown",
|
| 67 |
+
"Pigment": "None",
|
| 68 |
+
"Motility Type": "None"
|
| 69 |
+
},
|
| 70 |
+
|
| 71 |
+
"species_markers": [
|
| 72 |
+
{
|
| 73 |
+
"field": "Colony Morphology",
|
| 74 |
+
"value": "Star-shaped internal structure",
|
| 75 |
+
"importance": "high",
|
| 76 |
+
"notes": "Characteristic colony appearance aids identification."
|
| 77 |
+
},
|
| 78 |
+
{
|
| 79 |
+
"field": "Clinical context",
|
| 80 |
+
"value": "Periodontal disease",
|
| 81 |
+
"importance": "high",
|
| 82 |
+
"notes": "Strong association with oral infections."
|
| 83 |
+
}
|
| 84 |
+
],
|
| 85 |
+
|
| 86 |
+
"common_confusions": [
|
| 87 |
+
{
|
| 88 |
+
"genus": "Haemophilus",
|
| 89 |
+
"reason": "Similar growth requirements and oral habitat."
|
| 90 |
+
},
|
| 91 |
+
{
|
| 92 |
+
"genus": "Aggregatibacter",
|
| 93 |
+
"reason": "Taxonomic overlap and similar biochemical profiles."
|
| 94 |
+
}
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"when_to_question_identification": [
|
| 98 |
+
"Strong haemolysis suggests veterinary Actinobacillus species.",
|
| 99 |
+
"Lack of star-shaped colony morphology requires confirmation."
|
| 100 |
+
],
|
| 101 |
+
|
| 102 |
+
"recommended_next_tests": [
|
| 103 |
+
{
|
| 104 |
+
"test": "MALDI-TOF MS",
|
| 105 |
+
"reason": "Reliable species-level identification."
|
| 106 |
+
},
|
| 107 |
+
{
|
| 108 |
+
"test": "16S rRNA sequencing",
|
| 109 |
+
"reason": "Used when phenotypic identification is inconclusive."
|
| 110 |
+
}
|
| 111 |
+
]
|
| 112 |
+
}
|
data/rag/knowledge_base/Actinobacillus/genus.json
ADDED
|
@@ -0,0 +1,134 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Actinobacillus",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Actinobacillus species are small, Gram-negative, facultatively anaerobic coccobacilli belonging to the Pasteurellaceae family, commonly associated with mucosal surfaces.",
|
| 8 |
+
"clinical_context": "Primarily associated with respiratory tract infections, oral infections, and invasive disease in both humans and animals."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Negative",
|
| 13 |
+
"Shape": "Short Rods",
|
| 14 |
+
"Motility": "Negative",
|
| 15 |
+
"Capsule": "Variable",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Variable",
|
| 18 |
+
"Haemolysis Type": "Variable",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar",
|
| 21 |
+
"Chocolate Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Smooth",
|
| 27 |
+
"Non-pigmented"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "35//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Variable",
|
| 33 |
+
"Indole": "Variable",
|
| 34 |
+
"Urease": "Variable",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Variable",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Variable",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Variable",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Variable",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "A/A",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"field_notes": {
|
| 71 |
+
"Shape": "Often described as coccobacilli or short rods; may appear pleomorphic.",
|
| 72 |
+
"Growth Requirements": "Many species require enriched media and may grow poorly on MacConkey Agar.",
|
| 73 |
+
"Oxidase": "Reaction varies by species and is not genus-defining."
|
| 74 |
+
},
|
| 75 |
+
|
| 76 |
+
"key_differentiators": [
|
| 77 |
+
{
|
| 78 |
+
"field": "Growth on MacConkey Agar",
|
| 79 |
+
"expected": "Negative",
|
| 80 |
+
"distinguishes_from": ["Enterobacter", "Escherichia"],
|
| 81 |
+
"notes": "Poor or absent growth on MacConkey Agar helps separate Actinobacillus from Enterobacterales."
|
| 82 |
+
},
|
| 83 |
+
{
|
| 84 |
+
"field": "Motility",
|
| 85 |
+
"expected": "Negative",
|
| 86 |
+
"distinguishes_from": ["Achromobacter", "Pseudomonas"],
|
| 87 |
+
"notes": "Non-motility helps differentiate from motile non-fermenters."
|
| 88 |
+
},
|
| 89 |
+
{
|
| 90 |
+
"field": "ONPG",
|
| 91 |
+
"expected": "Negative",
|
| 92 |
+
"distinguishes_from": ["Haemophilus"],
|
| 93 |
+
"notes": "Helps separate Actinobacillus from some closely related Pasteurellaceae."
|
| 94 |
+
}
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"common_confusions": [
|
| 98 |
+
{
|
| 99 |
+
"genus": "Haemophilus",
|
| 100 |
+
"reason": "Shared family Pasteurellaceae, similar morphology, and overlapping growth requirements."
|
| 101 |
+
},
|
| 102 |
+
{
|
| 103 |
+
"genus": "Aggregatibacter",
|
| 104 |
+
"reason": "Similar clinical niche and biochemical overlap, particularly in oral infections."
|
| 105 |
+
}
|
| 106 |
+
],
|
| 107 |
+
|
| 108 |
+
"when_to_question_identification": [
|
| 109 |
+
"Strong oxidase positivity and motility suggest Achromobacter or other non-fermenters.",
|
| 110 |
+
"Robust growth on MacConkey Agar argues against Actinobacillus.",
|
| 111 |
+
"Indole-positive isolates require careful species-level confirmation."
|
| 112 |
+
],
|
| 113 |
+
|
| 114 |
+
"recommended_next_tests": [
|
| 115 |
+
{
|
| 116 |
+
"test": "Growth factor requirement testing (X and V factors)",
|
| 117 |
+
"reason": "Helps differentiate Actinobacillus from Haemophilus species."
|
| 118 |
+
},
|
| 119 |
+
{
|
| 120 |
+
"test": "Oxidase and indole testing",
|
| 121 |
+
"reason": "Useful for species-level discrimination within Pasteurellaceae."
|
| 122 |
+
},
|
| 123 |
+
{
|
| 124 |
+
"test": "MALDI-TOF MS",
|
| 125 |
+
"reason": "Reliable genus and species-level identification due to phenotypic overlap."
|
| 126 |
+
}
|
| 127 |
+
],
|
| 128 |
+
|
| 129 |
+
"supported_species": [
|
| 130 |
+
"actinomycetemcomitans",
|
| 131 |
+
"lignieresii",
|
| 132 |
+
"ureae"
|
| 133 |
+
]
|
| 134 |
+
}
|
data/rag/knowledge_base/Actinobacillus/pleuropneumoniae.json
ADDED
|
@@ -0,0 +1,103 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Actinobacillus",
|
| 5 |
+
"species": "pleuropneumoniae",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Actinobacillus pleuropneumoniae is a Gram-negative coccobacillus causing severe respiratory disease in swine.",
|
| 9 |
+
"clinical_context": "A major cause of porcine pleuropneumonia; not considered a human pathogen."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Short Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Positive",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Positive",
|
| 19 |
+
"Haemolysis Type": "Beta",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Chocolate Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Small",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Smooth"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "35//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Variable",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Variable",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Variable",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "A/A",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Oxidase",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Helps distinguish from other Actinobacillus species."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Host specificity",
|
| 79 |
+
"value": "Swine",
|
| 80 |
+
"importance": "high",
|
| 81 |
+
"notes": "Strongly associated with porcine hosts."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Actinobacillus suis",
|
| 88 |
+
"reason": "Shared haemolysis and overlapping veterinary context."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Isolation from human samples suggests misidentification.",
|
| 94 |
+
"Non-haemolytic isolates are inconsistent with A. pleuropneumoniae."
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"recommended_next_tests": [
|
| 98 |
+
{
|
| 99 |
+
"test": "Veterinary PCR panels",
|
| 100 |
+
"reason": "Gold standard for definitive identification."
|
| 101 |
+
}
|
| 102 |
+
]
|
| 103 |
+
}
|
data/rag/knowledge_base/Actinobacillus/suis.json
ADDED
|
@@ -0,0 +1,103 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Actinobacillus",
|
| 5 |
+
"species": "suis",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Actinobacillus suis is a Gram-negative coccobacillus primarily associated with invasive infections in swine.",
|
| 9 |
+
"clinical_context": "Rare in humans; primarily a veterinary pathogen causing septicemia, pneumonia, and meningitis in pigs."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Short Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Positive",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Positive",
|
| 19 |
+
"Haemolysis Type": "Beta",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Chocolate Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Small",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Smooth"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "35//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Variable",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Variable",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Variable",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Variable",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "A/A",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Haemolysis",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Beta-haemolysis supports differentiation from non-haemolytic Actinobacillus species."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Capsule",
|
| 79 |
+
"value": "Positive",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Capsule contributes to virulence in animal infections."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Actinobacillus pleuropneumoniae",
|
| 88 |
+
"reason": "Both are haemolytic and primarily veterinary pathogens."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Human clinical isolation should prompt re-evaluation.",
|
| 94 |
+
"Non-haemolytic isolates are inconsistent with A. suis."
|
| 95 |
+
],
|
| 96 |
+
|
| 97 |
+
"recommended_next_tests": [
|
| 98 |
+
{
|
| 99 |
+
"test": "Veterinary MALDI-TOF reference",
|
| 100 |
+
"reason": "Required for accurate differentiation from related animal pathogens."
|
| 101 |
+
}
|
| 102 |
+
]
|
| 103 |
+
}
|
data/rag/knowledge_base/Actinomyces/genus.json
ADDED
|
@@ -0,0 +1,135 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Actinomyces",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Actinomyces species are Gram-positive, non-spore-forming, pleomorphic rods that commonly inhabit the human oral cavity, gastrointestinal tract, and female genital tract.",
|
| 8 |
+
"clinical_context": "Associated with chronic, suppurative infections (actinomycosis), often involving abscess formation and sinus tracts, typically in cervicofacial, thoracic, or abdominopelvic sites."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Positive",
|
| 13 |
+
"Shape": "Rods",
|
| 14 |
+
"Motility": "Negative",
|
| 15 |
+
"Capsule": "Negative",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Negative",
|
| 18 |
+
"Haemolysis Type": "None",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar"
|
| 21 |
+
],
|
| 22 |
+
"Colony Morphology": [
|
| 23 |
+
"White",
|
| 24 |
+
"Grey",
|
| 25 |
+
"Rough",
|
| 26 |
+
"Irregular"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "30//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Variable",
|
| 33 |
+
"Urease": "Variable",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Variable",
|
| 42 |
+
"Esculin Hydrolysis": "Variable",
|
| 43 |
+
"Nitrate Reduction": "Variable",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Unknown",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Variable",
|
| 52 |
+
"Sucrose Fermentation": "Variable",
|
| 53 |
+
"Maltose Fermentation": "Variable",
|
| 54 |
+
"Mannitol Fermentation": "Variable",
|
| 55 |
+
"Sorbitol Fermentation": "Variable",
|
| 56 |
+
"Xylose Fermentation": "Variable",
|
| 57 |
+
"Rhamnose Fermentation": "Unknown",
|
| 58 |
+
"Arabinose Fermentation": "Variable",
|
| 59 |
+
"Raffinose Fermentation": "Unknown",
|
| 60 |
+
"Trehalose Fermentation": "Variable",
|
| 61 |
+
"Inositol Fermentation": "Unknown",
|
| 62 |
+
"Gas Production": "Variable",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"field_notes": {
|
| 70 |
+
"Oxygen Requirement": "Many Actinomyces are best recovered under anaerobic or microaerophilic conditions, but may tolerate oxygen depending on species and culture conditions.",
|
| 71 |
+
"Colony Morphology": "Colonies are often irregular and may appear rough or granular; prolonged incubation can accentuate characteristic appearances.",
|
| 72 |
+
"Catalase": "Typically catalase negative, helping distinguish from aerobic actinomycetes."
|
| 73 |
+
},
|
| 74 |
+
|
| 75 |
+
"key_differentiators": [
|
| 76 |
+
{
|
| 77 |
+
"field": "Gram Stain",
|
| 78 |
+
"expected": "Positive",
|
| 79 |
+
"distinguishes_from": ["Actinobacillus", "Aggregatibacter"],
|
| 80 |
+
"notes": "Gram-positive morphology separates Actinomyces from Gram-negative oral flora."
|
| 81 |
+
},
|
| 82 |
+
{
|
| 83 |
+
"field": "Motility",
|
| 84 |
+
"expected": "Negative",
|
| 85 |
+
"distinguishes_from": ["Bacillus", "Listeria"],
|
| 86 |
+
"notes": "Non-motility supports Actinomyces over motile Gram-positive rods."
|
| 87 |
+
},
|
| 88 |
+
{
|
| 89 |
+
"field": "Spore Formation",
|
| 90 |
+
"expected": "Negative",
|
| 91 |
+
"distinguishes_from": ["Bacillus", "Clostridium"],
|
| 92 |
+
"notes": "Non-spore forming supports Actinomyces in chronic abscess settings."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"common_confusions": [
|
| 97 |
+
{
|
| 98 |
+
"genus": "Nocardia",
|
| 99 |
+
"reason": "Both can present as branching Gram-positive rods and cause chronic infections."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"genus": "Corynebacterium",
|
| 103 |
+
"reason": "Overlapping Gram-positive rod morphology may confuse if branching is not described."
|
| 104 |
+
}
|
| 105 |
+
],
|
| 106 |
+
|
| 107 |
+
"when_to_question_identification": [
|
| 108 |
+
"Strong aerobic growth with catalase positivity suggests Nocardia or other aerobic actinomycetes.",
|
| 109 |
+
"Spore formation suggests Bacillus or Clostridium rather than Actinomyces.",
|
| 110 |
+
"Oxidase positivity argues against Actinomyces."
|
| 111 |
+
],
|
| 112 |
+
|
| 113 |
+
"recommended_next_tests": [
|
| 114 |
+
{
|
| 115 |
+
"test": "Anaerobic incubation",
|
| 116 |
+
"reason": "Improves recovery and supports identification consistent with Actinomyces."
|
| 117 |
+
},
|
| 118 |
+
{
|
| 119 |
+
"test": "Acid fast",
|
| 120 |
+
"reason": "Helps distinguish Actinomyces (typically non–acid fast) from Nocardia (often partially acid fast)."
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"test": "MALDI-TOF MS",
|
| 124 |
+
"reason": "Preferred for reliable genus/species identification due to phenotypic overlap."
|
| 125 |
+
}
|
| 126 |
+
],
|
| 127 |
+
|
| 128 |
+
"supported_species": [
|
| 129 |
+
"israelii",
|
| 130 |
+
"naeslundii",
|
| 131 |
+
"viscosus",
|
| 132 |
+
"odontolyticus",
|
| 133 |
+
"meyeri"
|
| 134 |
+
]
|
| 135 |
+
}
|
data/rag/knowledge_base/Actinomyces/israelii.json
ADDED
|
@@ -0,0 +1,108 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Actinomyces",
|
| 5 |
+
"species": "israelii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Actinomyces israelii is a Gram-positive, non-spore-forming, filamentous rod classically associated with actinomycosis.",
|
| 9 |
+
"clinical_context": "Most common cause of cervicofacial actinomycosis, often presenting with chronic abscesses and draining sinus tracts containing sulfur granules."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"White",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Rough",
|
| 27 |
+
"Irregular"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "30//37",
|
| 31 |
+
"Catalase": "Negative",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Unknown",
|
| 37 |
+
"VP": "Unknown",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Unknown",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Positive",
|
| 43 |
+
"Esculin Hydrolysis": "Variable",
|
| 44 |
+
"Nitrate Reduction": "Variable",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 49 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 50 |
+
"Arginine dihydrolase": "Unknown",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Variable",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Variable",
|
| 58 |
+
"Rhamnose Fermentation": "Unknown",
|
| 59 |
+
"Arabinose Fermentation": "Variable",
|
| 60 |
+
"Raffinose Fermentation": "Unknown",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Unknown",
|
| 63 |
+
"Gas Production": "Variable",
|
| 64 |
+
"TSI Pattern": "Unknown",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Gelatin Hydrolysis",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Consistent gelatin hydrolysis supports A. israelii."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Lactose Fermentation",
|
| 79 |
+
"value": "Negative",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Helps separate from oral Actinomyces species."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Actinomyces naeslundii",
|
| 88 |
+
"reason": "Shared oral habitat and overlapping anaerobic growth characteristics."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Catalase positivity suggests aerobic actinomycetes.",
|
| 94 |
+
"Strong aerobic growth argues against A. israelii.",
|
| 95 |
+
"Acid-fast positivity suggests Nocardia."
|
| 96 |
+
],
|
| 97 |
+
|
| 98 |
+
"recommended_next_tests": [
|
| 99 |
+
{
|
| 100 |
+
"test": "Anaerobic culture",
|
| 101 |
+
"reason": "Required for optimal recovery and confirmation."
|
| 102 |
+
},
|
| 103 |
+
{
|
| 104 |
+
"test": "MALDI-TOF MS",
|
| 105 |
+
"reason": "Reliable species-level differentiation."
|
| 106 |
+
}
|
| 107 |
+
]
|
| 108 |
+
}
|
data/rag/knowledge_base/Actinomyces/naeslundii.json
ADDED
|
@@ -0,0 +1,106 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Actinomyces",
|
| 5 |
+
"species": "naeslundii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Actinomyces naeslundii is a Gram-positive, non-spore-forming rod commonly found in the human oral cavity.",
|
| 9 |
+
"clinical_context": "Associated with dental plaque, root caries, and occasional invasive infections."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"White",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Smooth"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "30//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Variable",
|
| 33 |
+
"Urease": "Variable",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Positive",
|
| 43 |
+
"Nitrate Reduction": "Positive",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Unknown",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Positive",
|
| 52 |
+
"Sucrose Fermentation": "Positive",
|
| 53 |
+
"Maltose Fermentation": "Positive",
|
| 54 |
+
"Mannitol Fermentation": "Variable",
|
| 55 |
+
"Sorbitol Fermentation": "Variable",
|
| 56 |
+
"Xylose Fermentation": "Variable",
|
| 57 |
+
"Rhamnose Fermentation": "Unknown",
|
| 58 |
+
"Arabinose Fermentation": "Variable",
|
| 59 |
+
"Raffinose Fermentation": "Unknown",
|
| 60 |
+
"Trehalose Fermentation": "Positive",
|
| 61 |
+
"Inositol Fermentation": "Unknown",
|
| 62 |
+
"Gas Production": "Variable",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Esculin Hydrolysis",
|
| 72 |
+
"value": "Positive",
|
| 73 |
+
"importance": "high",
|
| 74 |
+
"notes": "Useful discriminator among oral Actinomyces."
|
| 75 |
+
},
|
| 76 |
+
{
|
| 77 |
+
"field": "Lactose Fermentation",
|
| 78 |
+
"value": "Positive",
|
| 79 |
+
"importance": "medium",
|
| 80 |
+
"notes": "Helps differentiate from A. israelii."
|
| 81 |
+
}
|
| 82 |
+
],
|
| 83 |
+
|
| 84 |
+
"common_confusions": [
|
| 85 |
+
{
|
| 86 |
+
"species": "Actinomyces odontolyticus",
|
| 87 |
+
"reason": "Both are oral species with overlapping sugar fermentation patterns."
|
| 88 |
+
}
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"when_to_question_identification": [
|
| 92 |
+
"Gelatin hydrolysis positivity suggests other Actinomyces species.",
|
| 93 |
+
"Strict anaerobiosis suggests A. israelii."
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"recommended_next_tests": [
|
| 97 |
+
{
|
| 98 |
+
"test": "Esculin hydrolysis",
|
| 99 |
+
"reason": "Key species-level discriminator."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"test": "MALDI-TOF MS",
|
| 103 |
+
"reason": "Accurate differentiation among oral Actinomyces."
|
| 104 |
+
}
|
| 105 |
+
]
|
| 106 |
+
}
|
data/rag/knowledge_base/Actinomyces/odontolyticus.json
ADDED
|
@@ -0,0 +1,106 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Actinomyces",
|
| 5 |
+
"species": "odontolyticus",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Actinomyces odontolyticus is a Gram-positive, non-spore-forming rod commonly isolated from dental plaque and oral infections.",
|
| 9 |
+
"clinical_context": "Frequently associated with dental caries, periodontal disease, and occasional systemic infections."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"White",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Smooth"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "30//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Positive",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Variable",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Unknown",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Positive",
|
| 52 |
+
"Sucrose Fermentation": "Positive",
|
| 53 |
+
"Maltose Fermentation": "Positive",
|
| 54 |
+
"Mannitol Fermentation": "Positive",
|
| 55 |
+
"Sorbitol Fermentation": "Variable",
|
| 56 |
+
"Xylose Fermentation": "Variable",
|
| 57 |
+
"Rhamnose Fermentation": "Unknown",
|
| 58 |
+
"Arabinose Fermentation": "Variable",
|
| 59 |
+
"Raffinose Fermentation": "Unknown",
|
| 60 |
+
"Trehalose Fermentation": "Positive",
|
| 61 |
+
"Inositol Fermentation": "Unknown",
|
| 62 |
+
"Gas Production": "Variable",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Indole",
|
| 72 |
+
"value": "Positive",
|
| 73 |
+
"importance": "high",
|
| 74 |
+
"notes": "Key differentiator from other common Actinomyces species."
|
| 75 |
+
},
|
| 76 |
+
{
|
| 77 |
+
"field": "Esculin Hydrolysis",
|
| 78 |
+
"value": "Negative",
|
| 79 |
+
"importance": "medium",
|
| 80 |
+
"notes": "Helps separate from A. naeslundii."
|
| 81 |
+
}
|
| 82 |
+
],
|
| 83 |
+
|
| 84 |
+
"common_confusions": [
|
| 85 |
+
{
|
| 86 |
+
"species": "Actinomyces naeslundii",
|
| 87 |
+
"reason": "Overlapping oral habitat and sugar fermentation."
|
| 88 |
+
}
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"when_to_question_identification": [
|
| 92 |
+
"Indole negativity suggests other Actinomyces species.",
|
| 93 |
+
"Strong gelatin hydrolysis suggests A. israelii."
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"recommended_next_tests": [
|
| 97 |
+
{
|
| 98 |
+
"test": "Indole test",
|
| 99 |
+
"reason": "Primary discriminator for A. odontolyticus."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"test": "MALDI-TOF MS",
|
| 103 |
+
"reason": "Reliable species confirmation."
|
| 104 |
+
}
|
| 105 |
+
]
|
| 106 |
+
}
|
data/rag/knowledge_base/Aerococcus/genus.json
ADDED
|
@@ -0,0 +1,137 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Aerococcus",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Aerococcus species are Gram-positive cocci that often appear in clusters or tetrads and resemble streptococci or staphylococci on initial examination.",
|
| 8 |
+
"clinical_context": "Associated with urinary tract infections, bacteremia, endocarditis, and invasive infections, particularly in elderly or immunocompromised patients."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Positive",
|
| 13 |
+
"Shape": "Cocci",
|
| 14 |
+
"Motility": "Negative",
|
| 15 |
+
"Capsule": "Variable",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Variable",
|
| 18 |
+
"Haemolysis Type": "Variable",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar"
|
| 21 |
+
],
|
| 22 |
+
"Colony Morphology": [
|
| 23 |
+
"Small",
|
| 24 |
+
"Grey",
|
| 25 |
+
"Alpha-haemolytic or Non-haemolytic"
|
| 26 |
+
],
|
| 27 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 28 |
+
"Growth Temperature": "30//37",
|
| 29 |
+
"Catalase": "Negative",
|
| 30 |
+
"Oxidase": "Negative",
|
| 31 |
+
"Indole": "Negative",
|
| 32 |
+
"Urease": "Negative",
|
| 33 |
+
"Citrate": "Negative",
|
| 34 |
+
"Methyl Red": "Unknown",
|
| 35 |
+
"VP": "Unknown",
|
| 36 |
+
"H2S": "Negative",
|
| 37 |
+
"DNase": "Negative",
|
| 38 |
+
"ONPG": "Unknown",
|
| 39 |
+
"Coagulase": "Negative",
|
| 40 |
+
"Gelatin Hydrolysis": "Negative",
|
| 41 |
+
"Esculin Hydrolysis": "Negative",
|
| 42 |
+
"Nitrate Reduction": "Negative",
|
| 43 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 44 |
+
"Lipase Test": "Negative",
|
| 45 |
+
"Lysine Decarboxylase": "Unknown",
|
| 46 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 48 |
+
"Arginine dihydrolase": "Negative",
|
| 49 |
+
"Glucose Fermentation": "Positive",
|
| 50 |
+
"Lactose Fermentation": "Variable",
|
| 51 |
+
"Sucrose Fermentation": "Variable",
|
| 52 |
+
"Maltose Fermentation": "Variable",
|
| 53 |
+
"Mannitol Fermentation": "Negative",
|
| 54 |
+
"Sorbitol Fermentation": "Negative",
|
| 55 |
+
"Xylose Fermentation": "Negative",
|
| 56 |
+
"Rhamnose Fermentation": "Unknown",
|
| 57 |
+
"Arabinose Fermentation": "Negative",
|
| 58 |
+
"Raffinose Fermentation": "Unknown",
|
| 59 |
+
"Trehalose Fermentation": "Variable",
|
| 60 |
+
"Inositol Fermentation": "Negative",
|
| 61 |
+
"Gas Production": "Negative",
|
| 62 |
+
"TSI Pattern": "Unknown",
|
| 63 |
+
"Colony Pattern": "Unknown",
|
| 64 |
+
"Pigment": "None",
|
| 65 |
+
"Motility Type": "None"
|
| 66 |
+
},
|
| 67 |
+
|
| 68 |
+
"field_notes": {
|
| 69 |
+
"Catalase": "Typically catalase-negative, but weak or pseudo-positive reactions may occur.",
|
| 70 |
+
"Haemolysis": "Most species are alpha-haemolytic or non-haemolytic on blood agar.",
|
| 71 |
+
"Shape": "Often described as cocci in tetrads or clusters, which can mimic staphylococci."
|
| 72 |
+
},
|
| 73 |
+
|
| 74 |
+
"key_differentiators": [
|
| 75 |
+
{
|
| 76 |
+
"field": "Catalase",
|
| 77 |
+
"expected": "Negative",
|
| 78 |
+
"distinguishes_from": ["Staphylococcus"],
|
| 79 |
+
"notes": "Catalase negativity helps separate Aerococcus from staphylococci."
|
| 80 |
+
},
|
| 81 |
+
{
|
| 82 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 83 |
+
"expected": "Negative",
|
| 84 |
+
"distinguishes_from": ["Enterococcus"],
|
| 85 |
+
"notes": "Lack of growth in high salt differentiates Aerococcus from enterococci."
|
| 86 |
+
},
|
| 87 |
+
{
|
| 88 |
+
"field": "Haemolysis",
|
| 89 |
+
"expected": "Variable",
|
| 90 |
+
"distinguishes_from": ["Streptococcus"],
|
| 91 |
+
"notes": "Haemolysis pattern combined with colony morphology aids differentiation."
|
| 92 |
+
}
|
| 93 |
+
],
|
| 94 |
+
|
| 95 |
+
"common_confusions": [
|
| 96 |
+
{
|
| 97 |
+
"genus": "Streptococcus",
|
| 98 |
+
"reason": "Similar Gram-positive cocci morphology and haemolysis patterns."
|
| 99 |
+
},
|
| 100 |
+
{
|
| 101 |
+
"genus": "Enterococcus",
|
| 102 |
+
"reason": "Overlapping biochemical reactions in urinary isolates."
|
| 103 |
+
},
|
| 104 |
+
{
|
| 105 |
+
"genus": "Staphylococcus",
|
| 106 |
+
"reason": "Clustered cocci appearance on Gram stain may be misleading."
|
| 107 |
+
}
|
| 108 |
+
],
|
| 109 |
+
|
| 110 |
+
"when_to_question_identification": [
|
| 111 |
+
"Catalase-positive reaction suggests Staphylococcus.",
|
| 112 |
+
"Growth in 6.5% NaCl suggests Enterococcus.",
|
| 113 |
+
"Beta-haemolysis with streptococcal morphology suggests Streptococcus."
|
| 114 |
+
],
|
| 115 |
+
|
| 116 |
+
"recommended_next_tests": [
|
| 117 |
+
{
|
| 118 |
+
"test": "Catalase test (repeat)",
|
| 119 |
+
"reason": "Weak reactions may require confirmation."
|
| 120 |
+
},
|
| 121 |
+
{
|
| 122 |
+
"test": "NaCl tolerance (6.5%)",
|
| 123 |
+
"reason": "Useful for exclusion of Enterococcus."
|
| 124 |
+
},
|
| 125 |
+
{
|
| 126 |
+
"test": "MALDI-TOF MS",
|
| 127 |
+
"reason": "Preferred method for accurate genus and species identification."
|
| 128 |
+
}
|
| 129 |
+
],
|
| 130 |
+
|
| 131 |
+
"supported_species": [
|
| 132 |
+
"urinae",
|
| 133 |
+
"viridans",
|
| 134 |
+
"sanguinicola",
|
| 135 |
+
"christensenii"
|
| 136 |
+
]
|
| 137 |
+
}
|
data/rag/knowledge_base/Aerococcus/sanguinicola.json
ADDED
|
@@ -0,0 +1,96 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aerococcus",
|
| 5 |
+
"species": "sanguinicola",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aerococcus sanguinicola is a Gram-positive, catalase-negative coccus associated with bloodstream and urinary tract infections.",
|
| 9 |
+
"clinical_context": "Often isolated from bacteremia or invasive infections in elderly or hospitalized patients."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Cocci",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Positive",
|
| 19 |
+
"Haemolysis Type": "Alpha",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Alpha-haemolytic"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "30//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Variable",
|
| 52 |
+
"Sucrose Fermentation": "Variable",
|
| 53 |
+
"Maltose Fermentation": "Variable",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Unknown",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Unknown",
|
| 60 |
+
"Trehalose Fermentation": "Variable",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Clinical Source",
|
| 72 |
+
"value": "Bloodstream",
|
| 73 |
+
"importance": "high",
|
| 74 |
+
"notes": "More frequently isolated from blood cultures than other Aerococcus species."
|
| 75 |
+
}
|
| 76 |
+
],
|
| 77 |
+
|
| 78 |
+
"common_confusions": [
|
| 79 |
+
{
|
| 80 |
+
"species": "Aerococcus urinae",
|
| 81 |
+
"reason": "Overlapping biochemical profile and haemolysis pattern."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"when_to_question_identification": [
|
| 86 |
+
"UTI-only presentation suggests Aerococcus urinae.",
|
| 87 |
+
"Beta-haemolysis suggests Streptococcus."
|
| 88 |
+
],
|
| 89 |
+
|
| 90 |
+
"recommended_next_tests": [
|
| 91 |
+
{
|
| 92 |
+
"test": "MALDI-TOF MS",
|
| 93 |
+
"reason": "Essential for distinguishing Aerococcus species."
|
| 94 |
+
}
|
| 95 |
+
]
|
| 96 |
+
}
|
data/rag/knowledge_base/Aerococcus/urinae.json
ADDED
|
@@ -0,0 +1,111 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aerococcus",
|
| 5 |
+
"species": "urinae",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aerococcus urinae is a Gram-positive, catalase-negative coccus commonly isolated from urinary tract infections.",
|
| 9 |
+
"clinical_context": "Frequently associated with UTIs, bacteremia, and infective endocarditis in elderly patients."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Cocci",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Positive",
|
| 19 |
+
"Haemolysis Type": "Alpha",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Alpha-haemolytic"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "30//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Variable",
|
| 52 |
+
"Sucrose Fermentation": "Variable",
|
| 53 |
+
"Maltose Fermentation": "Variable",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Unknown",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Unknown",
|
| 60 |
+
"Trehalose Fermentation": "Variable",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Clinical Source",
|
| 72 |
+
"value": "Urinary tract",
|
| 73 |
+
"importance": "high",
|
| 74 |
+
"notes": "Strong association with urinary isolates."
|
| 75 |
+
},
|
| 76 |
+
{
|
| 77 |
+
"field": "Haemolysis Type",
|
| 78 |
+
"value": "Alpha",
|
| 79 |
+
"importance": "medium",
|
| 80 |
+
"notes": "Typically alpha-haemolytic on blood agar."
|
| 81 |
+
}
|
| 82 |
+
],
|
| 83 |
+
|
| 84 |
+
"common_confusions": [
|
| 85 |
+
{
|
| 86 |
+
"species": "Aerococcus sanguinicola",
|
| 87 |
+
"reason": "Similar biochemical profile and haemolysis pattern."
|
| 88 |
+
},
|
| 89 |
+
{
|
| 90 |
+
"genus": "Enterococcus",
|
| 91 |
+
"reason": "Shared UTI association and Gram-positive cocci morphology."
|
| 92 |
+
}
|
| 93 |
+
],
|
| 94 |
+
|
| 95 |
+
"when_to_question_identification": [
|
| 96 |
+
"Growth in 6.5% NaCl suggests Enterococcus.",
|
| 97 |
+
"Catalase positivity suggests Staphylococcus.",
|
| 98 |
+
"Beta-haemolysis suggests Streptococcus."
|
| 99 |
+
],
|
| 100 |
+
|
| 101 |
+
"recommended_next_tests": [
|
| 102 |
+
{
|
| 103 |
+
"test": "MALDI-TOF MS",
|
| 104 |
+
"reason": "Gold standard for distinguishing Aerococcus species."
|
| 105 |
+
},
|
| 106 |
+
{
|
| 107 |
+
"test": "16S rRNA sequencing",
|
| 108 |
+
"reason": "Useful when MALDI-TOF is inconclusive."
|
| 109 |
+
}
|
| 110 |
+
]
|
| 111 |
+
}
|
data/rag/knowledge_base/Aerococcus/viridans.json
ADDED
|
@@ -0,0 +1,96 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aerococcus",
|
| 5 |
+
"species": "viridans",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aerococcus viridans is a Gram-positive, catalase-negative coccus historically associated with environmental and opportunistic infections.",
|
| 9 |
+
"clinical_context": "Less frequently isolated than other Aerococcus species; may be recovered from blood or wound cultures."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Positive",
|
| 14 |
+
"Shape": "Cocci",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Variable",
|
| 19 |
+
"Haemolysis Type": "Alpha",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Small",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Alpha-haemolytic"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "30//37",
|
| 30 |
+
"Catalase": "Negative",
|
| 31 |
+
"Oxidase": "Negative",
|
| 32 |
+
"Indole": "Negative",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Negative",
|
| 35 |
+
"Methyl Red": "Unknown",
|
| 36 |
+
"VP": "Unknown",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Negative",
|
| 39 |
+
"ONPG": "Unknown",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Negative",
|
| 42 |
+
"Esculin Hydrolysis": "Negative",
|
| 43 |
+
"Nitrate Reduction": "Negative",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Negative",
|
| 46 |
+
"Lysine Decarboxylase": "Unknown",
|
| 47 |
+
"Ornithine Decarboxylase": "Unknown",
|
| 48 |
+
"Ornitihine Decarboxylase": "Unknown",
|
| 49 |
+
"Arginine dihydrolase": "Negative",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Variable",
|
| 52 |
+
"Sucrose Fermentation": "Variable",
|
| 53 |
+
"Maltose Fermentation": "Variable",
|
| 54 |
+
"Mannitol Fermentation": "Negative",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Unknown",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Unknown",
|
| 60 |
+
"Trehalose Fermentation": "Variable",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Negative",
|
| 63 |
+
"TSI Pattern": "Unknown",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "None"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"species_markers": [
|
| 70 |
+
{
|
| 71 |
+
"field": "Clinical Relevance",
|
| 72 |
+
"value": "Lower",
|
| 73 |
+
"importance": "medium",
|
| 74 |
+
"notes": "Less commonly implicated in invasive disease."
|
| 75 |
+
}
|
| 76 |
+
],
|
| 77 |
+
|
| 78 |
+
"common_confusions": [
|
| 79 |
+
{
|
| 80 |
+
"genus": "Streptococcus",
|
| 81 |
+
"reason": "Alpha-haemolytic colonies may mimic viridans streptococci."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"when_to_question_identification": [
|
| 86 |
+
"Strong clinical UTI association suggests Aerococcus urinae.",
|
| 87 |
+
"Growth in high salt suggests Enterococcus."
|
| 88 |
+
],
|
| 89 |
+
|
| 90 |
+
"recommended_next_tests": [
|
| 91 |
+
{
|
| 92 |
+
"test": "MALDI-TOF MS",
|
| 93 |
+
"reason": "Required for reliable species-level identification."
|
| 94 |
+
}
|
| 95 |
+
]
|
| 96 |
+
}
|
data/rag/knowledge_base/Aeromonas/caviae.json
ADDED
|
@@ -0,0 +1,122 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aeromonas",
|
| 5 |
+
"species": "caviae",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aeromonas caviae is a Gram-negative, oxidase-positive, facultatively anaerobic rod associated mainly with gastrointestinal disease and occasional opportunistic infections.",
|
| 9 |
+
"clinical_context": "Often linked to gastroenteritis; may also be isolated from wounds and bloodstream infections in immunocompromised patients."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Large",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Opaque"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "4//42",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Positive",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Positive",
|
| 40 |
+
"ONPG": "Positive",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Variable",
|
| 43 |
+
"Esculin Hydrolysis": "Variable",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Variable",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Positive",
|
| 49 |
+
"Ornitihine Decarboxylase": "Positive",
|
| 50 |
+
"Arginine dihydrolase": "Positive",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Positive",
|
| 54 |
+
"Maltose Fermentation": "Positive",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Variable",
|
| 64 |
+
"TSI Pattern": "A/A",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Indole",
|
| 73 |
+
"value": "Negative",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Supports A. caviae over indole-positive Aeromonas such as A. veronii (often positive)."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Ornithine Decarboxylase",
|
| 79 |
+
"value": "Positive",
|
| 80 |
+
"importance": "high",
|
| 81 |
+
"notes": "Ornithine positivity is commonly used to separate A. caviae from A. hydrophila."
|
| 82 |
+
},
|
| 83 |
+
{
|
| 84 |
+
"field": "Lysine Decarboxylase",
|
| 85 |
+
"value": "Negative",
|
| 86 |
+
"importance": "medium",
|
| 87 |
+
"notes": "Helps distinguish A. caviae from lysine-positive Aeromonas patterns."
|
| 88 |
+
}
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"common_confusions": [
|
| 92 |
+
{
|
| 93 |
+
"species": "Aeromonas hydrophila",
|
| 94 |
+
"reason": "Overlapping oxidase-positive fermenter profile; separation relies on decarboxylase patterns and haemolysis."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"species": "Aeromonas veronii",
|
| 98 |
+
"reason": "Biochemically close; indole and ornithine patterns help resolve."
|
| 99 |
+
}
|
| 100 |
+
],
|
| 101 |
+
|
| 102 |
+
"when_to_question_identification": [
|
| 103 |
+
"Indole positivity suggests A. veronii or another Aeromonas species.",
|
| 104 |
+
"Strong beta haemolysis may suggest A. hydrophila.",
|
| 105 |
+
"NaCl tolerance at >=6% suggests Vibrio rather than Aeromonas."
|
| 106 |
+
],
|
| 107 |
+
|
| 108 |
+
"recommended_next_tests": [
|
| 109 |
+
{
|
| 110 |
+
"test": "Indole test",
|
| 111 |
+
"reason": "Key discriminator within Aeromonas."
|
| 112 |
+
},
|
| 113 |
+
{
|
| 114 |
+
"test": "Ornithine decarboxylase",
|
| 115 |
+
"reason": "Useful to support A. caviae identification."
|
| 116 |
+
},
|
| 117 |
+
{
|
| 118 |
+
"test": "MALDI-TOF MS",
|
| 119 |
+
"reason": "Recommended due to biochemical overlap within Aeromonas."
|
| 120 |
+
}
|
| 121 |
+
]
|
| 122 |
+
}
|
data/rag/knowledge_base/Aeromonas/genus.json
ADDED
|
@@ -0,0 +1,138 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "genus",
|
| 4 |
+
"genus": "Aeromonas",
|
| 5 |
+
|
| 6 |
+
"overview": {
|
| 7 |
+
"short": "Aeromonas species are Gram-negative, facultatively anaerobic rods commonly found in aquatic environments and associated with gastrointestinal and wound infections.",
|
| 8 |
+
"clinical_context": "Frequently implicated in gastroenteritis, wound infections following water exposure, and opportunistic bloodstream infections."
|
| 9 |
+
},
|
| 10 |
+
|
| 11 |
+
"expected_fields": {
|
| 12 |
+
"Gram Stain": "Negative",
|
| 13 |
+
"Shape": "Rods",
|
| 14 |
+
"Motility": "Positive",
|
| 15 |
+
"Capsule": "Variable",
|
| 16 |
+
"Spore Formation": "Negative",
|
| 17 |
+
"Haemolysis": "Variable",
|
| 18 |
+
"Haemolysis Type": "Variable",
|
| 19 |
+
"Media Grown On": [
|
| 20 |
+
"Blood Agar",
|
| 21 |
+
"MacConkey Agar"
|
| 22 |
+
],
|
| 23 |
+
"Colony Morphology": [
|
| 24 |
+
"Large",
|
| 25 |
+
"Grey",
|
| 26 |
+
"Opaque"
|
| 27 |
+
],
|
| 28 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 29 |
+
"Growth Temperature": "4//42",
|
| 30 |
+
"Catalase": "Positive",
|
| 31 |
+
"Oxidase": "Positive",
|
| 32 |
+
"Indole": "Variable",
|
| 33 |
+
"Urease": "Negative",
|
| 34 |
+
"Citrate": "Variable",
|
| 35 |
+
"Methyl Red": "Positive",
|
| 36 |
+
"VP": "Negative",
|
| 37 |
+
"H2S": "Negative",
|
| 38 |
+
"DNase": "Positive",
|
| 39 |
+
"ONPG": "Positive",
|
| 40 |
+
"Coagulase": "Negative",
|
| 41 |
+
"Gelatin Hydrolysis": "Positive",
|
| 42 |
+
"Esculin Hydrolysis": "Variable",
|
| 43 |
+
"Nitrate Reduction": "Positive",
|
| 44 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 45 |
+
"Lipase Test": "Positive",
|
| 46 |
+
"Lysine Decarboxylase": "Variable",
|
| 47 |
+
"Ornithine Decarboxylase": "Variable",
|
| 48 |
+
"Ornitihine Decarboxylase": "Variable",
|
| 49 |
+
"Arginine dihydrolase": "Positive",
|
| 50 |
+
"Glucose Fermentation": "Positive",
|
| 51 |
+
"Lactose Fermentation": "Negative",
|
| 52 |
+
"Sucrose Fermentation": "Variable",
|
| 53 |
+
"Maltose Fermentation": "Positive",
|
| 54 |
+
"Mannitol Fermentation": "Variable",
|
| 55 |
+
"Sorbitol Fermentation": "Negative",
|
| 56 |
+
"Xylose Fermentation": "Negative",
|
| 57 |
+
"Rhamnose Fermentation": "Negative",
|
| 58 |
+
"Arabinose Fermentation": "Negative",
|
| 59 |
+
"Raffinose Fermentation": "Negative",
|
| 60 |
+
"Trehalose Fermentation": "Variable",
|
| 61 |
+
"Inositol Fermentation": "Negative",
|
| 62 |
+
"Gas Production": "Variable",
|
| 63 |
+
"TSI Pattern": "A/A",
|
| 64 |
+
"Colony Pattern": "Unknown",
|
| 65 |
+
"Pigment": "None",
|
| 66 |
+
"Motility Type": "Polar"
|
| 67 |
+
},
|
| 68 |
+
|
| 69 |
+
"field_notes": {
|
| 70 |
+
"Oxidase": "Oxidase positivity is a key distinguishing feature from Enterobacterales.",
|
| 71 |
+
"Motility": "Typically motile by polar flagella.",
|
| 72 |
+
"Lactose Fermentation": "Generally non-lactose fermenting on MacConkey Agar."
|
| 73 |
+
},
|
| 74 |
+
|
| 75 |
+
"key_differentiators": [
|
| 76 |
+
{
|
| 77 |
+
"field": "Oxidase",
|
| 78 |
+
"expected": "Positive",
|
| 79 |
+
"distinguishes_from": ["Enterobacter", "Escherichia", "Citrobacter"],
|
| 80 |
+
"notes": "Separates Aeromonas from most Enterobacterales."
|
| 81 |
+
},
|
| 82 |
+
{
|
| 83 |
+
"field": "DNase",
|
| 84 |
+
"expected": "Positive",
|
| 85 |
+
"distinguishes_from": ["Vibrio"],
|
| 86 |
+
"notes": "DNase positivity supports Aeromonas over Vibrio."
|
| 87 |
+
},
|
| 88 |
+
{
|
| 89 |
+
"field": "NaCl Tolerant (>=6%)",
|
| 90 |
+
"expected": "Negative",
|
| 91 |
+
"distinguishes_from": ["Vibrio"],
|
| 92 |
+
"notes": "Lack of salt tolerance differentiates Aeromonas from halophilic vibrios."
|
| 93 |
+
}
|
| 94 |
+
],
|
| 95 |
+
|
| 96 |
+
"common_confusions": [
|
| 97 |
+
{
|
| 98 |
+
"genus": "Vibrio",
|
| 99 |
+
"reason": "Shared oxidase positivity and aquatic association."
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"genus": "Plesiomonas",
|
| 103 |
+
"reason": "Overlapping biochemical reactions and motility."
|
| 104 |
+
},
|
| 105 |
+
{
|
| 106 |
+
"genus": "Enterobacter",
|
| 107 |
+
"reason": "Shared glucose fermentation and colony appearance on non-selective media."
|
| 108 |
+
}
|
| 109 |
+
],
|
| 110 |
+
|
| 111 |
+
"when_to_question_identification": [
|
| 112 |
+
"Growth in high salt suggests Vibrio.",
|
| 113 |
+
"Oxidase negativity argues against Aeromonas.",
|
| 114 |
+
"Strong lactose fermentation suggests Enterobacterales."
|
| 115 |
+
],
|
| 116 |
+
|
| 117 |
+
"recommended_next_tests": [
|
| 118 |
+
{
|
| 119 |
+
"test": "Oxidase test",
|
| 120 |
+
"reason": "Critical for initial differentiation from Enterobacterales."
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"test": "Salt tolerance testing",
|
| 124 |
+
"reason": "Helps distinguish from Vibrio species."
|
| 125 |
+
},
|
| 126 |
+
{
|
| 127 |
+
"test": "MALDI-TOF MS",
|
| 128 |
+
"reason": "Recommended for accurate species-level identification."
|
| 129 |
+
}
|
| 130 |
+
],
|
| 131 |
+
|
| 132 |
+
"supported_species": [
|
| 133 |
+
"hydrophila",
|
| 134 |
+
"caviae",
|
| 135 |
+
"veronii",
|
| 136 |
+
"sobria"
|
| 137 |
+
]
|
| 138 |
+
}
|
data/rag/knowledge_base/Aeromonas/hydrophila.json
ADDED
|
@@ -0,0 +1,122 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aeromonas",
|
| 5 |
+
"species": "hydrophila",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aeromonas hydrophila is a Gram-negative, oxidase-positive, facultatively anaerobic rod frequently associated with wound infections and gastroenteritis, and can cause invasive disease.",
|
| 9 |
+
"clinical_context": "Often linked to water-exposure wound infections, diarrheal disease, and opportunistic septicemia."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Positive",
|
| 19 |
+
"Haemolysis Type": "Beta",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Large",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Opaque"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "4//42",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Variable",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Positive",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Positive",
|
| 40 |
+
"ONPG": "Positive",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Positive",
|
| 43 |
+
"Esculin Hydrolysis": "Variable",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Positive",
|
| 47 |
+
"Lysine Decarboxylase": "Positive",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Positive",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Positive",
|
| 55 |
+
"Mannitol Fermentation": "Positive",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Variable",
|
| 64 |
+
"TSI Pattern": "A/A",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Haemolysis Type",
|
| 73 |
+
"value": "Beta",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Beta haemolysis is more supportive of A. hydrophila compared with A. caviae (often non-haemolytic)."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Gelatin Hydrolysis",
|
| 79 |
+
"value": "Positive",
|
| 80 |
+
"importance": "high",
|
| 81 |
+
"notes": "Gelatinase positivity is commonly used in Aeromonas differentiation and supports A. hydrophila."
|
| 82 |
+
},
|
| 83 |
+
{
|
| 84 |
+
"field": "Ornithine Decarboxylase",
|
| 85 |
+
"value": "Negative",
|
| 86 |
+
"importance": "medium",
|
| 87 |
+
"notes": "Helps separate from A. caviae, which is more often ornithine positive."
|
| 88 |
+
}
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"common_confusions": [
|
| 92 |
+
{
|
| 93 |
+
"species": "Aeromonas veronii",
|
| 94 |
+
"reason": "Overlap in oxidase-positive fermentation pattern; indole and haemolysis patterns are helpful."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"species": "Aeromonas caviae",
|
| 98 |
+
"reason": "Both can present in gastroenteritis; ornithine and haemolysis help distinguish."
|
| 99 |
+
}
|
| 100 |
+
],
|
| 101 |
+
|
| 102 |
+
"when_to_question_identification": [
|
| 103 |
+
"Consistent non-haemolysis suggests A. caviae or another Aeromonas species.",
|
| 104 |
+
"Strong indole positivity suggests A. veronii or related taxa.",
|
| 105 |
+
"NaCl tolerance at >=6% suggests Vibrio rather than Aeromonas."
|
| 106 |
+
],
|
| 107 |
+
|
| 108 |
+
"recommended_next_tests": [
|
| 109 |
+
{
|
| 110 |
+
"test": "Haemolysis on Blood Agar",
|
| 111 |
+
"reason": "Supports species-level discrimination inside Aeromonas."
|
| 112 |
+
},
|
| 113 |
+
{
|
| 114 |
+
"test": "Gelatin hydrolysis",
|
| 115 |
+
"reason": "Commonly positive and useful for A. hydrophila support."
|
| 116 |
+
},
|
| 117 |
+
{
|
| 118 |
+
"test": "MALDI-TOF MS",
|
| 119 |
+
"reason": "Recommended for accurate differentiation among Aeromonas species."
|
| 120 |
+
}
|
| 121 |
+
]
|
| 122 |
+
}
|
data/rag/knowledge_base/Aeromonas/veronii.json
ADDED
|
@@ -0,0 +1,122 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aeromonas",
|
| 5 |
+
"species": "veronii",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aeromonas veronii is a Gram-negative, oxidase-positive, facultatively anaerobic rod associated with gastrointestinal illness and opportunistic infections.",
|
| 9 |
+
"clinical_context": "Often isolated from diarrheal disease and can cause wound or bloodstream infections, especially in immunocompromised hosts."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Rods",
|
| 15 |
+
"Motility": "Positive",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Variable",
|
| 19 |
+
"Haemolysis Type": "Variable",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"MacConkey Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Large",
|
| 26 |
+
"Grey",
|
| 27 |
+
"Opaque"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "4//42",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Positive",
|
| 33 |
+
"Indole": "Positive",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Variable",
|
| 36 |
+
"Methyl Red": "Positive",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Positive",
|
| 40 |
+
"ONPG": "Positive",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Variable",
|
| 43 |
+
"Esculin Hydrolysis": "Variable",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Variable",
|
| 47 |
+
"Lysine Decarboxylase": "Variable",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Positive",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Positive",
|
| 55 |
+
"Mannitol Fermentation": "Variable",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Variable",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Variable",
|
| 64 |
+
"TSI Pattern": "A/A",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "Polar"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Indole",
|
| 73 |
+
"value": "Positive",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Indole positivity strongly supports A. veronii over A. caviae (often indole negative)."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Ornithine Decarboxylase",
|
| 79 |
+
"value": "Negative",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Helps separate from A. caviae, which is more often ornithine positive."
|
| 82 |
+
},
|
| 83 |
+
{
|
| 84 |
+
"field": "Haemolysis",
|
| 85 |
+
"value": "Variable",
|
| 86 |
+
"importance": "medium",
|
| 87 |
+
"notes": "Haemolysis may occur but is less consistently defining than in A. hydrophila."
|
| 88 |
+
}
|
| 89 |
+
],
|
| 90 |
+
|
| 91 |
+
"common_confusions": [
|
| 92 |
+
{
|
| 93 |
+
"species": "Aeromonas hydrophila",
|
| 94 |
+
"reason": "Overlap in oxidase-positive fermentation and gelatinase patterns; haemolysis and marker patterns help resolve."
|
| 95 |
+
},
|
| 96 |
+
{
|
| 97 |
+
"species": "Aeromonas caviae",
|
| 98 |
+
"reason": "Both associated with gastroenteritis; indole and ornithine are useful differentiators."
|
| 99 |
+
}
|
| 100 |
+
],
|
| 101 |
+
|
| 102 |
+
"when_to_question_identification": [
|
| 103 |
+
"Indole negativity suggests A. caviae or another Aeromonas species.",
|
| 104 |
+
"Strong consistent beta haemolysis suggests A. hydrophila.",
|
| 105 |
+
"NaCl tolerance at >=6% suggests Vibrio rather than Aeromonas."
|
| 106 |
+
],
|
| 107 |
+
|
| 108 |
+
"recommended_next_tests": [
|
| 109 |
+
{
|
| 110 |
+
"test": "Indole test",
|
| 111 |
+
"reason": "Primary discriminator for A. veronii support."
|
| 112 |
+
},
|
| 113 |
+
{
|
| 114 |
+
"test": "Ornithine decarboxylase",
|
| 115 |
+
"reason": "Supports separation from A. caviae."
|
| 116 |
+
},
|
| 117 |
+
{
|
| 118 |
+
"test": "MALDI-TOF MS",
|
| 119 |
+
"reason": "Recommended for definitive Aeromonas species identification."
|
| 120 |
+
}
|
| 121 |
+
]
|
| 122 |
+
}
|
data/rag/knowledge_base/Aggregatibacter/actinomycetemcomitans.json
ADDED
|
@@ -0,0 +1,108 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aggregatibacter",
|
| 5 |
+
"species": "actinomycetemcomitans",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aggregatibacter actinomycetemcomitans is a fastidious Gram-negative coccobacillus associated with periodontal disease and infective endocarditis.",
|
| 9 |
+
"clinical_context": "Strongly linked to aggressive periodontitis and is a recognized HACEK organism causing endocarditis."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Short Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Variable",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Chocolate Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Small",
|
| 26 |
+
"Rough",
|
| 27 |
+
"Star-shaped center"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "35//37",
|
| 31 |
+
"Catalase": "Positive",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Positive",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Negative",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "Unknown",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Colony Morphology",
|
| 73 |
+
"value": "Star-shaped center",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Characteristic star-shaped colonies are strongly suggestive of A. actinomycetemcomitans."
|
| 76 |
+
},
|
| 77 |
+
{
|
| 78 |
+
"field": "Catalase",
|
| 79 |
+
"value": "Positive",
|
| 80 |
+
"importance": "medium",
|
| 81 |
+
"notes": "Helps distinguish from other Aggregatibacter species."
|
| 82 |
+
}
|
| 83 |
+
],
|
| 84 |
+
|
| 85 |
+
"common_confusions": [
|
| 86 |
+
{
|
| 87 |
+
"species": "Aggregatibacter aphrophilus",
|
| 88 |
+
"reason": "Similar fastidious growth and biochemical profile."
|
| 89 |
+
}
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"when_to_question_identification": [
|
| 93 |
+
"Absence of star-shaped colony morphology.",
|
| 94 |
+
"Oxidase positivity suggests another genus.",
|
| 95 |
+
"Robust growth on MacConkey Agar is inconsistent."
|
| 96 |
+
],
|
| 97 |
+
|
| 98 |
+
"recommended_next_tests": [
|
| 99 |
+
{
|
| 100 |
+
"test": "Extended incubation",
|
| 101 |
+
"reason": "Characteristic colony morphology may take several days to develop."
|
| 102 |
+
},
|
| 103 |
+
{
|
| 104 |
+
"test": "MALDI-TOF MS",
|
| 105 |
+
"reason": "Reliable identification among HACEK organisms."
|
| 106 |
+
}
|
| 107 |
+
]
|
| 108 |
+
}
|
data/rag/knowledge_base/Aggregatibacter/aphrophilus.json
ADDED
|
@@ -0,0 +1,102 @@
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|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"schema_version": "1.0",
|
| 3 |
+
"level": "species",
|
| 4 |
+
"genus": "Aggregatibacter",
|
| 5 |
+
"species": "aphrophilus",
|
| 6 |
+
|
| 7 |
+
"overview": {
|
| 8 |
+
"short": "Aggregatibacter aphrophilus is a Gram-negative, fastidious coccobacillus commonly isolated from the oral cavity and associated with endocarditis.",
|
| 9 |
+
"clinical_context": "A member of the HACEK group, frequently implicated in culture-negative endocarditis."
|
| 10 |
+
},
|
| 11 |
+
|
| 12 |
+
"expected_fields": {
|
| 13 |
+
"Gram Stain": "Negative",
|
| 14 |
+
"Shape": "Short Rods",
|
| 15 |
+
"Motility": "Negative",
|
| 16 |
+
"Capsule": "Negative",
|
| 17 |
+
"Spore Formation": "Negative",
|
| 18 |
+
"Haemolysis": "Negative",
|
| 19 |
+
"Haemolysis Type": "None",
|
| 20 |
+
"Media Grown On": [
|
| 21 |
+
"Blood Agar",
|
| 22 |
+
"Chocolate Agar"
|
| 23 |
+
],
|
| 24 |
+
"Colony Morphology": [
|
| 25 |
+
"Small",
|
| 26 |
+
"Smooth",
|
| 27 |
+
"Grey"
|
| 28 |
+
],
|
| 29 |
+
"Oxygen Requirement": "Facultative Anaerobe",
|
| 30 |
+
"Growth Temperature": "35//37",
|
| 31 |
+
"Catalase": "Negative",
|
| 32 |
+
"Oxidase": "Negative",
|
| 33 |
+
"Indole": "Negative",
|
| 34 |
+
"Urease": "Negative",
|
| 35 |
+
"Citrate": "Negative",
|
| 36 |
+
"Methyl Red": "Negative",
|
| 37 |
+
"VP": "Negative",
|
| 38 |
+
"H2S": "Negative",
|
| 39 |
+
"DNase": "Negative",
|
| 40 |
+
"ONPG": "Negative",
|
| 41 |
+
"Coagulase": "Negative",
|
| 42 |
+
"Gelatin Hydrolysis": "Negative",
|
| 43 |
+
"Esculin Hydrolysis": "Negative",
|
| 44 |
+
"Nitrate Reduction": "Negative",
|
| 45 |
+
"NaCl Tolerant (>=6%)": "Negative",
|
| 46 |
+
"Lipase Test": "Negative",
|
| 47 |
+
"Lysine Decarboxylase": "Negative",
|
| 48 |
+
"Ornithine Decarboxylase": "Negative",
|
| 49 |
+
"Ornitihine Decarboxylase": "Negative",
|
| 50 |
+
"Arginine dihydrolase": "Negative",
|
| 51 |
+
"Glucose Fermentation": "Positive",
|
| 52 |
+
"Lactose Fermentation": "Negative",
|
| 53 |
+
"Sucrose Fermentation": "Variable",
|
| 54 |
+
"Maltose Fermentation": "Negative",
|
| 55 |
+
"Mannitol Fermentation": "Negative",
|
| 56 |
+
"Sorbitol Fermentation": "Negative",
|
| 57 |
+
"Xylose Fermentation": "Negative",
|
| 58 |
+
"Rhamnose Fermentation": "Negative",
|
| 59 |
+
"Arabinose Fermentation": "Negative",
|
| 60 |
+
"Raffinose Fermentation": "Negative",
|
| 61 |
+
"Trehalose Fermentation": "Negative",
|
| 62 |
+
"Inositol Fermentation": "Negative",
|
| 63 |
+
"Gas Production": "Negative",
|
| 64 |
+
"TSI Pattern": "Unknown",
|
| 65 |
+
"Colony Pattern": "Unknown",
|
| 66 |
+
"Pigment": "None",
|
| 67 |
+
"Motility Type": "None"
|
| 68 |
+
},
|
| 69 |
+
|
| 70 |
+
"species_markers": [
|
| 71 |
+
{
|
| 72 |
+
"field": "Catalase",
|
| 73 |
+
"value": "Negative",
|
| 74 |
+
"importance": "high",
|
| 75 |
+
"notes": "Differentiates A. aphrophilus from A. actinomycetemcomitans."
|
| 76 |
+
}
|
| 77 |
+
],
|
| 78 |
+
|
| 79 |
+
"common_confusions": [
|
| 80 |
+
{
|
| 81 |
+
"species": "Aggregatibacter actinomycetemcomitans",
|
| 82 |
+
"reason": "Shared habitat and similar growth characteristics."
|
| 83 |
+
}
|
| 84 |
+
],
|
| 85 |
+
|
| 86 |
+
"when_to_question_identification": [
|
| 87 |
+
"Catalase positivity suggests A. actinomycetemcomitans.",
|
| 88 |
+
"Star-shaped colonies suggest A. actinomycetemcomitans.",
|
| 89 |
+
"Growth on MacConkey Agar argues against Aggregatibacter."
|
| 90 |
+
],
|
| 91 |
+
|
| 92 |
+
"recommended_next_tests": [
|
| 93 |
+
{
|
| 94 |
+
"test": "Catalase test",
|
| 95 |
+
"reason": "Key discriminator within Aggregatibacter species."
|
| 96 |
+
},
|
| 97 |
+
{
|
| 98 |
+
"test": "MALDI-TOF MS",
|
| 99 |
+
"reason": "Accurate identification of HACEK organisms."
|
| 100 |
+
}
|
| 101 |
+
]
|
| 102 |
+
}
|