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Update data/rag/knowledge_base/Cryptococcus/gattii.json

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data/rag/knowledge_base/Cryptococcus/gattii.json CHANGED
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+ {
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+ "genus": "Cryptococcus",
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+ "species": "gattii",
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+ "full_name": "Cryptococcus gattii",
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+ "clinical_significance": "A highly virulent Cryptococcus species complex that infects immunocompetent hosts. Often causes large pulmonary or CNS cryptococcomas, and outbreaks have occurred in Canada, the U.S. Pacific Northwest, and Australia.",
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+ "phenotype_profile": {
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+ "morphology": "Encapsulated yeast; often features a larger and more robust capsule than C. neoformans.",
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+ "culture": "Mucoid colonies; blue coloration on CGB (L-canavanine–glycine–bromothymol blue) medium due to ability to utilize glycine.",
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+ "biochemical": [
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+ "Urease positive",
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+ "Phenol oxidase positive",
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+ "Grows at 37 °C",
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+ "Positive on CGB agar (turns medium blue)",
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+ "No pseudohyphae",
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+ "Strong melanin production"
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+ ]
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+ },
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+ "differentiation": {
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+ "from close species": [
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+ "Blue color change on CGB agar is highly specific for C. gattii.",
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+ "More frequent disease in immunocompetent hosts vs. C. neoformans.",
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+ "Associated with tree habitats (eucalyptus, rainforest species)."
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+ ],
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+ "from other genera": [
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+ "Melanin-producing, encapsulated, but CGB-positive profile is unique."
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+ ]
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+ },
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+ "virulence_factors": [
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+ "Large polysaccharide capsule",
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+ "Melanin production",
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+ "Ability to form large cryptococcomas",
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+ "Survival and replication in macrophages",
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+ "Enhanced resistance to oxidative stress"
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+ ],
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+ "confirmation_methods": [
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+ "CGB agar",
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+ "MALDI-TOF MS",
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+ "MLST / molecular typing",
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+ "ITS sequencing"
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+ ],
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+ "treatment_notes": [
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+ "Requires longer antifungal therapy than C. neoformans",
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+ "Amphotericin B + flucytosine induction",
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+ "Prolonged fluconazole consolidation phase",
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+ "Surgical resection sometimes required for cryptococcomas"
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+ ],
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+ "notes": "Major outbreak pathogen with environmental reservoirs in western Canada and the Pacific Northwest.",
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+ "references": [
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+ "C. gattii outbreak epidemiology",
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+ "Treatment outcomes literature"
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+ ]
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+ }