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Update data/rag/knowledge_base/Comamonas/genus.json

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data/rag/knowledge_base/Comamonas/genus.json CHANGED
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+ {
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+ "genus": "Comamonas",
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+ "taxonomy": {
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+ "family": "Comamonadaceae",
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+ "order": "Burkholderiales",
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+ "class": "Betaproteobacteria",
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+ "phylum": "Proteobacteria"
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+ },
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+ "overview": "Comamonas is a genus of aerobic, motile, oxidase-positive Gram-negative rods found in soil, freshwater, and wastewater environments. They are non-fermenters and generally considered low-virulence organisms, although Comamonas kerstersii has recently emerged as a human pathogen associated with intra-abdominal infections, particularly appendicitis.",
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+ "key_traits": [
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+ "Gram-negative rods",
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+ "Motile with polar flagella",
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+ "Oxidase positive",
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+ "Catalase positive",
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+ "Non-fermenters (oxidize glucose but do not ferment)",
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+ "Nitrate reduction positive",
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+ "Grow well on routine aerobic media",
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+ "Do not grow in 6.5% NaCl",
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+ "Indole negative",
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+ "ONPG negative"
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+ ],
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+ "ecology": "Widely distributed in water, soil, sewage, and biofilms. Some species colonize hospital water systems. Human infection occurs through contaminated water or disrupted mucosal barriers.",
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+ "pathogenicity": "Most species are environmental and rarely cause infection. Comamonas kerstersii is increasingly reported in appendicitis, peritonitis, bacteremia, and pelvic infections. Comamonas testosteronii is usually a contaminant or colonizer but may cause opportunistic infections in immunocompromised hosts.",
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+ "genus_level_biochemistry": {
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+ "general_tendencies": [
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+ "Oxidase positive aerobic rods.",
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+ "Do not ferment carbohydrates; use oxidative metabolism.",
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+ "Motile by polar flagella.",
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+ "ONPG negative, urease negative.",
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+ "Nitrate to nitrite reduction positive."
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+ ],
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+ "non_definitive_tests": [
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+ "Colony morphology overlaps with Delftia and Acidovorax.",
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+ "Carbohydrate utilization tests limited for speciation."
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+ ]
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+ },
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+ "genus_differentiation": {
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+ "from_close_genera": [
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+ "Delftia acidovorans forms characteristic 'orange peel' surface and is DNase positive, unlike most Comamonas.",
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+ "Acidovorax species are often less motile and differ in assimilation reactions.",
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+ "Burkholderia are typically more resistant and may be oxidase variable.",
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+ "Pseudomonas aeruginosa produces pigments and grows in high salt; Comamonas does not.",
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+ "Ralstonia are oxidase positive but often nonmotile and more water-system associated."
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+ ],
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+ "key_rag_filters": [
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+ "Oxidase positive + non-fermenting + motile = Comamonas/Delftia/Burkholderia group.",
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+ "Appendicitis-associated isolate → strongly suggests Comamonas kerstersii.",
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+ "Environmental water isolate + low virulence → suggests Comamonas testosteronii.",
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+ "No pigment + no DNase activity → favors Comamonas over Delftia."
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+ ]
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+ },
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+ "diagnostics": {
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+ "typical_lab_findings": [
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+ "Motile oxidase-positive GNR",
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+ "Non-fermenter on TSI/KIA",
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+ "Growth on MacConkey (NLF)",
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+ "No pigment production"
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+ ],
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+ "important_tests": [
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+ "Oxidase test",
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+ "Glucose oxidation vs fermentation",
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+ "Nitrate reduction",
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+ "MALDI-TOF MS"
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+ ],
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+ "confirmation_methods": [
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+ "MALDI-TOF MS (high accuracy)",
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+ "16S rRNA sequencing",
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+ "Whole-genome sequencing for rare species"
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+ ]
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+ },
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+ "notes": "Historically under-recognized due to misidentification by older biochemical systems.",
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+ "references": [
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+ "Manual of Clinical Microbiology",
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+ "Comamonas infection case series",
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+ "Burkholderiales taxonomy studies"
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+ ]
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+ }