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Update data/rag/knowledge_base/Acinetobacter/johnsonii.json

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data/rag/knowledge_base/Acinetobacter/johnsonii.json CHANGED
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  {
 
 
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  "genus": "Acinetobacter",
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- "species": "junii",
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- "full_name": "Acinetobacter junii",
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- "clinical_significance": "A less pathogenic species compared to A. baumannii. Often isolated in neonates and immunocompromised patients, causing bacteremia, meningitis, and wound infections. Generally more susceptible to antibiotics.",
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- "phenotype_profile": {
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- "morphology": "Gram-negative coccobacilli; may appear slightly longer than baumannii.",
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- "culture": "Smooth, moist colonies on blood agar. Non-lactose fermenting on MacConkey agar.",
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- "biochemical": [
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- "Oxidase negative",
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- "Catalase positive",
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- "Non-fermenter",
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- "ONPG negative",
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- "Does not grow in 6.5% NaCl",
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- "Non-motile",
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- "Does NOT grow at 44°C",
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- "Weak or absent glucose oxidation"
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- ]
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  },
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- "differentiation": {
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- "from_close_species": [
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- "Does not grow at 44°C, unlike A. baumannii.",
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- "More antibiotic susceptible than A. baumannii.",
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- "Colony morphology more moist and less adherent.",
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- "Genetic identification required for reliable distinction."
 
 
 
 
 
 
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  ],
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- "from_other_genera": [
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- "Oxidase negative non-motile phenotype differentiates from Stenotrophomonas and Alcaligenes.",
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- "Coccobacillary morphology may mimic Neisseria, but oxidase negative result rules them out."
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- ]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  },
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- "confirmation_methods": [
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- "MALDI-TOF MS",
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- "16S rRNA sequencing",
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- "Inability to grow at 44°C (supports species assignment)",
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- "Genome-based identification for high accuracy"
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  ],
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- "treatment_notes": "Typically susceptible to more antibiotics than baumannii. Standard beta-lactams, fluoroquinolones, and aminoglycosides may be effective.",
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- "notes": "Commonly isolated from neonatal intensive care units; pathogenicity lower than baumannii but still clinically relevant.",
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- "references": [
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- "Manual of Clinical Microbiology.",
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- "NICU infection surveillance literature."
 
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  ]
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- }
 
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  {
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+ "schema_version": "1.0",
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+ "level": "species",
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  "genus": "Acinetobacter",
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+ "species": "johnsonii",
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+
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+ "overview": {
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+ "short": "Acinetobacter johnsonii is a Gram-negative, aerobic, non-fermentative coccobacillus commonly recovered from environmental sources.",
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+ "clinical_context": "Rarely associated with human infection and typically considered of low pathogenic potential."
 
 
 
 
 
 
 
 
 
 
 
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  },
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+
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+ "expected_fields": {
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+ "Gram Stain": "Negative",
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+ "Shape": "Coccobacilli",
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+ "Motility": "Negative",
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+ "Capsule": "Negative",
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+ "Spore Formation": "Negative",
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+ "Haemolysis": "Negative",
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+ "Haemolysis Type": "None",
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+ "Media Grown On": [
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+ "Blood Agar",
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+ "MacConkey Agar"
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  ],
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+ "Colony Morphology": [
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+ "Smooth",
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+ "Grey",
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+ "Dry"
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+ ],
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+ "Oxygen Requirement": "Aerobic",
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+ "Growth Temperature": "15//37",
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+ "Catalase": "Positive",
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+ "Oxidase": "Negative",
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+ "Indole": "Negative",
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+ "Urease": "Negative",
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+ "Citrate": "Negative",
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+ "Methyl Red": "Negative",
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+ "VP": "Negative",
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+ "H2S": "Negative",
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+ "DNase": "Negative",
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+ "ONPG": "Negative",
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+ "Coagulase": "Negative",
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+ "Gelatin Hydrolysis": "Negative",
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+ "Esculin Hydrolysis": "Negative",
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+ "Nitrate Reduction": "Negative",
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+ "NaCl Tolerant (>=6%)": "Negative",
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+ "Lipase Test": "Negative",
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+ "Lysine Decarboxylase": "Negative",
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+ "Ornithine Decarboxylase": "Negative",
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+ "Ornitihine Decarboxylase": "Negative",
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+ "Arginine dihydrolase": "Negative",
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+ "Glucose Fermentation": "Negative",
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+ "Lactose Fermentation": "Negative",
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+ "Sucrose Fermentation": "Negative",
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+ "Maltose Fermentation": "Negative",
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+ "Mannitol Fermentation": "Negative",
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+ "Sorbitol Fermentation": "Negative",
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+ "Xylose Fermentation": "Negative",
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+ "Rhamnose Fermentation": "Negative",
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+ "Arabinose Fermentation": "Negative",
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+ "Raffinose Fermentation": "Negative",
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+ "Trehalose Fermentation": "Negative",
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+ "Inositol Fermentation": "Negative",
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+ "Gas Production": "Negative",
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+ "TSI Pattern": "K/K",
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+ "Colony Pattern": "Unknown",
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+ "Pigment": "None",
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+ "Motility Type": "None"
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  },
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+
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+ "species_markers": [
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+ {
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+ "field": "Growth Temperature",
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+ "value": "37//37",
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+ "importance": "medium",
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+ "notes": "Does not tolerate higher temperatures typical of A. baumannii."
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+ }
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+ ],
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+
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+ "common_confusions": [
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+ {
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+ "species": "Acinetobacter lwoffii",
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+ "reason": "Similar low biochemical activity and environmental presence."
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+ }
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+ ],
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+
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+ "when_to_question_identification": [
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+ "Isolation from severe clinical infections may indicate another species.",
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+ "Growth at elevated temperatures argues against A. johnsonii."
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  ],
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+
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+ "recommended_next_tests": [
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+ {
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+ "test": "MALDI-TOF MS",
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+ "reason": "Definitive species-level identification."
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+ }
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  ]
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+ }