{ "schema_version": "1.0", "level": "species", "genus": "Comamonas", "species": "testosteroni", "overview": { "short": "Comamonas testosteroni is a Gram-negative, aerobic, non-fermentative rod primarily associated with environmental sources.", "clinical_context": "Rare opportunistic pathogen occasionally isolated from bloodstream, respiratory, or wound infections." }, "expected_fields": { "Gram Stain": "Negative", "Shape": "Rods", "Motility": "Positive", "Capsule": "Negative", "Spore Formation": "Negative", "Haemolysis": "Negative", "Haemolysis Type": "None", "Media Grown On": [ "Blood Agar", "Nutrient Agar" ], "Colony Morphology": [ "Smooth", "Grey", "Non-pigmented" ], "Oxygen Requirement": "Aerobic", "Growth Temperature": "20//42", "Catalase": "Positive", "Oxidase": "Positive", "Indole": "Negative", "Urease": "Negative", "Citrate": "Positive", "Methyl Red": "Negative", "VP": "Negative", "H2S": "Negative", "DNase": "Negative", "ONPG": "Negative", "Coagulase": "Negative", "Gelatin Hydrolysis": "Variable", "Esculin Hydrolysis": "Negative", "Nitrate Reduction": "Positive", "NaCl Tolerant (>=6%)": "Negative", "Lipase Test": "Negative", "Lysine Decarboxylase": "Negative", "Ornithine Decarboxylase": "Negative", "Ornitihine Decarboxylase": "Negative", "Arginine dihydrolase": "Negative", "Glucose Fermentation": "Negative", "Lactose Fermentation": "Negative", "Sucrose Fermentation": "Negative", "Maltose Fermentation": "Negative", "Mannitol Fermentation": "Negative", "Sorbitol Fermentation": "Negative", "Xylose Fermentation": "Negative", "Rhamnose Fermentation": "Negative", "Arabinose Fermentation": "Negative", "Raffinose Fermentation": "Negative", "Trehalose Fermentation": "Negative", "Inositol Fermentation": "Negative", "Gas Production": "Negative", "TSI Pattern": "Unknown", "Colony Pattern": "Unknown", "Pigment": "None", "Motility Type": "Polar" }, "species_markers": [ { "field": "Citrate", "value": "Positive", "importance": "high", "notes": "Major discriminator from Comamonas kerstersii." }, { "field": "Nitrate Reduction", "value": "Positive", "importance": "high", "notes": "Supports identification when combined with citrate positivity." }, { "field": "Environmental Source", "value": "Common", "importance": "medium", "notes": "Frequently isolated from soil and water." } ], "common_confusions": [ { "species": "Comamonas kerstersii", "reason": "Overlapping morphology and non-fermentative biochemistry." }, { "genus": "Achromobacter", "reason": "Shared oxidase-positive, non-fermentative profile." } ], "when_to_question_identification": [ "Citrate negativity suggests Comamonas kerstersii.", "Clinical isolation from intra-abdominal infections favors C. kerstersii.", "Glucose fermentation excludes Comamonas species." ], "recommended_next_tests": [ { "test": "Citrate utilization", "reason": "Primary biochemical discriminator.", "api_kit": "API 20NE" }, { "test": "Nitrate reduction", "reason": "Supports species-level separation.", "api_kit": "API 20NE" }, { "test": "MALDI-TOF MS", "reason": "Definitive species identification.", "api_kit": "Not applicable" } ] }