{ "schema_version": "1.0", "level": "genus", "genus": "Enterobacter", "overview": { "short": "Enterobacter species are Gram-negative, facultatively anaerobic rods within the Enterobacterales, commonly isolated from clinical and environmental sources.", "clinical_context": "Often recovered from opportunistic infections including urinary tract, respiratory, and bloodstream infections." }, "expected_fields": { "Gram Stain": "Negative", "Shape": "Rods", "Motility": "Variable", "Capsule": "Variable", "Spore Formation": "Negative", "Haemolysis": "Negative", "Haemolysis Type": "None", "Media Grown On": [ "MacConkey Agar", "Blood Agar" ], "Colony Morphology": [ "Smooth", "Grey", "Moist" ], "Oxygen Requirement": "Facultative Anaerobe", "Growth Temperature": "10//45", "Catalase": "Positive", "Oxidase": "Negative", "Indole": "Variable", "Urease": "Variable", "Citrate": "Positive", "Methyl Red": "Negative", "VP": "Positive", "H2S": "Negative", "DNase": "Negative", "ONPG": "Positive", "Coagulase": "Negative", "Gelatin Hydrolysis": "Variable", "Esculin Hydrolysis": "Variable", "Nitrate Reduction": "Positive", "NaCl Tolerant (>=6%)": "Negative", "Lipase Test": "Negative", "Lysine Decarboxylase": "Positive", "Ornithine Decarboxylase": "Variable", "Ornitihine Decarboxylase": "Variable", "Arginine dihydrolase": "Negative", "Glucose Fermentation": "Positive", "Lactose Fermentation": "Variable", "Sucrose Fermentation": "Positive", "Maltose Fermentation": "Positive", "Mannitol Fermentation": "Positive", "Sorbitol Fermentation": "Variable", "Xylose Fermentation": "Positive", "Rhamnose Fermentation": "Variable", "Arabinose Fermentation": "Positive", "Raffinose Fermentation": "Variable", "Trehalose Fermentation": "Positive", "Inositol Fermentation": "Negative", "Gas Production": "Variable", "TSI Pattern": "A/A", "Colony Pattern": "Unknown", "Pigment": "None", "Motility Type": "Peritrichous" }, "field_notes": { "Lactose Fermentation": "Often delayed or variable on MacConkey Agar.", "Motility": "Most species are motile, but non-motile strains occur.", "Indole": "Indole reactions vary by species and are not genus-defining." }, "key_differentiators": [ { "field": "VP", "expected": "Positive", "distinguishes_from": ["Escherichia", "Shigella"], "notes": "VP positivity helps separate Enterobacter from MR-positive Enterobacterales." }, { "field": "Citrate", "expected": "Positive", "distinguishes_from": ["Escherichia"], "notes": "Citrate utilization supports Enterobacter over E. coli." }, { "field": "Motility", "expected": "Positive", "distinguishes_from": ["Klebsiella"], "notes": "Motility differentiates Enterobacter from typically non-motile Klebsiella." } ], "common_confusions": [ { "genus": "Klebsiella", "reason": "Shared lactose fermentation and mucoid colony appearance can cause confusion." }, { "genus": "Citrobacter", "reason": "Overlapping biochemical reactions including citrate positivity and sugar fermentation." } ], "when_to_question_identification": [ "Non-motile isolate with strong capsule suggests Klebsiella.", "Indole-positive with MR-positive profile suggests Escherichia or Citrobacter.", "H2S production argues against Enterobacter." ], "recommended_next_tests": [ { "test": "Indole test", "reason": "Useful for narrowing species-level identification." }, { "test": "Motility testing", "reason": "Helps distinguish from Klebsiella." }, { "test": "Molecular identification or MALDI-TOF", "reason": "Recommended due to biochemical overlap within Enterobacterales." } ], "supported_species": [ "cloacae", "asburiae", "hormaechei", "kobei", "ludwigii" ] }